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Archives for May 2015

Ask The Doctor-Is it common to not be able to have reconstruction surgery with a low immune system?

May 29, 2015 by

white flowerThis week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question.

Question: I have had three surgeries already. 2 to remove cancer and 1 reconstruction. I can’t have the last one because of infection in left breast where the cancer was—plus I keep getting sick because my immune system is low. Is this common if I just had radiation in the infected area?

Answer:  I’m sorry you are having problems. If you are having an infection after radiation, it would definitely be best to hold off on your reconstruction until your immune system has recovered and the infection is gone. Radiation treatments definitely increase the chance of getting an infection. If you have an implant in place already, it may need to be removed to resolve any infection. Once that has occurred you can still proceed with breast reconstruction at a later time when you have recovered.

Have a question about breast reconstruction or post-surgical you’d like answered from our surgical team? Just ask!

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5 Myths About Breast Cancer

May 26, 2015 by

pink flower

There’s a lot of false information swirling around these days about what causes breast cancer.

It can be really confusing and overwhelming to sift through what information is valid and what is just plain untrue. Not only that, but some of this information can make the difference in early breast cancer detection.

That’s why we’re debunking these 5 myths that you may have heard about breast cancer.

1. Only women with a family history of breast cancer are at risk

It is important to get annual breast exams, even if you don’t have a family history of the illness. According to Health.com, about 70% of women diagnosed with breast cancer each year had no identifiable risk factors. However, if you have a family history—especially with first-degree relatives, your breast cancer risk is increased.

2. Bras increase your risk

This is an absolute myth. Science has finally debunked the idea that wearing an underwire bra increases your risk for a breast cancer diagnosis. According to the Susan G. Komen Foundation, the two have been found to be unrelated.

3. Breast cancer always comes with a lump

This myth is a real problem. Many women believe the only warning sign for breast cancer is finding a lump. A lump is certainly something you should look for, but women should also look for other, sometimes less noticeable, changes in their breasts. Some of these changes include nipple pain or retraction, skin irritation or scaliness, and breast swelling.

4. Your father’s family history doesn’t impact your risk as much as your mother’s

The women on your father’s side of the family increase your risk just as substantially as your mother’s. Make sure to educate yourself on common family illnesses on both sides of your family at least two generations back.

5. Drinking too much caffeine causes cancer

Good news for all you coffee drinkers out there: there has not been a scientific link found between caffeine consumption and breast cancer. Go ahead and pour yourself a cup of morning Joe!

Read these tips to learn how to decrease your chance for breast cancer. 

Filed Under: Breast Cancer Awareness, Health and Wellness Tagged With: , ,

Ask The Doctor- Do you improve the existing breast during reconstruction?

May 22, 2015 by

red and yellow flowersThis week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question.

Question: I had my cancer treatments and mastectomy at MD Anderson Cancer Center in Houston, TX. My oncologist there told me that my existing breast would be reduced and lifted during the reconstruction of the right breast. Do you improve the existing breast during reconstruction?

Answer: Thanks for your question. Yes it is often necessary to adjust the opposite breast to match the reconstruction and achieve symmetry. In our practice we often perform that step during the second stage. 

Let me know if you have additional questions or if you want to chat about your specific situation with one of our clinical staff members. We’re always happy to help!

 

Have a question about breast reconstruction or post-surgical care you’d like answered from our surgical team? Just ask!

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Spoleto Festival USA 2015

May 20, 2015 by

16853683562_50c36dce4a_mRenowned Artists and Emerging Performers from Around the World Gather in Charleston, South Carolina for 39th Spoleto Festival USA Performing arts festival takes place May 22 – June 7, 2015.

Spoleto Festival USA’s reputation for blending renowned artists with emerging performers is showcased by the roster of guest singers and soloists engaged for operas and classical music concerts to be performed May 22 through June 7 in Charleston, South Carolina. Casts for the Festival’s two opera productions—the world premiere of Paradise Interrupted and the American premiere of Veremonda, l’amazzone di Aragona—include notable Festival debuts by emerging artists alongside internationally acclaimed specialists. Concerts by the Spoleto Festival USA Orchestra and Westminster Choir also bring a stellar array of guest soloists to Charleston to work with the young artists who make up the ensembles. The casts are currently in rehearsals in Charleston, South Carolina with the creative teams for these productions.

