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Archives for March 2017

Ask the Doctor- Can I have reconstruction at 70 years old?

March 31, 2017 by

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

Question: At 70 years and in good health apart from arthritis should I be concerned about an abdominal fat replacement breast reconstruction considering that the operation might be long?

Answer: We have successfully reconstructed a number of ladies aged 70 and older. Generally, they have done well, and age itself is not, strictly speaking, a reason not to have the procedure, if everything else is favorable. Having said that, there do seem to be more “bumps in the road” the older one gets. If you wish, we could call and discuss your particular situation in more detail.

Thanks for your question, and have a great weekend!

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

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Life after Mastectomy: Prosthetic Nipples

March 28, 2017 by

Being diagnosed with breast cancer and facing a cancer battle can be a long, draining, and scary experience.

While women who beat cancer find themselves overjoyed and grateful, there’s still a part of having breast cancer that tends to linger—especially if they’ve had to go through a mastectomy.

While we know women feel incredibly grateful that they’ve won their battle with cancer and feel they can begin life again, it’s also very common for them to long to feel like their old selves again.

At The Center for Natural Breast Reconstruction, we want all women to feel confident, radiant, and beautiful after a mastectomy, which is why we were so excited to find out about a new non-surgical solution to breast reconstruction—prosthetic nipples.

We love the product so much, we even carry demos in our office for women to try.

So, how exactly did this product come to be and how does it work?

I’m going to let breast cancer survivor and inventor Randi Johnson tell you in her own words.

Here’s her story…

After the shock of my IDC breast cancer diagnosis in 2007, I was hoping for the least invasive corrective surgery. The lump was too large for a lumpectomy, so a unilateral mastectomy was the choice I made. I had a new full-time job and didn’t want to take 6 weeks off for breast reconstruction.

The mastectomy was not very painful and I had a good recovery, but reality hit as bandages came off and I saw “my new normal” in the mirror. I’m not an especially vain person, but it was hard to feel “pretty” for my husband, even though I knew he loved me beyond the disfigurement.

I found myself wearing my prosthetic mastectomy bra to bed at night.

We happened to hear about Dr. Khouri in Miami, FL  who was doing a less invasive type of breast reconstruction surgery. There were no incisions, it was outpatient, and had a lower risk of complications. I only had to miss 3 days of work for each step (4 fat grafting sessions, for me).

Adding to the appeal, was the fact that they would take fat from tummy, thighs and anywhere else I didn’t want it and make a new breast out of it.

What’s not to love about that!

I was amazed to find that Dr. Khouri was in network for my insurance plan. There were still travel expenses etc., but somehow it all worked out.

It felt like I was growing a new breast and hardly had time to think about not having a nipple on that side, but when Dr. Khouri made an impression of my natural nipple and made up a silicone “rough draft” of a nipple for my recon side (for purpose of photos), my husband asked if he could tinker with the idea.

Dr. Khouri was very impressed with the prototype we brought back to show him a few months later. He invited us to display our Naturally Impressive nipple prosthetics as a vendor at a couple of his fat grafting conferences.

We received a great reception as well as some helpful ideas from the international breast surgeon attending.

I was part of an “MD Rounds” event at one of those Fat Graft Conferences and it was exciting to have MDs ask in disbelief (right after they heard my history). “Did you have a mastectomy?” We have heard countless similar stories from our clients about their Naturally Impressive nipples “fooling” others because they look so natural.

Now it’s become my new body image. If I have it off for a day or two, the asymmetrical image in the mirror doesn’t feel like it’s me.

We’ve been serving women through Naturally Impressive, LLC, since January 2010. As a “Mom and Pop” shop, we keep operating costs low and we also get to know many of our clients quite well. It’s an incredible joy! We love it!

No matter what option women choose regarding nipples, Naturally Impressive can be a way to “feel normal” again. For some, this is a great short-term option while waiting for tissue to settle before making a permanent choice. For others, it’s a wonderful non-surgical long-term solution.

If you or someone you care about is longing to feel normal again in the nipple department, check out our website to see the realism, variety and affordability of choices we offer.

Click here to visit the Naturally Impressive website.

You can also call Naturally Impressive, LLC, at 715-829-4488 if you have any questions.

Do you have a favorite post-mastectomy product that makes you feel confident and beautiful?

Share it with us in the comments below!

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Ask the Doctor- Can you help me schedule a consultation?

