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Exploring the Recovery Process after DIEP Breast Reconstruction

May 18, 2012 By Gail Leave a Comment

The below question is answered by Charleston breast surgeon, Dr. Richard M. Kline, Jr. of The Center for Natural Breast Reconstruction:

What is the recovery process like for DIEP flap breast reconstruction?

Generally speaking, patients can sit in a chair the day after surgery, they are walking by 2 days after surgery, and they leave the hospital on the fourth day after surgery.   We ask you to sleep on your back for a minimum of a month, sometimes longer (depending on the size of the flaps), and to avoid vigorous physical activity for at least 6-8 weeks.  Most people seem to feel like they are well on their way to recovery within 2 months, although obviously healing goes on for a significantly longer.  However, everyone is different, and some patients recover more rapidly, other seems to take a little more time.  We feel that the optimal approach is to let you speak to other patients who have been through the process, so that they may share their experiences directly with you.

Below are some additional tips for optimal post surgical experience.

Family and Friends: Support from loved ones is very helpful. But understand that comments they may make during your recovery can cause you concern. Remember this: We will tell you honestly how you are doing and what we expect your result will be.  Please trust in our knowledge and experience when we discuss your progress with you.

Healing: You will heal! How quickly depends on factors your genetic background, your overall health and your lifestyle (exercise, smoking, drinking, etc.). Many people believe the surgeon “heals” the patient.  No person can make another heal. Dr Craigie and Dr Kline can facilitate, but not accelerate, the healing process.  But you play the starring role, so your cooperation is key.

Swelling: You may find swelling of your new breast and abdomen (DIEP) or buttock (GAP) to be troublesome and your clothes may not fit.  Be patient, this swelling will gradually subside and you will feel better in a few weeks.  There will be a certain amount of tightness in the area where the flap was taken from.  This will slowly relax in a few months.

Following Instructions: Another way to improve healing is by following the instructions given by Dr. Craigie and Dr. Kline’s staff.  We believe “the difference is in the details” and strive to achieve the best possible results for you.  It is imperative that you act as a partner in this process — not a passive participant.  The instructions are designed to give you the best opportunity for healing without delay or surprise.

Click here for a complete list of post surgery healing and recovery tips and instructions.

 

Have questions for surgical team at The Center for Natural Breast Reconstruction? Send them on over, we’d love to hear from you!

 

 

 

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Eat with the Season for Better Health

May 16, 2012 By Gail Leave a Comment

seasonal fruitOnce upon a time, before refrigerated trucks and supermarkets, people ate according to what was grown nearby in any given season (or according to what they’d thought to preserve during the previous months).

While today’s agricultural and supermarket industries offer us many more choices in how and what we can eat, doing things the old-fashioned way comes with a number of health benefits. Here’s why you can do your body a huge favor by adding more local, seasonal produce to your diet.

  • Higher nutrient content. Produce has its highest nutritional value at peak ripeness, and starts losing that value as soon as it’s harvested. Many fruits and vegetables [link to ] destined to be shipped long distances are picked before they achieve optimum ripeness and lose nutrients during the long shipment process (and while they sit on your shelves). Eating locally and in season lets you avoid both problems and enjoy more of the nutrients that protect against breast cancer [link to] and other diseases.
  • Better taste. The fresher produce is, the better it tastes. It’s as simple as that. If you’re unfamiliar with the various offerings at your local farmer’s market, you can enjoy an assortment of tantalizing flavors by researching recipes designed for the vegetables and fruits available to you. Or ask the people you buy produce from: chances are, they’ll have plenty of ideas for enjoying the season’s freshest offerings.
  • Smaller carbon footprint. The less distance food travels, the less gasoline is required to get it from the field to your mouth. This creates a greener, healthier planet for everyone.
  • Better prices. When a crop is ripe, farmers have to harvest it and sell it before it goes bad. This means that prices will be lower for you—it’s a simple matter of supply and demand. Take advantage of your favorite food’s peak seasons by learning to preserve batches of whatever you want to eat when the season has passed.

