Archives for May 2017

June Charleston Activities You Don’t Want to Miss

 

Between the beaches and historic sites, world-class restaurants and shopping galore, Charleston has a lot to offer. With so much constantly going on in this city, it’s easy to miss some of the best Charleston activities when they pop up on the calendar.
For that reason, we decided to share some of our favorite Charleston events that happen in the month of June. Regardless of whether you live here full-time, or are planning to visit, we hope you’ll add some of these suggestions to your itinerary if you’ll be around in the month of June.
Enjoy!

Carolina Lady Anglers Fishing for the Cure Tournament – May 31 through June 4

The Carolina Lady Anglers raise funds for breast cancer every year with a Fishing for the Cure Tournament. This year, we are honored to be a Species Sponsor for the event.

This fun, family-friendly tournament is a great way to help an important cause while making many memories along the way. If you’re in the area, we encourage you to grab a fishing rod and sign up!
Each team that participates must select a captain to attend the Captain’s meeting on May 31, at 6:00 p.m. at Charleston Maritime Center. The fish weigh-in is on June 4, from 4 to 6 p.m. at the same location.
For registrations costs, prize details, and other info, please visit the Carolina Lady Anglers website.
Spoleto Festival USA – Runs through June 11
If you love art, music, and theater, the Spoleto Festival is an event you’ll want to put on your calendar.
Technically this festival started at the end of May, but it’s still in full swing. Live events for this festival will continue on through June 11, so be sure to find a day to enjoy the festival with your family.
Between art galleries, dance shows, theater performances, and more, there’s bound to be something at this festival for every member of your family—kids included!
Check out the Spoleto Festival calendar here.
Blues & BBQ Harbor Cruise – June 8, 15, 22, or 29
If you love ocean views and Lowcountry blues, you definitely need to get yourself signed up for a Blues & BBQ Harbor Cruise.
This dinner cruise is a wonderful way to experience Charleston while listening to the musical stylings of well-known blues pianist Shrimp City Slim and his band.
On this 2-hour cruise, you’ll enjoy a full all-you-can-eat BBQ buffet with access to a cash bar. Yum!
Find out more about tickets and pricing here. 
Sunset at Fort Sumter – June 9, 16, 23, and 30
Charleston is rich in history. So, if you’re here for a visit or live in town, we highly recommend spending an evening taking a step back in time with a Sunset at Fort Sumter tour.
On this tour, you will interact with period-dressed Civil War historians and learn about the Civil War. Once at the fort, enjoy the rich history provided by the National Park Service Rangers and spectacular views of the city, harbor, and Atlantic Ocean from the top of the fort.
This tour also includes a return cruise where you will relax and take in the spectacular views of the harbor and the marine life while dining on southern BBQ cuisine. Beer, wine, and cocktails are available for purchase at the fort and during the cruise.
Advance reservations are recommended. Call 843-722-BOAT to purchase tickets.
Moonlight Mixers – June 16
Moonlight Mixers is a family-friendly event that’s fun for both adults and children. All ages are invited to celebrate the arrival of summertime weather with some shag dancing on the Folly Beach Pier.
During this event, DJ Jim Bowers will keep your feet moving with the hottest oldies and beach music. This even runs from 7:00 p.m. – 11:00 p.m.
Admission is $8 per person when tickets are purchased in advanced online. On-site tickets cost $10 per person.
Purchase your ticket now!

 

Charleston Carifest – June 22, 23, 24, and 25

Charleston Carifest is a Caribbean Carnival celebration in honor of Caribbean American Heritage Month.
This festival is four days long and is full of food, fun, music, and costumes. When you attend this event, you will instantly be submerged in education and culture.
Join in on the festivities and embrace Unity in Diversity.
Visit the website for more information.

Do you have a favorite Charleston event you attend in June?

Comment below and let us know what it is!

Ask the Doctor – What Would Deem Breast Reconstruction Medically Necessary and How Much Does It Cost?

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

Question: Hi. I was wondering if you could answer a couple of questions. My first question is what would deem breast reconstruction medically necessary? My second question is how much would breast reconstruction and nipple reconstruction cost? I am a size B and have collapsed breasts. I used to be a double D. My nipples are also partially inverted.

