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Archives for 2015

Ask The Doctor-Is the DIEP flap procedure an option for me?

January 9, 2015 by

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

Question:I had a bilateral mastectomy with expanders in October of 2013, followed by chemo and radiation. It is now time for my exchange surgery, but I really want the DIEP flap procedure. My plastic surgeon is hesitant to do the surgery. Is a flap procedure even an option at this point?

Answer: Thanks for your question. Yes it is possible and we frequently do replace expanders or implants with DIEP flaps. In other words the extra skin and fatty tissue from the tummy area. Some people may not have extra tissue to use from their tummy or may have had previous surgery (tummy tuck). In that situation we can usually find extra fatty tissue from another area without removing any of your important muscles. If your surgeon does not think you should do that, ask why. There may be a good reason. You can always get a second opinion if you like. Let me know if you would like more information. Thanks again.

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

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Stop Smoking: Make It More Than a New Year’s Resolution

January 6, 2015 by

breaking a cigaretteUnfortunately, we can’t live in our parent’s blissful ignorance anymore. And it’s  not news that smoking is bad for your health.

If you are a smoker, quitting isn’t as easy as cutting out sugar or making a commitment to walk three times a week.

That’s why we’ve compiled a list of realistic ways to stop smoking. We aren’t talking quitting as a New Year’s resolution. We mean making an actual lifestyle change. So if you wake up on February 2and decide that is the day to quit, don’t let the fact that the New Year has passed stop you from making this change in your life.

Nicotine Replacement Therapy

Quitting smoking can be overwhelming because nicotine is incredibly addictive. Being able to wean yourself off nicotine, without the harmful effects from carcinogens, can help raise your chances of not giving up on day one. Using patches or gum helps you fight cravings by getting a measured amount of nicotine. Both nicotine replacements have different dosages, so you can slowly cut back the amount of nicotine intake.

Prescription Drugs

There are many prescription drugs that can help you quit smoking. Some of the prescriptions are used along with nicotine replacement therapy, while others you need to start taking before “Quit Day.” These drugs help counteract certain chemicals in the brain to help ease cravings. As with all prescription medications, make sure you consult your doctor and are aware of any potential side effects.

Write It Down

Write down all of the reasons you want to quit smoking on notecards or on your phone. Is it for your children or to stop having to hide your habit? Anytime you’re feeling particularly weak, bring that list out. Remind yourself there is a good reason why you’re doing this, and that in time it will get easier.

Acupuncture

You may know that acupuncture is often used to relieve medical ailments, but did you know it also might help you kick the habit? Treatments focus on jitters, cravings, irritability, and restlessness—all symptoms that commonly plague people who are trying to cease smoking.

Make a Plan

Do you know when you’re most likely to smoke? Make a plan to do something else during the times you would usually light up. Is it after dinner? Try making a hot cup of green tea instead. Is it after work? Go for a walk. Is it with a cup of coffee? Take a cup of coffee with you on a walk. Other methods that may help are to keep your mouth busy: chew gum, snack on sunflower seeds, always have a drink like flavored water or tea.

Read more about how smoking may increase breast cancer risk.

 

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Ask The Doctor-I am 52 years old and thinking about a bilateral DIEP flap surgery.

January 2, 2015 by

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

Question: I am 52 years old and thinking about a bilateral DIEP flap.

Answer: Thank you for your question. Have you already had a bilateral mastectomy? Do you have a specific question regarding the surgery? If you are thinking about a bilateral DIEP you have been considering options for breast reconstruction. This surgery can be done at the time of mastectomy or it can be done any time after. Also it can be appropriate for patients who have had breast cancer or who are at high risk for breast cancer. We would be glad to contact you for more specific information if you like.  

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

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