For 17 days and nights each spring, Spoleto Festival USA fills Charleston, South Carolina’s historic theaters, churches and outdoor spaces with performances by renowned artists as well as emerging performers in opera; theater; dance; and chamber, symphonic, choral and jazz music. Now in its 39th season, Spoleto Festival USA is internationally recognized as America’s premier performing arts festival.

 https://spoletousa.org/current-season/shows/

 

 

Filed Under: All Things Charleston

Charleston Summer Checklist

May 19, 2015 by

Battery Park in Charleston, SC

I know we’re a little biased, but Charleston really IS the best city ever! With beautiful beaches, some of the best restaurants in the world, a happening nightlife, and a rich history, The Holy City has something for everyone.

Our team at The Center for Natural Breast Reconstruction decided to make this summer the best yet and enjoy all our city has to offer. We got together and came up with our ultimate Charleston summer checklist. Here’s to sunshine, good food, and great memories!

Enjoy the Battery

This one is a Charleston staple. Walk or bike the scenic Battery, and take in the beautiful view of the harbor. Battery Park, otherwise known as White Point Gardens, is lined with beautiful antebellum homes and historic statues and cannons, and is the perfect place to cool off in the hot summer months.

Beach Hop

We are lucky to have 5 beautiful beaches—why just pick one? Make it a mission this summer to go to each at least once. Pack a cooler, set up the umbrella, and make sure to drop by Poe’s on Sullivan’s Island to take a break from the sun and have a burger!

Golf at Muni

The City of Charleston Golf Course, also referred to as “The Muni,”  is an area favorite for golfers. With over 60,000 rounds played annually, its reputation as a golf destination is growing quickly!

Visit the Aquarium

Our city is lucky enough to be the home to the South Carolina Aquarium. It’s the home to South Carolina’s only hospital for sick and injured sea turtles. Tour the sea turtle hospital, and find out more about the incredible care that goes into rehabilitating these endangered species. Make sure to check out the fun, new exhibits, such as the Shark Shallows, as well!

Tour the Charleston Tea Plantation

The Charleston Tea Plantation is one of the few places in America to grow its own tea. Take a tour of the tea factory, and learn about the history behind the 127 acres on Wadmalaw Island, and taste different teas. The plantation also offers an educational trolley tour so guests can explore the scenic grounds.

Also on site is the Irvin House Vineyards, which produces wine and Firefly vodka. Stop in for a tasting!

Explore the Gardens at Middleton Place

A National Historic Landmark, Middleton Place is the home to America’s Oldest Landscaped Gardens—and it is b-e-a-utiful! Take a tour of the grounds, dine at the restaurant, explore the house museum, or even stay at the inn.

Dine at HUSK Restaurant

There are so many amazing restaurants in Charleston, but this one is hands-down one of our favorites. HUSK Restaurant lives by the motto “If it doesn’t come from the South, it’s not coming through the door.” The restaurant takes a modern, playful approach to Southern cooking. The menu changes daily to be able to incorporate local food, but let us tell you—everything is to die for.

Want to add your Charleston favorites to this list? Share below!

Filed Under: All Things Charleston Tagged With: , , ,

Ask The Doctor-Do you have a maximum BMI for breast reconstruction surgeries?

May 15, 2015 by

pink flowersThis week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question.

Question: Do you have a maximum BMI for breast reconstruction surgeries?

Answer: Thanks for your question. The risk for some complications associated with breast reconstruction can be elevated in patients who are overweight. We use BMI as a general guideline to evaluate someone’s risks for complications before surgery. We consider more than the BMI and look at the type of surgery being performed and any other individual risk factors each person may have. When the BMI is 30 or more we discuss weight loss before surgery to lower the chances of significant wound healing problems and or a  DVT ( blood clots in the legs). A DVT can be a life threatening problem so we take the risk very seriously and do anything possible to make surgery as safe as possible.