Answer:  Breast reconstruction is generally regarded as being medically necessary if the breast is removed for cancer, or to prevent cancer in certain high-risk individuals. It sounds like what you are asking about would be considered cosmetic breast surgery. The most common cosmetic breast surgeries are breast augmentation (with saline or silicone filled implants), breast reduction, or breast lifting. What you describe as “collapsed breasts” could potentially be improved with a breast lift, breast augmentation, or a combination of the two.

Inverted nipples are caused by shortened ducts leading to the nipples. They are fixed by making a small incision adjacent to the nipple and dividing the ducts.

Gail in our office can give you prices for these procedures.

Thanks for your question.

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

3 Delicious Picnic Recipes for a Great Memorial Day Picnic

Every Memorial Day, we celebrate the courageous men and women who have died serving our country. If you’re a retired or active member of any of our armed forces, we thank you for your service!

On this special holiday, many people get their friends and families together and host a delicious picnic or BBQ. And while traditional burgers, potato salad, and watermelon slices are always good picnic staples, we thought you might like a few new ideas for your picnic menu this year.

If you’re hosting—or attending—a Memorial Day picnic, we recommend adding the following recipes to your menu to mix things up. We hope you love them!

Crisp Cucumber Salad

If you’re attending a picnic feast, chances are someone is already bringing your standard potato or green leaf salad. In an effort to not double up on the same menu item, we recommend giving this recipe for a crisp cucumber salad a try.

Not only is this a unique salad option, but it’s a cool and refreshing menu option for a hot day.

Ingredients:

  • 2 cucumbers, thinly sliced
  • 4 scallions, thinly sliced
  • 1/2 small red bell pepper, chopped
  • 1/4 cup sour cream
  • 3 tablespoons white vinegar
  • 3 tablespoons sugar
  • 1 1/4 teaspoons salt
  • 1/4 teaspoon black pepper

Directions:

1. In a medium bowl, combine cucumbers, scallions, and red pepper.

2. In a small bowl, combine remaining ingredients; pour over cucumber mixture.

3. Cover and chill at least 2 hours before tossing and serving.

Recipe Source: https://www.mrfood.com/Deli-Salad/Crisp-Cucumber-Salad

Shrimp Burgers

A burger is a classic summertime picnic staple. Yet, as tasty as they are, you’re bound to get bored of the traditional ground beef burger—especially if you cook out a lot or are attending more than one picnic over the weekend.

This year, impress your seafood-loving friends with a new twist on a classic menu item and make them a shrimp burger.

Ingredients:

  • 1 pound peeled and deveined medium shrimp
  • 1/3 cup panko breadcrumbs
  • 1 tablespoon lemon juice
  • 1/2 teaspoon kosher salt
  • 1/4 teaspoon garlic powder
  • 1/4 teaspoon freshly ground black pepper
  • 2 scallions, white and green parts, thinly sliced
  • 1 large egg, lightly beaten
  • 1/4 cup canola oil

Old Bay Mayo Ingredients:

  • 1/2 cup mayonnaise
  • 1 tablespoon Old Bay seasoning

Directions:

1. Coarsely chop half of the shrimp.

2. Put the remaining shrimp in a food processor and pulse until smooth. Then, combine both shrimp in a large bowl with the breadcrumbs, lemon juice, salt, garlic powder, pepper, scallions, and egg, and mix.

3. Refrigerate for 10 minutes, and then form into 4 patties. Refrigerate 10 more minutes.

4. Heat the oil in a large cast-iron skillet over medium-high heat. Cook the burgers, about 3 minutes per side.

5. Make the mayo by combining the mayonnaise and Old Bay to taste in a small bowl.

Recipe Source: http://www.foodnetwork.com/recipes/katie-lee/shrimp-burgers-with-old-bay-mayo

Lime Margarita Bars

No picnic is complete without a tasty dessert.

These lime margarita bars are sweet, tangy, and salty and will be sure to please any palate. And don’t worry, despite the name, there is absolutely no alcohol in this dessert so they are 100% kid friendly!