March 24, 2017 by

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

Question:  I am 35 years old, my BMI is 29. I have a pathogenic mutation of the ATM gene and strong family history of breast cancer (mom dx in 2016 at age 68 and also has the ATM mutation, two deceased maternal aunts dx in their late 30s). In January 2017 I underwent diagnostic mammogram and ultrasound, then MRI, and then an MRI-guided core needle biopsy of a 4.6×1.4 cm linear nonmass enhancement. Pathology revealed sclerosing adenosis, benign changes, and flat epithelial atypia.

Because of the atypia I am scheduled for an extensional biopsy on February 16, 2017, to remove more tissue and hopefully rule out cancer. I am trying to stay ahead of the curve and I am interested in pursuing what I hope will be a prophylactic mastectomy with immediate flap-type reconstruction, but understand planning and timing will depend on the outcome of the pathology from my next procedure.

I spoke with my doctor about prophylactic mastectomy and reconstruction (my doctor is a surgical oncologist and will be performing my upcoming extensional biopsy) and asked which plastic surgeon she recommended on their team for flap-type reconstruction. She told me that she would perform the mastectomy, that I would be flat for a while, and that the plastic surgeon she recommended would perform reconstruction during a second surgery at a later date because “that’s just how he does it.”

I heard about your center on a DIEP support group on Facebook, and your surgeons are so highly recommended and are in-network with my insurance. I have learned a lot about the procedures in the support group, and I would like a second opinion from your doctors as I know that immediate reconstruction is possible in a lot of situations. I live near Winston-Salem, North Carolina, and I am willing and able to travel to be in the hands of an experienced team. A Monday morning appointment for a consultation would be ideal because of the travel involved, and either location would be fine, but I am flexible. Can you please help me schedule a consultation? I feel uncomfortable asking my doctor/surgeon for a referral at this time.

Answer: Thanks for your question. I’m sorry you are having to go through this, but we will help you any way we can.

The only common reason to NOT do immediate flap reconstruction at the time of mastectomy is if we know or suspect that you will need post-operative radiation, because that can severely damage a new flap. The most common reasons for giving radiation are a cancerous tumor over 5 centimeters in size, or a positive axillary lymph node.

Hopefully, you will end up not having cancer at all, and neither of these situations will apply to you. We do immediate flap reconstruction very routinely, sometimes several times a week, and I suspect there is a very good chance you could have it done that way.

We work with several truly cutting-edge breast surgeons, and we would be happy to arrange for you to see both of us on the same day. If you wish, we will have one of our PA’s (Kim and Audrey) or Nurse Practitioner (Lindsey) contact you to get additional information, and help make arrangements.

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

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Gratitude: Why You Don’t Need to Find a Pot of Gold to Feel Lucky This Month

March 21, 2017 by

 During the month of March, people often think of lucky four-leaf clovers, chasing leprechauns, and finding a pot of gold at the end of a rainbow. It’s the month of luck after all!

Sure, finding a pot of treasure or stumbling upon a stash of golden horseshoes would be lucky, but the chances of that happening—unless you’re a treasure hunter–are slim to none.

That’s ok.

At The Center for Natural Breast Reconstruction, we believe it’s best to create your own luck, so that every day can be a great day!

Keep reading to discover some of our favorite ways you can remind yourself just how lucky you really are and show gratitude for everything you have.

Reflect on the Good Things in Life

It’s really easy to get caught reflecting on the bad things in life…like being diagnosed with cancer, losing a loved one, or being stressed out at work.

Yet, when we take a minute and begin to reflect on the good things in life, we realize there is often more good than bad happening in our lives.

Think about how lucky you are to have loving friends and family in your life that are there to support you whenever you need them. If you don’t have a lot of close friends or family, perhaps you have a pet that is always available for a snuggle.

Do you have a home, a warm bed to sleep in, and food to eat? Sadly, there are many people in the world that don’t. We consider ourselves lucky to have those things.

Chances are you’re reading this blog post from a computer or a smartphone. Just the fact that you have access to technology is very lucky! Not to mention other luxuries like electricity, a TV to watch, the ability to call friends and family via your cell phone, etc.

You see, when you start thinking about how many good things you have in your life, you don’t need “leprechaun magic” to realize just how good you have it!

Volunteer or Help Those in Need

Sometimes the best way to realize how lucky we are is put ourselves in the same room as those who aren’t as lucky.

