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Ask The Doctor-I’m unhappy with my reconstruction results. Is it possible for it to be improved?

June 10, 2015 by

Screen Shot 2015-05-01 at 1.11.58 PMThis week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question.

Question: I had breast cancer in 2011, and the surgeon who did my reconstruction did a wack job on me. I was a DDD before surgery, and I told him I wanted to go down to single D cup. When I woke up from surgery, things just didn’t look right. When I took my bandage off, he had taken so much off that I had breast the size of man’s chest. I was horrified. I had them redone later, but they are still way to small for my body frame. Can I have them redone again? Or am I stuck with this? It has affected my life so much, I’m depressed, and I hate going out. Any advice would be appreciated.

Answer: Thanks for your question. I’m sorry you have had problems with your reconstruction. The best approach to helping you depends on several factors. Did you have reconstruction using your own tissue or did you have implant reconstruction? Both approaches can be adjusted or redone to hopefully get an improvement. If you had radiation treatments, then it is likely that implants are not your best option. If you used your own tissue, it is possible to add more. It is important to remember that breast reconstruction always requires more than one step. When patients see their results after the first stage and only after one surgery, it is important to know the next step may make things much better. The most important achievement is to have the breast cancer removed.

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

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Our Summer Reading Picks

June 9, 2015 by

reading on the beach

Can you feel your toes in the sand, the sun on your legs, the cool ocean breeze, and a book on your lap yet?

That’s right, the summer season is upon us!

We don’t know about you, but there is just nothing better than getting engulfed in a book you just can’t put down in the summer.

Looking for a list of books to bring to the pool or the beach? Here’s our top summer picks! 

Bloom: Finding Beauty in the Unexpected—A Memoir—by Kelle Hampton

Kelle Hampton instantly knew her newborn baby was different from her other 2-year-old, and she was right. Her doctor confirmed her baby had Down syndrome. Hampton’s moving and inspirational book illustrates how life might not always be perfect, but it’s a beautiful ride.

Divine Secrets of the Ya-Ya Sisterhood—by Rebecca Wells

This one isn’t a new release, but it’s one of our all-time favorite summer reads! The novel unveils the story about the oldest daughter of one of the Ya-Ya’s, Siddalee, who writes and directs a hit play about her never dull childhood—including some of her mom’s secrets. The mother, Vivi, disowns her daughter, and it’s up to the Ya-Ya’s to bring them back together.

The Dry Grass of August—by Anna Jean Mayhew

This debut offers an interesting point of view from a 13-year-old venturing to the South, in 1954, for a summer vacation with her father, mother, siblings, and black maid, who was more of a parent then either of her parents could hope to be. With anti-integration all around her, she must decide where her own convictions lie.

Angry Housewives Eating Bon Bons—by Lorna Landvik

A group of women on Freesia Court create an unofficial book group club, called AHEB (short for Angry Housewives Eating Bon Bons). They become a lifeline for one another as each woman goes through her own (sometimes secret) struggles. A fun, great read that shows the power of female friendship. 

Heart of the Matter—by Emily Giffin

This is a powerful novel about two mothers who have absolutely nothing in common—except an incredible love for their children. Their lives converge in an unexpected, tragic way, and both are left questioning what they believe and remembering what matters most to them. An excellent read about human nature.

Comment below with your favorite summer reads!

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Ask The Doctor- How do I know if I have enough fat to use to reconstruct my breasts?

June 5, 2015 by

pink and white flower This week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question.

Question: My implants (30 years old) have ruptured. Can I have the implants removed and use my own fat to reconstruct the breasts? How do I know if I have enough fat to do this (pretty thin)?

Answer: Thank you for your question.  Were your breast implants used for reconstruction or do you still have your normal breast tissue? Either way if the implants have ruptured they need to be removed. If they are silicone then the silicone would need to be removed as well. If you decide not to replace the implants then it is possible to replace the implants with your own fatty tissue. This can be done different ways. Fat grafting is possible and involves liposuction of fat from multiple areas and injecting the fat into the breast to replace the implant. This procedure requires multiple steps  and it depends on how much fatty tissue you have and how big your implants are.  Even if you are “pretty thin” it is usually possible to get enough fatty tissue taking it from multiple areas of the body. I would need to know more about your situation to be more specific.

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

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Why Laughing Makes You Healthier

June 2, 2015 by

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Did you know having a good, hard laugh helps you live a longer life?

That’s right.

Laughing has tons of health benefits. [Spoiler alert: some of the benefits might help you look younger, too!]

After reading the list below, we have a feeling you’ll be calling your friends to get together for some laughs!

Laughing Reduces Stress

When you have a good chuckle, your stress response minimizes, and your muscles relax. In the long term, this means it’s important to laugh a lot. If you can reduce stress by laughing every day, you may have the chance to reduce your risk for stress-related illnesses such as heart disease.

Laughing Tones Your Abs

That’s right. Laugh yourself to a nice set of six-pack abs. When you laugh, you’re actually working your abdomen by expanding and contracting those muscles. Hence the ole’ phrase, “having a good belly laugh.”

Laughing Releases Endorphins

Since laughing is such a physical activity, endorphins are actually released in our brains. These endorphins are a natural “feel-good” chemical our bodies produce. Endorphins have a plethora of health benefits, including mental health and stress release.

Laughing Relieves Pain

According to the Scientific American, the endorphins released when we laugh can be a natural painkiller as well.  When we laugh, our brains have the capability to ignore pain because endorphins are being released. Aren’t our bodies fascinating?!

Laughing Improves Your Immune System

According to the Mayo Clinic, negative thoughts create a chemical reaction that leads to stress and poor health. In contrast, when you have positive, pleasant thoughts, neuropeptides are released in your brain, which help fight stress. Since stress and lack of sleep increase your chances of illness, laughing actually helps keep you from getting sick!

Today, let’s make it our goal to spread laughter. Post funny, appropriate jokes on our Facebook page!

Filed Under: Health and Wellness Tagged With: , ,

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!

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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!

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