Ingredients:

  • 1 1/2 cups finely crushed pretzels
  • 1/4 cup sugar
  • 3/4 cup (1-1/2 sticks) butter, melted
  • 2 (14-ounce) cans sweetened condensed milk
  • 3 eggs, lightly beaten
  • 1/2 cup fresh lime juice
  • 4 teaspoons grated lime peel

Directions:

1. Preheat oven to 350 degrees F. Coat a 9 x 13-inch baking dish with cooking spray.

2. In a medium bowl, combine pretzels, sugar, and butter. Press firmly into bottom of prepared baking dish.

3. Bake 8 to 10 minutes, or until crust is firm; remove from oven and cool slightly, leaving oven on.

4. Meanwhile, in a large bowl, combine remaining ingredients. Pour into cooled crust.

5. Bake 25 to 30 additional minutes, or until center is firm. Cool completely on a wire rack. Cut into bars and serve, or refrigerate until ready to serve.

Recipe source: https://www.mrfood.com/Bar-Cookies/Lime-Margarita-Bars-1550

What’s your favorite picnic recipe? Share it in the comments below!

Ask the Doctor – What Can Be Done To Fix a Previous Radiated Breast with Implant?

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

Question: What can be done for a 2004 radiated breast with implant. As common, it has encapsulated to a high degree and is painful, misshaped and raised, looking very unnatural. Thank you

Answer:  Without question, the course of action most likely to work is to remove the implant and proceed with reconstruction using your own tissue. If you still have breast tissue remaining, it can be removed by a breast surgeon at the same time that your healthy tissue is transferred.

The most common source for the new tissue (the “flap”) is the abdomen, which is usually harvested as a DIEP flap. If the abdomen is not available or not adequate, then the buttocks (“sGAP flap”) can often be used. Our success rates over the last 13 years are 99.07% using the DIEP flap, and 95.7% using the sGAP flap. The initial surgery requires on average 4 nights in the hospital, but subsequent stages are much easier.

If you can’t or don’t want to use your own tissue, there are a couple of other options which may offer some hope, although the chances of success are nowhere near as good as using your own tissue. One is a course of hyperbaric oxygen, which has been shown to bring new blood vessels to the radiated tissue.

Another potential option, which must be regarded as experimental at this point, would be to completely cover the implant with acellular dermal matrix, or “ADM” (Alloderm being the most commonly used variety). This material has some efficacy in preventing contracture, but the effect would be less pronounced in radiated tissue.

Hope this helps. I would be happy to discuss your situation further with you, if you wish.

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

5 Fun Ways to Keep Cool This Summer

What’s not to love about summer? Bright sunshine, weekend trips to the beach, and indulging in cool treats like ice cream make this season by far one of the best.

The only downside…extreme heat.

We’ll take hot weather over cooler temperatures any day. But, after weeks of scorching heat, we’re ready for a cooldown.

Good thing there are a lot ways to keep cool when the temperatures are just too hot. If you find yourself stuck inside due to the heat this year, give our following favorite activities a try.

Go for a Swim

Swimming is a classic summertime activity.

Living in Charleston, we are lucky to have access to beautiful beaches that are perfect for swimming. If you live in Charleston, or plan on visiting, we recommend you go for a dip at the following beaches…

  • Folly Beach
  • Isle of Palms
  • Sullivan’s Island

If you don’t live near a beach, grab a summer membership to a local pool or gym that has a pool. Places like the YMCA are typically very affordable and even offer swim classes for kids and adults that want to fine-tune their swimming skills.

Whether you’re at the beach or pool, don’t forget to pack lots of sunscreen to keep your skin protected! It’s possible to get sunburn even when you’re in the water swimming, so be careful and always apply sunscreen!

Create a Cool Body Mist

Regardless of how hot it is outside, chores like mowing the lawn, gardening, and walking the dog still have to get done.

If you’re about to head outdoors for a few hours in the heat, we recommend bringing a cooling body mist spray with you. The following recipe is safe and chemical-free, and will help keep your body temperature cool.