I hope I answered your question let me know if you need more information.

Have a question about breast reconstruction or post-surgical you’d like answered from our surgical team? Just ask!

Filed Under: Ask the Doctor Tagged With: , , , , , , ,

5 Simple Ways to Conquer Information Overload and Get More Done

May 12, 2015 by

guy multitasking

Have you ever woken up with a to-do list the length of a CVS receipt—only to go to bed with a to-do list that’s the length of a CVS receipt? We’ve all experienced it…the perils of information overload…the excruciating analysis paralysis.

With today’s technology at our fingertips, information and distractions abound. It can feel impossible to focus on our accomplishing our goals for the day.

Want to get back in the driver’s seat and steer your day the productive way?

A quick way to begin driving toward productivity is to implement these tips below.

Tip #1: Stay Organized

Before the next day comes crashing down upon you, get ahead by getting organized.

Where will you be the next day—the office, playing chauffeur to your kids, meeting an important client for lunch?

Save crucial addresses or phone numbers in your phone (or somewhere equally handy) so you’re not scrambling the next day for directions or contacts.

Make sure you have that report ready to go or your kids’ baseball equipment packed in the car.

Having these items organized beforehand saves time and energy, and prevents headaches.

Tip #2: Write a List

If you’re like me, you’ve gone mostly digital, but you’re holding out on the sticky notes. I love my sticky notes. Whatever your preference though, write down your list or type it out.

On one sticky / digital note, write down the things you HAVE to get done by day’s end. These are tasks that are time-sensitive and nonnegotiable. These are your priorities.

Separately, write down the things you’d LIKE to get done—time permitted.

Tip #3: Do the Hardest Work at the Beginning of the Day

You’re using Tip #1 to stay organized, and you’ve done Tip #2 and written your list…but sometimes you still don’t know where to begin.

We tend to be fresher in the morning—more alert and energized. So harness that energy and pour it into the hardest task you’ve got for the day.

Knock it out in the beginning, and save the less daunting stuff for afterwards.

Tip #4: Take Breaks

Have you seen that viral video of the little boy asking his sister if she’s had her nap today? NO?! Check it out here—it’s only 14 seconds—it’s cute and hilarious and HAS A VALID POINT. [And look—I’m giving you a little break 😉 ]

While we can’t all doze off for a midafternoon nap, we can and SHOULD take breaks throughout the day. Recharge your batteries. Stretch your legs. Go outside.

Taking breaks (even if they’re short!) can increase productivity. In fact, taking just one microbreak (defined as anything from 30 seconds to 5 minutes) can increase mental acuity by an average of 13%. Check out this infographic for more information.

Tip #5: Keep Multitasking to a Minimum

We may believe multitasking propels us closer to our goals. More times than not, it simply bears bleak, dull results for each individual task.

And according to OnlineCollege.org, only 2% of people can multitask effectively.

This doesn’t mean we can’t get multiple things accomplished in one day.

Just try focusing on one task at a time—seeing it through before jumping to the next one.

Keep these 5 tips in mind when you’re preparing for the day’s activities. You’ll be able to get your mind focused and gain clarity on your goals.

 

Filed Under: Health and Wellness Tagged With: , ,

Ask The Doctor-Will you help me find somewhere that I can have a mastectomy and reconstruction surgery at the same time?

May 8, 2015 by

bee on a flowerThis week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question.

Question: I’ve just found out I have breast cancer and have to have a mastectomy.  There is no one in my little city that does the DIEP surgery.  Can you help me find somewhere to go so I can have my mastectomy and reconstruction at the same time?

Answer: Thanks for your question. There are specialized types of breast reconstruction that may not always be available to patients in every city. It is very common for patients to travel out of state to our practice because of our specialized training and the procedures we perform. When someone has to have a mastectomy, it may be possible to start the reconstruction at the same time. The advantages are several and include fewer surgical procedures, saving your breast skin and nipple sparing mastectomy. We use a multi- disciplinary approach and work with expert breast surgeons who can evaluate our patients to ensure they are having the most up to date treatment and are ok to have the mastectomy and reconstruction together. If it is determined that radiation treatments are needed after mastectomy, then we might recommend reconstruction at a later time when the radiation is complete. At the appropriate time, it can still be possible to have natural breast reconstruction and the most up to date breast reconstruction procedures. 

