Archives for September 2019
Q&A: Ask the Doctor
Q&A: Ask the Doctor
Benefits of Autologous Reconstruction vs. Implant Reconstruction
When considering breast reconstruction, a woman is faced with a few options — she can
choose autologous reconstruction — which is the use of her own skin and tissue to
create a breast mound, implants, or go flat.
Recently, the recall of certain breast implants has made the news, as the FDA reported
their connection to 573 rare cases of anaplastic large cell lymphoma and 33 patient
deaths. As a result, the FDA asked Allergan to recall its BIOCELL textured breast
implants and tissue expanders and they obliged.
We are sure that this news is upsetting and leaves questions in the mind of patients
who wonder about implants and their safety, as well as the choice they should make for
their own breast reconstruction procedure.
At The Center for Natural Breast Reconstruction, we educate our patients on the
differences between all types of procedures and their risks, but our emphasis has
always been on autologous reconstruction. Here’s a little about each autologous
procedure that we do:
DIEP flap: This is the most popular type of perforator flap reconstruction due to its high
success rate and its ability to reconstruct the breast without the patient having to
sacrifice much needed abdominal muscles. In addition to reconstructing the breast, the
contour of the abdomen is often improved – much like a tummy tuck.
GAP flap: Similar to the DIEP, tissue is taken from the buttock area instead of the
stomach.
PAP flap: The Profunda Artery Perforator Flap (PAP) utilizes the tissue of the upper
thigh just below the buttock to reconstruct the breast following mastectomy.
So now that you know the difference between each procedure, why should you choose
autologous reconstruction over implants?
● Autologous reconstruction lasts a lifetime: Breast reconstruction using tissue
from someplace else on your body will last a lifetime. There is nothing synthetic
that can break or cause illness or other major issues. On the other hand,
implants will normally have to be replaced between 10 and 20 years.
● Breasts made by autologous reconstruction feels more natural: When your
breasts are reconstructed, you want them to feel just like your old breasts.
Implants do not always feel real, but since the tissue on your belly, buttocks, and
upper thighs is very similar to your breast tissue, it makes for a good, more
natural substitute.
Deciding what kind of procedure is best for you is a big decision. The best thing to do is
to gather all of your facts, talk with your doctor and your surgeon and weigh all of the
pros and cons before deciding on what’s right for you.
Woman to Woman
When you’re going through something big in your life, there isn’t anything more comforting than talking to someone who has been through it before.
For women who are having breast reconstruction surgery, a doctor is certainly available to answer many of your questions, but it’s also helpful to hear from another patient who has had the same surgery. What should you expect? How should you prepare at home? How will you feel when you wake up after surgery? What clothes are best to wear? When will you feel like yourself?
Meet Shirley. She’s a patient at The Center for Natural Breast Reconstruction who had a double mastectomy, followed by DIEP breast reconstruction surgery. She wanted to have a ‘girl-to-girl talk’ with other patients, so she wrote a 31-page booklet filled with raw, honest tips and advice that could help others. “No offense to the medical team that put together a technically comprehensive document, but boy did they leave out a lot of information that would have been helpful!” she wrote. “The kinds of things that, really, only a patient would know.”
Here is just a sampling of her tips and advice:
It’s a process, not a procedure:After the initial surgery, Shirley reminds patients that they will have one or two more minor procedures for final “sculpting.” “It’s important that you look at your reconstruction as a process, not one procedure and it’s done,” she writes. “Some healing is required between steps, and so there will be months between each step.”
Be vigilant at following instructions: Shirley made sure she followed her doctor’s instructions completely. That means that she ate a high-protein diet, made sure to exercise and took her vitamins. “I wanted to do whatever necessary to make sure everything went smoothly,” she writes. “Getting in shape prior to surgery will set you on a path to stay in shape, which will preserve your new body! Now that I have a flat tummy and perky “girls,” I’m more motivated than ever to stay fit.”
Go shopping before your surgery: It’s not just about retail therapy that will make you feel better. Shirley is advising patients to find specific clothing that will help with recuperation. “I would recommend that you get a very good idea of where your incision line will run and try to find some clothing that will be comfortable and not hit right on it for when you get home,” she writes. “And have large shirts at hand so that your drains will fit under. They need to button up the front, too, because it will be uncomfortable to raise your arms at first.”
Arrange help: “Another thing about showers — you have to dry off with a towel. So, here I was with limited arm movement juggling four drains and trying to dry all of my pieces and parts,” she writes. “I wasn’t supposed to be alone for showers the first couple of days. Dizziness and lightheadedness are common. My husband stayed with me and even helped me towel off, dress me and blow dry my hair. Naps usually followed showers.” If you don’t have a spouse, a trusted family member or friend should be available to help you.
Paint your toes:“Everyone will see your feet,” she writes. “I got so many comments on how pretty my toes looked. For some reason, that was comforting to me.”
Shirley also provides a day-to-day synopsis of her recovery, including her challenges such as sitting up after surgery and her accomplishments. Her booklet is helpful and inspiring to other patients who also may be struggling with finding the “light at the end of the tunnel.”
From one woman to another, Shirley gets you there.
The Center for Natural Breast Reconstruction would love to send Shirley’s book to anyone who like to receive it! Requests can be made via email, Facebook message, website chat, or phone at 843-849-8418.