Peppermint Body Mist Spray

Ingredients:

  • 2 cups water
  • 2 peppermint tea bags

Directions:

1. Boil 2 cups of water.

2. Steep 2 peppermint tea bags in the boiling water for 10 minutes.

3. Pour peppermint tea into a spray bottle and set in fridge. Do NOT add any sweetener or sugar.

4. Let peppermint tea sit in fridge for at least 1 hour.

5. Mist on body while you are outside to keep you feeling fresh and cool.

Go to a Movie

Movie theaters are notorious for cranking up the AC. That makes them the perfect place to cool down and get out of the hot sun.

Get your friends or family together, and make time to finally go to that movie you’ve been dying to see.

Treat your family to popcorn for dinner. (It’s ok to have some fun and have a treat for dinner every one in a while!) Not only will the kids love it, but you’ll be able to avoid turning your oven on to cook dinner when you get home so you can keep your house cool.

Set Up a Sprinkler

Call us old-fashioned, but there’s nothing better than running through a sprinkler on a hot summer day. And yes, adults, this activity is for you too!

If you don’t have a sprinkler, take a trip to your local garden center or home store. You can pick up a decent sprinkler for under $20 that can be used all summer long.

When you get home, simply change into a swimsuit, attach a garden hose to the sprinkler, and enjoy!

Indulge in an Icy Treat

Last, but certainly not least, is our very favorite way to stay cool—indulging in a tasty, ice-cold, refreshing treat.

If you’re an ice cream lover, head down to your local ice cream parlor. Love slushies? Take a trip to your nearest gas station. Or if you’re more of a smoothie connoisseur, grab your favorite fruits, juices, and yogurt, and whip up a refreshing smoothie.

Delish!

What’s your favorite way to cool down in the summer? Let us know in the comments below!

 

Ask the Doctor- What Are the Pro’s and Con’s of Over vs. Under the Muscle Breast Reconstruction Using Implants?

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

Question:  I had a Dbl. Mastectomy 6 months ago. The expanders were placed & then removed 2 months later, (necrosis) I’ve lost confidence in the original plastic surgeon & went for 2 consults with new Dr’s. One wants to do above the muscle (as did the original Doctor.).

The other says that it needs to be under the muscle. In my research, I’ve found the pros & cons to both, but I’ve also read that in above the muscle technique there has to be enough breast tissue. So my question is that since I had mastectomy could I have enough tissue for above the muscle? Is there a better choice? One Dr suggested that above the muscle is the lazy way to do it.. is that the case?

Thank you.

Answer:  Thank you for your question. I’m sorry to hear you have had problems with your breast reconstruction. There is no one procedure or technique that is best for every patient or for every plastic surgeon. If you had necrosis after your mastectomy then any technique used for breast reconstruction could be very difficult. Breast reconstruction with implants is always difficult when there is necrosis and putting the expander under the muscle may not help in any way.

Normally the breast is above the chest muscle. When breast reconstruction with implants is performed with the expander or implant below the muscle then there is always distortion or unnatural movement of the breast when the chest muscles contract. For many patients this is a significant problem. The problem is avoidable when the implant is in a more natural position. We call this approach prepectoral breast reconstruction. If someone has a mastectomy they should have no breast tissue to cover an implant/expander. That is one of the downsides to breast reconstruction with implants. It is a problem regardless of whether the implant is above or below the chest muscle.

The best breast reconstruction results with implants are when the implant is not below the muscle, but in the normal pre pectoral position. I strongly disagree with the “lazy” excuse. Breast reconstruction with expanders /implants in front of the muscle is much more work for the plastic surgeon compared to below the chest muscle. It also requires specialized expertise and judgement.

You should also be aware that if you have already had problems with your implant breast reconstruction then your best option for a permanent natural result may not be implants at all. Your own fatty tissue may be your best option. Please let me know if you would like more information about natural muscle sparing breast reconstruction without expander/implants. I hope that I answered your question. Please let me know!

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

5 Fun Late Spring Activities to Enjoy This Year

Here in Charleston, it’s beginning to feel a lot like summer.

