Archives for August 2018

Debunking 5 Misconceptions about Breast Reconstruction

“Breast cancer” are two of the scariest words for women. Adding to the pain and fear, options for breast reconstruction after a full or partial mastectomy or lumpectomy are fraught with myths and misinformation.

That’s why it’s important for women to separate the facts about breast reconstruction from the myths and mistruths, and make informed decisions that improve their health and self-image.

Here are five common misconceptions about breast reconstruction that need to be debunked.

  1. Breast Reconstruction Is Only for Complete Mastectomies

Breast reconstruction is not just for women who have had the mastectomy procedure. Because breast reconstruction has come a long way medically in recent years, more and more women are eligible, even if they have only had a lumpectomy. Of course, an individual’s health and history play a part as well, but options are more available than ever.

  1.  Breast Reconstruction Equals Artificial Implants

Good news for women who want to remain all-natural and still have reconstructed breasts: reconstruction methods nowadays offer the opportunity to obtain natural tissues from the woman’s own body, including her thigh, tummy or even rear end. Known as autologous breast reconstruction, these methods are constantly evolving through science and technology and, as a result, are becoming safer and more successful.

  1.  If I Have Chemotherapy or Radiation, I Am Not Eligible for Breast Reconstruction

Many women believe that if they opted to undergo radiation or chemotherapy as a form of breast cancer treatment (or if they plan to undergo such treatments in the future), it will render them ineligible for breast reconstruction. While it is true that certain treatments can mean limitations – again, this depends on the individual woman’s health and history – it does not mean reconstruction is impossible. Many times radiation will force a delay in reconstruction, but not prevent it altogether. This is a subject for each individual patient and her doctors to discuss.

  1.  After a Certain Age, Breast Reconstruction Is Not Possible

Even a woman who is diagnosed with breast cancer in the later years of life can still opt to seek breast reconstruction. While it is true that the body heals differently in our “golden years”, age should not be a factor when considering breast reconstruction, primarily because older women can still benefit from improved self-esteem following reconstruction. Federal law requires most insurance plans to cover breast reconstruction after mastectomy, irrespective of the age of the patient.

  1.  Breast Reconstruction Hinders Diagnosing the Return of Cancer

After successfully battling breast cancer, the idea of a recurrence is scary, but that fear should not deter women from seeking breast reconstruction. While it is true that certain factors can affect the risk of recurring cancer, breast reconstruction neither increases nor decreases the risk, according to the American Cancer Society.

To learn more about natural breast reconstruction and find out if it might be the right choice for you, contact The Center for Natural Breast Reconstruction at NaturalBreastReconstruction.com or toll-free at (866) 374-2627

Q & A

Posted Question:
I had a Latissimus dorsi double mastectomy reconstruction in 2013. I have since lost a lot of weight – about 50 pounds – and I now feel that my breasts are too big. I feel really self-conscious. Is it possible to have a reduction after this type of surgery?

Dr.’s Answer:
Yes, it is usually possible to do a reduction in some fashion. Latissimus flaps are commonly used with implants, and it’s possible your implants could just be downsized. Alternatively, it may be better or necessary to remove some flap tissue as well. It would be difficult to make more specific recommendations without doing an actual exam and getting a few more details, but I’m willing to bet you have some good options.

In Her Words

I had my Stage 1 DIEP in Charleston with Drs. Kline and Craigie on May 25, 2018. On a scale of 1-10, I would rate my experience a 12! Before I go into more detail about my Charleston experience though, let me go back in time a little bit. I had my first unilateral mastectomy in 1998 (right side) with a reduction on the left side and immediate expanders.

A while later, I had the exchange for the permanent implants. This was all done in Atlanta, Georgia. The process was painful and inconvenient, took more than a year and was a complete flop. My right breast was half the size of the left, terribly scarred and deformed. The left breast was oddly shaped and had a very bad, fat scar underneath, and was hard.

The consequences of my low self-esteem led to intimacy problems with my husband, which resulted in divorce. Several attempts by different plastic surgeons only made the appearance of my breasts worse. The emotional consequences became compounded. In short, I felt like a freak. Dating was a concept I couldn’t even fathom – I was so self-conscious about my looks.

One day, 13 years after my first botched surgery, I saw a program on TV that discussed new procedures for reconstruction surgery after mastectomy. I immediately went online to research the DIEP procedure and decided to look into the facilities in Charleston. I was certain that Charleston was the right fit for me. Drs. Kline and Craigie are artists, and their highly trained staff made each and every step of the procedure flawless. Their attention to detail made me feel secure before, during and after. I’m about four months out from Stage 1 now. In those short months, my life has been transformed.

I haven’t had my stage 2 yet – that comes next month – but already I’m walking around with my head up and my shoulders back! My breasts look great. They are soft and warm, and it’s great to have those implants out. I would also like to add, if you are a single woman contemplating a location for reconstructive surgery, I highly recommend Charleston. The entire staff has a special sensitivity for those of us flying solo now.

–B.L., Thomasville, GA

4 Methods of Natural Breast Reconstruction

natural breast reconstruction methodsFor many women, a breast cancer diagnosis means a transformation, since both full and partial mastectomies are common as a way to rid the body of malignant tissues. These surgeries can leave a woman feeling uncertain or insecure about the changes.

Fortunately, there are options to help.

Perhaps you have heard the phrase “natural breast reconstruction” and wanted to know more about it. The term actually covers several different procedures, from improving the contour of scars left by mastectomies to even a natural alternative to breast implants. Natural breast reconstruction is a method of taking tissue from your own body to rebuild your breasts and the area around them. Tissue may be taken from a few different areas of the body. Here are a few methods of transferring tissue.

GAP Flap

In this procedure, also known as the gluteal artery perforator procedure, tissue is taken from the patient’s buttock area to create the breast mound. The muscles of the buttocks are left intact, and any extra tissue from either the upper or lower area (from “love handles” to “saddle bags”) can be considered. A GAP procedure is particularly useful for ladies who do not have excess body fat in other areas.

PAP Flap

Also known as the profunda artery perforator flap, this procedure takes tissue from the patient’s upper thigh to recreate the breast mound. Scars are hidden in the crease of the inner thigh, and only skin and fat are transferred.

DIEP Flap

Short for the deep inferior epigastric artery perforator flap, this popular procedure takes tissue from the patient’s abdomen to create the breast mound. Not only is the muscle of the abdomen left intact, many patients like the DIEP for the “bonus” result of having a tighter tummy.

SIEA Flap

Also known as the superficial inferior epigastric artery flap, this procedure is very similar to the DIEP flap (tissue is taken from the tummy); however, it is used only for a small percentage of women whose abdominal blood supply comes from the SIEA artery.

These procedures are not an exhaustive list of methods in which tissue can be obtained; other areas of the body, such as underneath the arm or even on the hip may also be reformed as breast tissue. Furthermore, surgeons are working daily to improve the art of natural breast reconstruction. Sensory improvement, for example, means reconstructing the nerves in the tissue used to build the breast, and repairing these nerves can mean better sensory response.

While it is true that most surgeons are able to reconstruct a breast, only a few surgeons have had extensive experience with natural breast reconstruction. The procedures listed above all involve transferring body tissue without damaging surrounding tissues or sacrificing much needed muscle. Should a patient be interested in these procedures, proper research is the key to finding a surgeon who is credible and able to successfully perform natural breast reconstruction.

To learn more about natural breast reconstruction and find out if it might be the right choice for you, contact The Center for Natural Breast Reconstruction at NaturalBreastReconstruction.com or toll-free at 1-866-374-2627.