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Archives for April 2016

Ask The Doctor-Are there any surgeries being performed using stomach fat?

April 29, 2016 by

 

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

Question:  I had a double lumpectomy on my right breast 16 years ago. I also had chemo and radiation. I never had reconstruction but was willing to live with it. But over the years I think the radiation has made my breast smaller and both breasts droop now.

Are there any surgeries being performed using stomach fat and how complicated for a 66 year old would this be? I am very healthy and exercise and workout a lot.

Answer: We routinely do reconstructive surgery on patients your age and older with good results (we did a bilateral DIEP reconstruction on a 74 year old lady a few weeks ago). Your overall medical condition is much more important than your chronological age.

You are correct to think that using your own tissue is usually preferable if you have had radiation, as the success rate in this situation is much higher using your own tissue than trying to use implants. The surgery is big, but we do it routinely, and it may well be your best option.

We would be happy to have our nurse Chris or P.A. Kim call you to discuss your situation further, and I will be happy to speak with you, if you wish. Thanks for your inquiry!

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: , , , , ,

Our Favorite Komen Lowcountry Events

April 26, 2016 by

 

We at The Center for Natural Breast Reconstruction are committed to our amazing patients and the organizations that support them. That’s why you can find us helping out at any number of the Komen Lowcountry events held in Charleston, SC.

We support Komen Lowcountry because the foundation creates a support system for women diagnosed with cancer and their loved ones.

Not only do these Lowcountry events raise money and awareness for the cause, but participants also have fun while supporting research and treatment initiatives.

No matter if you’re a Charleston native or you’re planning a trip to the Lowcountry, we hope you’ll attend some of the upcoming breast cancer fundraising events.

Before we give you the skinny on local fundraising opportunities, we want to remind you of the health care resources you have—before and after breast cancer.

If you’ve recently been diagnosed yourself, or you’ve beaten breast cancer, our breast reconstruction services exist to help you recover, gain confidence, and tackle your survivorship with renewed purpose.

We invite you to drop by our office for a consultation on natural breast reconstruction, or you can even ask one of our surgeons any questions you have right here.

Why we support Komen Lowcountry

When you lend your time, money, and support, you are backing a group that is dedicated to….

  • Developing new approaches to prevention, so that fewer women experience breast cancer.
  • Identifying and improving methods of early breast cancer detection, so that patients can receive proactive treatment and become a survivor.
  • Ensuring more accurate diagnoses, so that women can make the ideal health care decisions for themselves and their families.
  • Creating personalized treatments based on genetic makeup and individual needs, so that no one receives “cookie cutter” care.

The following three events are the Komen event staples in Charleston, but keep checking back, so you can see what’s new.

Race for the Cure®

The Susan G. Komen Race for the Cure® Series has an amazing claim to fame. It is the largest and most profitable fundraising and education event for breast cancer in the world today.

When you come out, you will help provide awareness and much-needed funds that benefit breast cancer patients and survivors in the Charleston community.

You don’t have to run in the race! You don’t even have to walk. Giving volunteer time and/or financial support will help save lives.

Click here for more information on The Susan G. Komen Race for the Cure® Series.

Swing for the Cure

Susan G. Komen Lowcountry’s Swing for the Cure is another fun Charleston event that supports the fight against breast cancer.  Participants play either tennis or golf to raise money for research, prevention, and treatment.

There is a cocktail reception and a silent auction, alongside an oyster roast and barbecue.

Tickets are set at $30 per individual and $50 per couple, and proceeds benefit research and prevention efforts.  You do have to register for Swing for the Cure in order to attend, and you must purchase tickets!

Snag your tickets for Swing for the Cure here.

Worship in Pink

 In May 2016, Worship in Pink happens in honor of our mothers—especially those who have been through breast cancer. Over the years, Worship in Pink has provided more than 60,000 people with resources. As a faith-based initiative, this program helps reduce disparities in rural and low-income areas.

Come out this May and help work toward the vision of a world without breast cancer.

Click here for more information.

Community Health Workshops

Susan G. Komen’s Community Health Workshops exist to educate Charleston residents and visitors on establishing a healthy lifestyle, breast health, and techniques for stronger survivorship.

Keep an eye on this page for updates on the next workshop.

Tell us what we missed! Share your favorite fundraising events in the comments below.

Filed Under: Breast Cancer Awareness Tagged With: , ,

Ask The Doctor-How Many CC Would be Needed to Achieve the Size I Want?