But for many in the USA, spring is in full swing, which means it’s time to get outside and enjoying the warm weather, fresh air, and beautiful budding trees and flowers.

Need some inspiration on how to get out and enjoy this beautiful season before it comes to an end?

Not to worry. We, at The Center for Natural Breast Reconstruction, have a few ideas we think you might enjoy. Check them out…

Do Some Spring Cleaning

At first thought, spring cleaning may not sound like such a fun activity. But, you can make it fun when you get your family…and even your neighborhood…involved!

Spring is a great time to finally clean out your home and garage and host a neighborhood yard sale.

Start by finding gently used clothing, toys, and other household items that you don’t use or want anymore, and assign price tags to them.

Then talk to your neighbors and see if they want you join you. Pick a date for a neighborhood yard sale, and before you know it, you’ll be clearing unused item out of your home while earning a little extra cash to spend on something you enjoy doing!

Bring Out the Bikes

Biking is a fun activity…especially when you can get a group of friends or family members to go biking with you.

This time of year is one of the best times to bring out the bikes and go for a ride. Not only is the weather nice, but the flowers and trees are all in bloom. This makes for a beautiful ride!

It doesn’t matter where you bike. Do a lap around your neighborhood, go to a local park, or if you’re feeling adventurous, try some biking trails at a local state park.

Here in Charleston, there are a variety of locations to enjoy biking. Here are some of our favorites…

Francis Marion National Forest

Mountain biking in the no-mountain Lowcountry is a blast. We recommend you try the trails in the Francis Marion National Forest, which is located on nearly 259,000 acres in the coastal forest north of Charleston.

Sullivan’s Island

This three-mile-long island has low traffic roadways, which makes it the perfect place for riding bikes. If you bike down to the Charleston Harbor end of the island, you can climb on former military grounds of Fort Moultrie.

Downtown Charleston

Want to get a good view of downtown Charleston, a 300+ year-old city, and take in all the history? If your answer was “yes,” we suggest you bike the city! Sunday morning is the best time to avoid heavy car traffic downtown, so plan your ride accordingly.

Plant a Veggie Garden

Why go to the grocery store when you can grow your own delicious and nutritious vegetables right in your backyard?

All you need to grow your own garden is a garden plot or raised garden bed (we recommend at least 4 foot by 4 foot), garden soil, a shovel, a hose, and some seeds.

Everything mentioned here can be purchased at your local home gardening center or home improvement store.

Then all you have to do is till the soil, plant your seeds, and water your garden every couple of days, and as summer arrives, you’ll have your very own homegrown veggies to eat.

Not sure what to plant? Check out our recommendations for spring veggies.

Visit a Botanical Garden

If you’re not a fan of gardening, but still enjoy the sight and smell of flowers, we recommend you visit a botanical garden.

Botanical gardens are filled with trees, shrubs, and flowers that are native to the area where the botanical garden is located. And because these gardens are planted and maintained by professional gardeners, they are stunning to go see.

Most botanical gardens charge a small entrance fee, so be sure to do some research on the garden you’re going to visit so you’re aware of costs and other important information.

Tip: A trip to a botanical garden makes a fun ladies’ day out! Get your girlfriends together to enjoy this activity.

Visit a Local Farm

If you love animals, springtime is the very best time tovisit your local farm.

The reason: it’s the time of the year when new baby farm animals start to make their grand entrance into the world. And boy, are they adorable!

Local farms that allow visitors also tend to have little shops where you can buy fresh produce, milk, and eggs. Not to mention, many places also make homemade ice cream with milk from their cows! Delish!

Note: Before you visit a farm, always make sure that they allow visitors. It’s a good idea to give a courtesy call before you visit, unless the farm you’re going to has established public visiting hours.

What’s your favorite thing to do in the spring? Let us know in the comments below!

 

Ask the Doctor- Can You Improve the Contour of My Chest Wall Resulting from Mastectomy?

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

Question:  I have had a double mastectomy Dec 2015. I did not rebuild. I went from a full c cup to flat or uneven bumpy. I am mutilated and was looking into perhaps “cleaning” up my chest by removing uneven skin and scars. I am trying to achieve a chest where I can use a prosthetic nipple. I do not want reconstruction. Your thoughts? Thank you.