Our practice is committed to taking care of women who must go through a mastectomy and who desire knowing all their possible options for breast reconstruction. 

We make ourselves available to patients with time sensitive needs and will do anything we can to help people who may need to travel out of town for specialized state of the art breast reconstruction.

Have a question about breast reconstruction or post-surgical you’d like answered from our surgical team? Just ask!

 

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Natural Breast Reconstruction: Your Questions Answered

May 5, 2015 by

FAQ on keyboard

Each week, we have women from all over the state, region, and country reaching out to us with questions on whether or not natural breast reconstruction is right for them. We understand there are a lot of factors to consider, and it’s important to find a resource you can trust.

Our doctors at The Center for Natural Breast Reconstruction—and our staff—do our very best to answer all questions we receive. Our team’s goal is to be as helpful as possible during this process and help you make the decision that’s right for you.

In the spirit of educating you and your loved ones, our doctors came up with this list of the most frequently asked questions just for our blog readers.

[Note: If you have a question you’d like answered, Click here to fill out our Ask the Doctor form!]

How long after chemotherapy or radiation should I wait before reconstruction?

Breast reconstruction cannot be performed until 6 months after a patient’s final radiation treatment. However, chemotherapy varies. Some women have mastectomy and reconstruction immediately and do not start chemotherapy until after that is completed. Some women have to do chemotherapy first and then have mastectomy and reconstruction. Others have their mastectomy, have chemotherapy, and wait to have reconstruction. Planning and timing is based on the type of cancer, pathology, oncology recommendation, and the patient preference.

Can natural breast reconstruction be done if my mastectomy was last year?

Although immediate reconstruction has advantages, procedures can also be done years after a mastectomy.

Will the areas where tissue was removed look different?

Although scars will be present, the shape may be improved. Many of our “flap” procedures involve the removal of tissue from other parts of the body. The resulting “tummy tuck” or “buttocks lift” can re-contour these areas for a more youthful, attractive appearance.

Is natural breast reconstruction covered by insurance?

The Women’s Health and Cancer Rights Act of 1998 provides protection to patients who choose to have breast reconstruction in connection with a mastectomy. The federal law applies to those covered under group health insurance plans and those with individual health insurance coverage. You should check with your insurance provider for coverage details. Our administrative staff can also help you with reimbursement questions.

To learn more, click here.

Always consult with your doctor if you have any questions or concerns. Make an appointment with one of our physicians today.

Filed Under: Health and Wellness Tagged With: , , , , ,

Ask The Doctor-What is the best next step after losing an implant on the radiated side?

May 1, 2015 by

pink flowerThis week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question.

Question: I had both breasts removed with stage 4 cancer. The left breast with the silicone wouldn’t stay closed, so the plastic surgeon did a tram flap with muscle from my abdomen. So now one breast has silicon and the other has muscle from my adomen. I didn’t get nipples on my breast. Is there anything else I can do to improve this mess.

Answer: Thank you for your question. After losing an implant on the radiated side, the best next step is to reconstruct that breast with natural tissue. Which you did. As you are aware complications with implants increase when radiation is needed. Since you already have an implant on the other side. it will tend to be different from the tram side. Options include adjusting the shape of both breasts vs. replacing the other implant with natural tissue from another area of your body. We recommend doing this without using any of your muscles, only skin and fat either from the thigh area or buttock area. If you are happy with the implant breast reconstruction and don’t want to start over and go through another extensive reconstruction using natural tissue then it may be possible to adjust the TRAM reconstruction in a way that helps. You can always have nipple reconstruction if you desire, and that can be done as a minor procedure alone or possibly combined with revision of the reconstruction. I could give you more specific information about your options if you would like to give me a few more specific details. Thanks again for the question, let me know if I you would like more information.

Have a question about breast reconstruction or post-surgical you’d like answered from our surgical team? Just ask!

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