April 22, 2016 by

 

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

Question:  After a bilateral mastectomy in December, I am in the process of having my expanders filled. I am looking for a ‘C’ cup size when finished but I can’t equate this to the amount of ‘cc’ that need to be injected. Right now I am at about 420 cc and my doctor tells me that we are just about done.

When I look at my breast it doesn’t appear to be very large. Would you be able to tell me how many cc would be needed to achieve the size I want? Thank you.

Answer: Thank you for your question. I’m sorry to say that there is no correlation between cc’s and bra size. The best place to start is to ask your surgeon how much your mastectomies each weighed.

Grams of breast compared to cc’s of saline and then extrapolate to your bra size you were before your mastectomy. It will not be exact but will give you a ballpark figure.

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

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How to Find the Perfect Breast Cancer Support Group

April 19, 2016 by

 

Breast cancer support is a crucial element of the healing process. There are so many factors to think about with physical recuperation that people often forget that the emotional element is huge.

A breast cancer survivor’s body needs to heal, but so must her heart. For this reason, the surgeons and staff at the Center for Natural Breast Reconstruction recommend attending local breast cancer support groups.

While our surgeons and staff are here to lend an ear, answer questions, and alleviate concerns, a breast cancer support group provides you with an extra morale boost.

No matter what stage you’re in—whether you’ve recently received the news or you’ve beaten cancer all together—the cancer journey can be a lifelong experience.

And the Center for Natural Breast Reconstruction is prepared to stand by your side and help you emerge victorious.

We’ve listed a few Charleston-area breast cancer support groups below, but it’s important to first think about your unique needs. Some factors to consider are whether or not…

  • You’ve had surgery already.
  • You’ve not made all the health care decisions you need to.
  • You need spiritual or religious guidance.
  • You have beaten breast cancer or you’re still fighting.

All of these factors have a bearing on the breast cancer support system you choose. Our main criterion at the Center for Natural Breast Reconstruction is that support groups cater to your emotional needs as well as your education.

If you have any questions about breast cancer support, please don’t hesitate to call our office at 1-866-374-2627 or ask our surgeons your questions here.

See below for a few breast cancer support groups located in Charleston.

S.A.S.S.Y. Breast Cancer Support Group

Located at the John Wesley United Methodist Church, the S.A.S.S.Y. breast cancer support group caters especially to young women under the age of 45. In addition to the support group itself, S.A.S.S.Y. also promotes Charleston events year round.

Find out more.

Reach to Recovery

Reach To Recovery volunteers give support for people recently diagnosed with breast cancer, people facing a possible diagnosis, those interested in or who have undergone a lumpectomy or mastectomy, and those considering breast reconstruction.

Expressions of Healing

Though not unique to breast cancer, this Roper St. Francis Health Services program is a wonderful group for survivors of all cancer types. We like this support group, as it provides a creative outlet for patients, survivors, and the people who love them.

Using visual art and literature as a form of therapy, Expressions of Healing offers six weekly sessions that are held twice a year.

Click here for more information. 

Share your favorite Charleston-area breast cancer support groups in the comments below!

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

Ask The Doctor-Is it Prudent to Remove the Expanders?

April 15, 2016 by

 

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

Question: I had bilateral nipple sparing mastectomies on 2/9/16 and developed a large necrotic area on the lower pole of my left breast. Air expanders and Alloderm were placed during the surgery and I have also developed redness over the area where the Alloderm is on my right breast. I have been on Keflex 250 mg qid since surgery and Levaquin was added yesterday, 2/26. My surgeon plans to debride the necrosis and perform a skin flap on Friday 3/4. Of course there is no staging of the area under the necrosis at this point. (It turned dusky the day after surgery.)

But I am keen to avoid two surgeries. My questions are these: In your opinion, is it prudent to remove the expanders, allow time for healing and then consider latissimus flap on the left? Under that circumstance, what options are there for healing the wound after debridement? Would closing good skin to good skin be best (I understand distortion is a given) and then flap it later? I will have to be referred for flap surgery and am trying to do diligence on who best to request for this. I am grateful for any advice you might be willing to offer.

Answer:  I’m sorry to hear that you are having a difficult time. From what I can gather from your question it sounds like you have had a difficult time with both breasts. On your left side the healing would be less complicated if you had the expander removed. On the right side if you have an infection then it is possible that the implant may have to be removed.

If the implants are removed then when you have healed you may consider using your own skin and fatty tissue instead of trying another expander. We specialize in breast reconstruction using your own fatty tissue without using implants and without sacrificing your important muscles. That includes the latissimus muscle. I suggest you ask your surgeons if you can consider that route as an option.