Eating a diet rich in plant-based foods has been shown to be one of the most effective ways to prevent cancer of all kinds. Treat your body right by indulging in the delicacies blooming outside your doorway, and enjoy the rich flavors and high quality of life that brings you!

 

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The 2012 Charleston Dragon Boat Festival

May 14, 2012 By Gail Leave a Comment

We at The Center for Natural Breast Reconstruction were thrilled to sponsor the DBC survivor team Paddles n’ Pearls at this year’s fifth annual Dragon Boat Festival on Saturday, May 5th. This year’s event raised a record breaking $108,000 dollars to nurture the warrior spirit of those fighting cancer. This years goal was $75,000 and to it say it was surpassed is an understatement!

46 teams made up of 20 people each, on colorful boats, competed in a 250 meter race across the Ashley River.   Some of the team members partaking in the race are supporting the cause, other having previously battled cancer, while some are even currently undergoing treatment.  The spirit of this event is to unleash your inner warrior. The fight against cancer should not be something a cancer warrior fights alone, however  it should be fought with a team—made up of loved ones supporting you and helping you navigate along the way.

The crowd ranges from college students to those in their 80’s and 90’s and a great time is had by all. This year the weather was perfect and we couldn’t have thought of a better way to spend a Saturday afternoon. We can already say that we are looking forward to next year and hope to see you there!

Check out our Facebook page to see all the fun our team had while sponsoring this year’s event!

 

 

 

 

 

 

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The Benefits of DIEP Flap Breast Reconstruction Over Other Reconstructive Options

May 11, 2012 By Gail Leave a Comment

diep reconstructionThe below question is answered by Charleston breast surgeon, Dr. Richard M. Kline, Jr. of The Center for Natural Breast Reconstruction:

What are the benefits of the DIEP flap breast reconstruction over other options?

I am going to break this question into two parts.

The first part is what are the benefits of the DIEP flap over reconstructive options using implants?  Let us start with the benefits of implants.  The primary benefit of implant is that the operations are shorter, they are potentially safer, and you do not need to operate on another part of the body. Additionally, implants are readily available, and if you do not have enough extra body tissue somewhere to make a breast, implants may be the preferred choice for this reason.  The advantage of the DIEP flap over implants is that it produces a much more natural feeling, warmer, and trouble free breast (after the reconstruction process is completed).  There is data to suggest that women tend to accept the reconstructed breast as their own more readily if it is made using their own tissue, in comparison to women who have a reconstructed breast using implants.  Additionally, many women feel that they have too much extra tissue in their abdominal area, and they may actually view removing this tissue to make a breast as an added bonus.

The second part of this answer is going to be why is the DIEP flap better than other reconstructive options using the patients own tissue, with the most commonly performed in our practice being the GAP or gluteal artery perforator flap, which is taking the buttock.  The primarily advantage of the DIEP over the GAP is that it is faster, and no position changes are needed during surgery to harvest the flap.  If the patient has adequate abdominal tissue to meet her reconstructive needs, we generally recommend using this as our first line option.  Having said that, however, the buttock serves very well to make breast, although the process is a little more tedious and lengthy.

Would you like your breast reconstruction question answered? Just ask us!

 

 


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Laughter is the Best Medicine: Top Comedy Spots in Charleston

May 9, 2012 By Gail Leave a Comment

laughterBecause it lowers stress, boosts the immune system, reduces pain, and improves bonding among individuals, laughter really does have the powerful health benefits we’ve long attributed to it. We at The Center for Natural Breast Reconstruction are proud to say that Charleston is home to world-class comedy clubs where you can get your daily dose.

Next time you’re in need of a hearty chuckle, check out one of these laughter hot spots.

Theatre 99

Known as Charleston’s home for improv comedy, Theatre 99 offers affordable live shows most Wednesdays, Fridays, and Saturdays. In addition to improv, audiences enjoy sketch and stand-up comedy performances on the theater’s stage. Those who are interested in participating in comedy themselves can take advantage of Theatre 99’s improv classes and workshops.

Plan your next outing here.