The best way to do this is volunteering.

Working a soup kitchen is a great way to remind ourselves how lucky we are to have food in our stomach.

Volunteering at a homeless shelter is a wonderful way to remind ourselves how fortunate we are to have our own beds to sleep in.

And spending time with sick children or adults in a hospital is the best way to show us how lucky we are for our good health—regardless of the health issues you’ve faced in the past.

Volunteer for a cause that is close to your heart, and I promise you won’t need to find a pot of gold to feel rich in your blessings.

Create Your Own Luck

Good fortune is often the result of a lot of hard work.

Think about it…many millionaires who own thriving businesses started with nothing, working out of their garages. But, with hard work, they now live a very fortunate lifestyle.

If you feel as if you’ve been stuck in a rut without any good luck, it’s time to roll up your sleeves, follow your dreams, and create your own good luck for the future.

Have the tools and resources you need to start your dream business? Do it!

Need to finish your college degree to help make a comfortable life for you and your family? Hit the books!

Do you dream of traveling the world? Start saving a little money each month to make that dream a reality.

With a little hard work and planning, you’ll have the potential to do whatever you set your mind to—how lucky is that!

How do you make your own luck? Let us know in the comments below!

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Ask the Doctor- Is reconstruction possible 14 years after radiation?

March 17, 2017 by

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

Question:  In 2003, I was diagnosed with DCIS, had a lumpectomy and radiation on the right breast. Years later I have a large lump and had an MRI today. It probably is nothing but I am considering have that breast removed and having reconstruction done at the same time. Is this possible 14 years after radiation?

Answer: We routinely do successful natural tissue reconstruction on patients who have had previous breast surgery and radiation, and the fact that your radiation was 14 years ago will have no bearing on our chances of success. We would be happy to call and discuss your situation in more detail, if you wish, just let us know.

Have great day!

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

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The Benefits of Animal Therapy

March 14, 2017 by

 Different animals, such as dogs, cats, or horses, all have one thing in common. They all provide humans with unconditional love and affection.

This trait makes our furry friends perfect for animal therapy. And it’s certainly no secret.

Hundreds of thousands of people around the world—from people battling cancer to children who are afraid of going to the dentist—reap the benefits of animal therapy on a daily basis in order to live a happy and healthy life.

Would you or someone you know benefit from animal therapy?

Check out a few of the most common reasons people seek out the comfort of therapy animal companions.

Anxiety

If you’ve ever noticed that you feel better when you’re around your pet, you’re not the only one.

Many doctors and scientists claim that petting an animal releases “feel good” hormones into your bloodstream, which make you feel calm and relaxed. Many studies also claim that the action of petting an animal helps lower blood pressure.

These things combined help the body relax—something very important for someone who suffers from anxiety.

If you’re ever feeling anxious, and you have a pet in your home, trying spending a little time curled up on the couch with your furry buddy…it may help!

Warning: If you ever find yourself suffering from an anxiety attack and the comfort of an animal doesn’t help, contact a friend, family member, or your doctor immediately for help.

Trauma

If you or a loved one has ever experienced some sort of trauma in life, you know how hard it can be to pick up the pieces and move forward.

Healing from trauma—whether it be physical, mental, or emotional—takes time, patience, and love.

The good news…most of our fluffy friends are experts at providing unconditional love and affection. Not to mention, as long as some petting is involved, most animals are willing to lie down with their owners (or the people they are visiting) and provide support as long as it’s needed.

There’s nothing like having a loyal buddy to stick with you when the times are rough.

Depression

When people fall into a depression due to illness, life-changing events, stress, etc., it can be very lonely.

Yet, despite the loneliness, it’s not common for people who are depressed to have the desire to socialize with others. Time spent in isolation can make depression worse.

It’s an awful cycle of feeling sad and lonely—a cycle no one should have to experience.

Therapy animals are great for people who are depressed because they open up a low-pressure outlet for socialization. They provide people with a “friend” during the times they need companionship most.

Even better—because animals require exercise and time outside—they can even help people get up and moving who would otherwise be confined to their bed or couch.

An Extra Set of “Paws”

Aside from emotional support, many people use therapy animals if they have a disability or are recovering from an illness, as an extra set of “paws” around the house.

Dogs can be trained to retrieve items, call people in case of emergencies, detect if an owner is going to have a seizure, and so much more.