I’m sorry I can’t be more specific without more information from you about your situation, previous surgeries and medical history. If you would like more information I could have my office contact you for specifics. Just let me know. Thank you for your question.

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: , , , , ,

Your Charleston Vacation: Where to Stay

April 12, 2016 by

 

There is so much to do and see in Charleston, SC. From walking on the beach to checking out the nightlife, there are so many activities that will help you celebrate life and enjoy some serious unwinding time.

If you’re coming to visit the Center for Natural Breast Reconstruction, or you simply want to enjoy the Lowcountry culture, we’ve got your hotel research covered.

We’ve compiled a list of places to stay in Charleston—for both long-term stays and short visits. No matter what your budget is, or whether your prefer economy lodging or luxury suites, check out the information below to find out where to stay in the Lowcountry.

[Visitor’s Tip: As Charleston is a beach town, our city experiences high travel in the late spring and summer months, so you check hotel pricing often for price fluctuations.]

French Quarter Inn—Luxury Meets History

Charleston is labeled as a historic city—and for good reason. Take a stroll on the boardwalk, and you’ll see architecture and antebellum houses that look as if they come from archival photographs.

If old-world charm is your thing, we recommend the French Quarter Inn—a beautiful boutique hotel located in the center of historic Charleston.

Book your room here.

John Rutledge Inn—Historic Restoration at its Finest

The John Rutledge House is a landmark hotel that is not only the home of a US Constitution signer, but also a gorgeous bed and breakfast.

The incredible architectural details and period décor make you feel as though you’ve stepped back in time. This perfect restoration is phenomenal, but the staff doesn’t skimp on the luxury element or modern amenities. Stay at this B&B, and you’ll enjoy the epitome of hospitality.

Reserve your room here.

The Cottages on Charleston Harbor—Great for Extended Stays

For travelers looking to stay a week or longer, there’s no better home away from home than The Cottages on Charleston Harbor. As there are 10 luxurious harborfront cottages, space is limited, so book sooner rather than later.

Each two-bedroom, three-bath cottage is equipped with a fully functional kitchen, living room, and screened-in porch complete with rocking chairs. If that’s not enough, you’ll also enjoy a hammock and outdoor table and chairs.

Book your cottage for an extended stay.

Beachside Boutique Inn—Close to Our Center for Natural Breast Reconstruction

As always, we welcome visitors to our Center for Natural Breast Reconstruction. If you plan to visit our office—whether you’re coming in for a procedure or a consultation—we want you to enjoy convenience.

The Beachside Boutique Inn is located steps away from our office! While the location helps streamline your visit, the amenities are another benefit. At this hotel, you are close to premier restaurants and the finest shopping in Charleston.

Secure your room.

Hilton Garden Inn—An Economic Choice

Booking an economical hotel doesn’t mean skimping on the amenities. If you’re not looking for a bottle of champagne in your room every night, the Hilton Garden Inn is a fine choice.

At this location, you’re close to Harborage at the Ashley Marina and the Charleston City Marina. You’ll also enjoy an in-room refrigerator and an LCD television—ideal if you’re recovering from a procedure or simple want to veg out.

Reserve your room here.

 

If you know someone headed to the Lowcountry, send them this resource!

Filed Under: All Things Charleston Tagged With: , ,

Ask The Doctor-Can You Help Me with My Implant Trouble?

April 8, 2016 by

 

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

Question:  After twice replacing implants due to scarring, I had them removed and a subsequent breast lift. The result since Nov.4 is necrosis of the nipple and breast tissue. Surgery was performed to remove the dead tissue and I am left with open wounds that have to be dressed twice a day.

My Dr. has a wait until it heals over the next 6 months and another Dr. in Atlanta recommends a mastectomy, skin grafts from the back and expanders followed by implants. I am scared to death of more implant trouble and psychologically I can’t bear these holes and open wounds any longer. Can you help me?

Answer: I’m sorry to hear you have had such a difficult time. I cannot give you specific advise without having more information from you. If you would like to send me photos I would be glad to look at them. It is possible I could then let you know if I agree with the options you have been given.

If you need to have breast reconstruction then I agree it seems that your body does not do well with implants. There are multiple options that do not include using implants and we specialize in using skin and fatty tissue to rebuild breasts. We do this without sacrificing your body’s important muscles. If you would like more information about these techniques let me know. Thank you for your question.

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: , , , , , ,

The Perfect Rainy Day in Charleston: What to Do for Fun

April 6, 2016 by

 

Charleston is a vibrant and beautiful city—bustling with culture, food, events, and fun. And that’s true even when it rains. If you’re looking for something fun, even though the weather isn’t playing nice, don’t worry.