Visit: 280 Meeting Street, above The Bicycle Shoppe, Charleston, SC

The Stephen Colbert Childhood Tour

Stephen Colbert, one of Charleston’s most famous and well-loved native sons, soaked up the city’s atmosphere and went on to a wildly successful career in comedy. Diehard fans can make a driving tour of Colbert’s childhood stomping grounds by visiting James Island, where he spent his youth, and East Bay Street in downtown Charleston, where his family moved after the death of his father and two brothers.

Be sure to swing by Episcopal Porter-Gaud school, where Colbert acted in school plays and wrote for the newspaper.

Center Pointe Bar & Grille

Friday nights at Center Pointe mean comedy. Enjoy jokes in a sports-bar atmosphere where you can enjoy food and drinks from a full kitchen and bar menu. Want to create some comedy of your own? Come back on Monday nights for karaoke!

Visit: 4950 Centre Pointe Dr., North Charleston, SC

Palmetto Comedy House

Enjoy a night of stand-up at this comedy hub, located inside the Clarion Suites Hotel. The Palmetto is known for special event shows (including performances for Valentine’s Day and its Divas of Comedy show), so check out the schedule to see what’s coming up.

Visit: 3640-B Dorchester Rd., Charleston, SC

 

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4 Unexpected Places to Find Happiness in Your Everyday Life

May 7, 2012 By Gail Leave a Comment

News and entertainment outlets have bombarded us with reports about the benefits of happiness, which include better mental and physical health, longer life, and more fulfilling relationships. So how can you bring a little more joy into your everyday experience? Try some of these strategies, custom designed for busy people in a fast-paced world.

1. Send a snail-mail card.

We’ve all heard the saying that it’s better to give than to receive. That’s because doing something kind for another person (even if it’s only something very small) brings that person happiness—and we’re hardwired to enjoy that feeling. Depending on your recipient, you might send a care package, a box of chocolates, a bouquet of flowers, a hand-written letter, a card, or a meaningful photograph. A five-minute project on your end could bring a day’s worth of happiness (or more!) to the person checking his or her mailbox.

2. Dance to your favorite song.

Even people with insanely busy schedules should have time for a three- to five-minute dance break. The benefits are worth the time: music triggers strong emotional responses, and the endorphins you’ll get from even a short bout of energetic dancing will help recharge a failing battery. For an even bigger bliss boost, enlist a friend to help you bust your move.

3. Let yourself enjoy your food.

Hectic schedules often dictate that we bolt meals while sitting in front of a screen or driving from one event to the next. Even if you have to multi-task during lunch, take a few seconds to experience and enjoy the flavors in your mouth. Studies show that actively practicing gratitude is a great way to boost happiness. As a bonus, slowing down while you eat is an effective way to prevent overeating and associated weight gain.

4. Breathe deeply in a stressful situation.

There’s nothing like a traffic jam or a backup at the grocery store checkout to raise your stress level and zap your happiness. But experts say that we can actually choose how such roadblocks affect us. Next time you’re in a less-than-ideal situation, use the down time to focus on breathing deeply, pulling air into your stomach and exhaling slowly. This strategy helps us relax physically and reminds us that we control our worlds—a big component toward achieving happiness.

 

We’ve all found tricks for bringing more smiles into our chaotic lives—what are your favorite tips for hanging on to the grin-worthy moments in your life? Feel free to share below!

 

 

 

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At What Point During Your Journey Is It Time To See Our Surgical Team?

May 4, 2012 By Gail Leave a Comment

time to see a doctorThe below question is answered by Richard M. Kline Jr., M.D., of The Center for Natural Breast Reconstruction.

At what point in the process should a breast cancer patient see a breast reconstruction surgeon?

Opinions on this vary, but I think the prevailing opinion is the sooner the better.  Ideally, the patient would see the reconstructive surgeon even before plans were finalized for treating her cancer.  This is because many times several options are available to the patient, and she may not fully understand the implications of the various options available to her unless she understands what reconstructive options are available in each setting.

A Little Bit About Our Surgical Team :

Co-directors Dr. Richard M. Kline and Dr. James E. Craigie are certified by The American Board of Plastic Surgery. Both surgeons have trained under Dr. Robert J. Allen, a pioneer in breast reconstruction using the DIEP, SIEA, and GAP flaps. Dr. Craigie completed a microsurgical breast reconstruction fellowship dedicated to muscle sparing techniques (directed by Robert J. Allen, M.D.). Dr. Kline completed his residency at LSU while Dr. Allen was developing these techniques.