Cats, with their keen sense of smell, can also be trained to sniff out danger and warn their owner if a medical emergency is about to occur.

Even horses—typically miniature horses—can be trained and used as “guide services” for the blind.

It’s truly incredible what our four-legged friends are capable of.

If you or someone you love enjoys animals and is in need of emotional or physical support, ask your doctor if a therapy animal would be appropriate!

Do you have a therapy pet? Tell us about your furbaby in the comments below!

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Ask the Doctor- Can you help me if I am without insurance and money?

March 10, 2017 by

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

Question:  I have no insurance and have no money and looking to get a mammogram I have not had a mammogram in four or five years and I am 64.

Answer: Our office is solely dedicated to the reconstruction process after mastectomy. For a screening mammogram you might contact Komen Lowcountry http://komenlowcountry.org/, and ask them about any community resources or financial aid you can investigate within your county of residence. This list is included on their website and includes information on the Best Chance Network among others. http://komenlowcountry.org/wp-content/uploads/2012/08/FA-TriCounty-Colleton.pdf. Hope you can find the help you need with this information.

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

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The Best Places to Take a Stroll in Charleston

March 7, 2017 by

 Between the history, warm weather, and charming Southern-town feel, Charleston, South Carolina, is a wonderful place to visit. In fact, it’s been voted the #1 city to travel to in the United States by multiple travel and leisure publications.

If you’ve never been to Charleston or are planning a trip here in the next few weeks, you’re in luck! We’re just about to enter one of the best seasons in Charleston—springtime.

With warm temperatures, beautiful gardens in bloom, and increased amount of water activity on the coastline, the city of Charleston comes alive during the spring months.

There’s so much to do and so much to see that we thought we’d highlight a few of our favorite places to take a stroll in this beautiful city.

Be sure to put at least one of these places on your list during your trip…

Battery & White Point Gardens

Located in Charleston’s historic district, this landmark provides a spectacular view of Fort Sumter and the Charleston Harbor. It was first used as a public garden in 1837. With the outbreak of the Civil War, it became a fortification for the city.

If you’re a history buff, you’ll definitely enjoy checking out the old Civil War cannons located throughout the park along with a gazebo-style bandstand from 1907. Statues and memorials are also located throughout the park and give visitors a chance to learn a little about the history of the area.

Ocean views, large shady oak trees, and oyster shell pathways make this park a beautiful place your entire family can enjoy.

Find out more.

The Old City Market

The Old City Market is known as the cultural heart of the city of Charleston.

As one of the nation’s oldest public markets, this market plays a leading role in the preservation of American history. Bringing your family out to the market to shop for a day is almost like taking a step back into history.

At the market, you can shop, eat, or just enjoy the ambiance of the city as you stroll down the streets.

Find out more.

Folly Beach

Travel 15 miles from downtown Charleston and you’ll find beautiful Folly Beach.

Its large beaches—a hot spot for surfing–eclectic neighborhoods, and community of locally owned restaurants and shops make it the perfect place to explore, unwind, and rest with your family.

If you’re a wildlife enthusiast, we highly recommend you talk a walk on the beach.  There’s a good chance you’ll be able to spot loggerhead turtles, dolphins, bald eagles, and various types of sea birds.

Find out more.

Magnolia Plantation & Gardens

If you love strolling through gardens, smelling the roses, and identifying countless varieties of flowers, trees, and shrubs, Magnolia Plantation & Gardens is the place for you.

Founded in 1676 by the Drayton family, Magnolia Plantation has been around for centuries. This incredible estate has witnessed everything from the American Revolution through the Civil War and beyond.

It’s also the oldest public tourist site in the Lowcountry and the oldest public gardens in America, opening its doors to visitors in 1870. Every day hundreds of people visit to view the thousands of beautiful flowers and plants in its famous gardens.

Find out more.

Do you have a favorite place to stroll around in Charleston?

Share in the comments below!

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Ask the Doctor- Can I have my silicone implants removed?

March 3, 2017 by

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

Question:  Three years ago I had a double mastectomy after being diagnosed with breast cancer. Can I have my silicone implants removed? And what is the recovery time?

Answer: You can always choose to have your implants removed. If no further reconstruction is done, recovery time ranges from a few days to two weeks, possibly longer, depending on your individual situation.

If you have the implants removed and then have reconstruction with your own tissue, recovery is a lot longer, usually about two months.

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

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