The staff at the Center for Natural Breast Reconstruction considers themselves unofficial Charleston concierges. So what if you’re not walking downtown, or taking in the rows of beautiful antebellum houses Charleston has to offer?

The next time it rains, here are few ideas to have a marvelous time and stay dry.

South Carolina Aquarium

With a daily dive show and exhibits galore, the South Carolina Aquarium is the perfect rainy day activity for all ages.

The exhibits take you from the mountains to the sea, and the first one you’ll see, the mountain forest exhibit, features majestic eagles and playful otters frolicking in the hilly forest.

You’ll see the flora and fauna in the piedmont, coastal plain, and salt marsh areas before you hit the coast and ocean to have close encounters with sharks and pufferfish.

The Touch Tank allows you to see and touch water creatures such as stingrays and sea urchins.

Theatre 99 Comedy

Nothing better to lighten up a dreary day than a few belly laughs. Held on Wednesday, Friday, and Saturday nights, Theatre 99’s comedy showcases bring audiences to their knees.

The basis for these shows is improv, so you’ll never know what’s going to happen. As stated on the website, most performances are PG-13, so you may want to leave the little ones with a sitter.

Tour the Yorktown

The focal point of the Patriots Point Naval and Maritime Museum is the World War II aircraft carrier USS Yorktown.

The museum is home to a fleet of National Historic Landmark ships and the Cold War Memorial. Patriots Point also houses the Congressional Medal of Honor Society and Medal of Honor Museum.

Aboard the Yorktown, you can tour the flight deck and bridge, living quarters, brig, and engine room. The Charleston Navy Shipyard Museum and Medal of Honor Museum are on board, and individual memorials are scattered around the ship.

The hangar bay holds vintage aircraft, and if you’d like to try flying yourself, you’ll want to try the flight simulator.

Rock Paper Scissors Studio

If you’re feeling creative, there’s no better place than Rock Paper Scissors Studio. Located in Mount Pleasant, this studio supplies visitors with all the tools and material to create crafts.

All you have to bring is your lovely self!

As a bonus, you can indulge with wine and beer as you make crafts.

Historic Charleston City Market

The Charleston City Market has been part of Charleston’s history for over two centuries. The majestic Market Hall building houses the Daughters of the Confederacy museum.

Grab your umbrella and head to this amazing open-air market that sells everything from jewelry to food to sweetgrass baskets. With over 100 vendors, the market has something for everyone, and is the perfect place to have a coffee and do some people watching.

Filed Under: All Things Charleston Tagged With: , ,

Our resident Canadian Geese are back and are expecting!

April 5, 2016 by

 

It’s  “Baby Watch” 2016 at The Center for Natural Breast Reconstruction!!!

 

 Meet Edith and Archie. These beautiful geese reside outside of our Mt. Pleasant office.  Edith began resting on her nest just a few weeks ago with her mate Archie right by her side protecting her and their eggs from harm.  Believe me, Archie will let you know when you get too close for comfort.  This picture was taken while he was warning me!    

We’ll keep an eye out on them over the next few months and share their progress aloing with lots of photos once the babies arrive.    

Keep watching & Happy Spring!!  

 

Gail

Our residents Edith and Archie                         archie goose

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

Ask The Doctor-Would I Qualify for Further Reconstruction?

April 1, 2016 by

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

Question: Husband is retired Navy so we have Tricare. I’ve already had unilateral reconstruction with silicone implant. However, it is about 1/2 the size of real breast and scar tissue is drawing it up. I don’t want to go back to my surgeon since he left it that way. His option was to chop the real breast down to match the small implant. I said “No” and never heard from him again. No final tattoo was offered either.

My question is would I still qualify for further reconstruction? I’d be interested in having the implant removed and the DEIP procedure. Also, I have plenty of fat to offer but are there restrictions on how fat is too fat?

Answer: Thank you for your question. I’m sorry things did not work out the way you wanted with your implant. It is possible to have your implant removed and replace it with your own fatty tissue. The DIEP may be a good option for you especially since you feel like you have extra fatty tissue in your tummy area. Also if your implant does not match your other breast then your own tissue would likely be a more natural match.

The restrictions have more to do with your overall health and your weight. If someone is too overweight then we would discuss losing weight before surgery to lower the risk of complications. In general if your weight is equal to or over 200lbs then we need to specifically evaluate your situation in detail. I would be glad to have our staff contact you for that information or set up a time that we could talk over the phone. If you would like to come for a consult that would be possible too. Just let us know if you would like 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: , , , , ,