Answer: I’m sorry you have ended up with what sounds like an unsatisfactory result.

It may well be possible to move closer to the result you seek, with a few caveats. Through a combination of skin and / or fat removal, and possibly fat grafting, it is often possible to achieve a smoother overall contour. While it is not generally possible to completely remove scars, sometimes they can be improved, both in appearance and position.

I can’t really give you more information at this point, because specific recommendations beyond the above generalizations would depend heavily on your precise situation. Ideally, a prospective surgeon would be able see you in person, and then give his best estimate of what would be needed, and what might be the expected outcome.

Hope this helps a little, have a great day!

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

Spring Gardening: Beautiful Flowers to Grow This Year

 

You know what they say…April showers bring May flowers. And at The Center for Natural Breast Reconstruction, we think there’s nothing better than taking a stroll through a garden full of fresh, beautiful, fragrant flowers.

Aside from adding beauty, planting a flower garden at your house has a lot of benefits.

First, gardening is great exercise!

Digging holes, planting, watering, and weeding your garden are all activities that require you to get up and moving. And, as an added bonus, caring for your garden gets you outside and into the fresh air.

Second, gardening is always a great hobby and social activity. Across the country, there are numerous gardening clubs and societies you can join if flowers are your passion. Attending garden society meetings and flower shows is a great way to make friends and learn new things.

And last, but certainly not least, planting a flower garden helps the bees. While you may not care for these flying critters, they are extremely important for pollination. Without their help, many of the foods we love would not be able to grow.

Whatever your reason for wanting to garden, the best part is that as long as you have access to flower seeds, gardening tools, a patch of soil, and live in a climate zone that’s suitable, you can easily grow your very own garden—no green thumb needed!

Ready to start your own garden this spring? Let’s take a look at the different climate zones so you can determine what flowers grow best in your area.

Zones 3 and 4 – Carnations, Hyacinths, and Black-Eyed Susans

In the United States, zones 3 and 4 sit in the large area of land between the Rocky Mountains and the Great Lakes north of Nebraska.

This region has cold winters and short summers, yet despite the cool temperatures, a few flower varieties thrive in these areas.

If you live in zonez 3 or 4, try your hand at planting carnations, hyacinths, and black-eyed Susans.

Zones 5 and 6 – Marigolds, Roses, and Hydrangeas

Zones 5 and 6 are located in Iowa, Kansas, Nebraska, Missouri, Illinois, and Ohio. These states tend to have dry summers, which means drought-tolerant flowers are key for this area.

Flowers like marigolds, roses, and hydrangeas will do best here. If you want to plant non-drought-tolerant flowers, be sure to water them often during the hot summer months.

Zones 7 and 8 – Hibiscus, Freckled Geisha Japanese Iris, and the Climbing Tea Rose

Texas, California, the Carolinas, and the southern half of Oregon are classified as zones 7 and 8. These zones are known for mild winters and warm, dry summers.

The cool thing about this zone is that flowers can be grown year-round due to temperate climates.

Beautiful flowers like the hibiscus, Freckled Geisha Japanese iris, and the climbing tea rose do well in this environment.  If you live in zones 7 or 8, give those flower varieties a try!

If you’re a South Carolina native, you might know that South Carolina’s state flower is the Gelsemium sempervirens—a vibrant yellow, trumpet-shaped blossom.

These flowers grow very well in the Charleston area. If you’re local to the area, try planting this flower variety in your garden this year!

Zones 9 and 10 – Fanfare Gaillardia, Summer Breeze Agastache, and the Casablanca Lily

Zones 9 and 10 include California, Florida, and Hawaii.

These regions are known for stable, hot temperatures throughout the year. In the winter months, these zones experience high humidity and rain.

Because of the heat and humidity, flowers like the Fanfare Gaillardia, Summer Breeze Agastache, and the Casablanca lily grow best in this zone.

Best of luck in your new spring flower garden!

Do you have a favorite spring flower you plant every year?

Share that with us in the comments below!