Our entire surgical team is dedicated to remaining at the forefront of breast reconstruction surgery to provide excellent care and results for each individual patient. Because of this commitment, the practice consistently earns referrals from our patients, as well as from other surgeons throughout the United States.

Knowing the RIGHT Questions to Ask:

When searching for a surgeon to perform your microsurgical breast reconstruction, it’s important to ask him or her the right questions.

Below are a few questions to ask:

  • Are you a microsurgeon? Where and by whom were you trained in this specialty?
  • How many microsurgeries have you performed? And how often do you perform them?
  • What is your success rate?
  • Can you arrange for me to speak with some of your patients who have had the procedure I am seeking? (Candidates should speak with people of similar ages and lifestyles).
  • How long do you anticipate I will be under anesthesia for the procedure?
  • How many board certified physicians will be assisting with the first stage of the procedure? Will there be physicians in training (residents) involved with my surgery
  • Will I have to sign a consent that if a physician is unable to complete the procedure, I will have to consent to a TRAM/Free TRAM?

Do you have a question about breast implants or natural breast reconstruction? Ask our surgical team by clicking HERE.

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One Woman’s Journey to DO Something About Her BRCA Status

May 2, 2012 By Gail Leave a Comment
Julie Moon
We at The Center for Natural Breast Reconstruction are delighted to share this In her Words post featuring Julie Moon, who is a 34 year old BRCA 1 positive breast cancer previvor. Julie wants other women to be educated, which is why she began the blog  Say it Anyway, where she shares her unique story and journey.

See below for our interview with Julie.

What type of reconstruction surgery did you have and how do you feel about the results?

I had a bilateral nipple sparing mastectomy and immediate SGAP reconstruction.  I am so excited about having natural looking breasts made from my own body that will be with me for the rest of my life and never have to be replaced.   I am so grateful to have found Dr. Craigie and his staff.  I knew as soon as I met them that I was in good hands.

Breast cancer runs in your family at what point did you decide to undergo preventative breast surgery?

I found out in 2007 that I was BRCA 1 positive.  I decided then that I would go ahead and have my third child and breastfeed her as long as she needed. I participated in the Atlanta Susan G Komen 3Day For The Cure in 2011 and I was moved over that weekend to DO something about my BRCA status.  I met with Dr. Craigie in December and had my surgery Feb 1, 2012.

What advice would you give to women who have undergone a mastectomy or double mastectomy and are unsure about natural breast reconstruction?

I would recommend that women look at lots of pictures.  I would recommend that they ask specific questions to other women who have undergone the procedure.  I found so much great information from the women at the FORCE.  I would also encourage them to not be afraid to travel to another city to get the procedure that they really desire.  I have three children and a very busy entrepreneur husband.  It was A LOT of work to organize all the friends, family and babysitters needed to care for my family while I was out of town for my surgery.  It was all so very worth it.

In what ways has breast cancer both negatively and positively affected your life?

I feel very blessed to be one of the women who actually knows what cancer was coming after me and be able to eliminate that risk before it knocked on my door.  My grandmother was a breast cancer survivor.  She was not lucky enough to be able to have had natural breast reconstruction and now as a grown woman I am able to see how that must have affected her life so dramatically.  My aunt died from complications of her chemotherapy that was treating her breast cancer.  My mom was smart enough to have a bilateral and reconstruction before they found cancer but ironically she already had it growing in her breast undetected.  My BRCA status has taught me how to face something ugly in the face and not be afraid of it but battle it with the best army I could find.

Have questions for Julie? Submit them here! Be sure to check out her blog for tons of educational resources.
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Water Soluble Vitamins: What Do They Do and How Do You Get Them?

April 30, 2012 By Gail Leave a Comment

vitaminsVitamins are either fat soluble (stored in fat) or water soluble, which means they dissolve in water and must be replenished daily. The fat-soluble vitamins are A, D, E, and K, and the B complex and C vitamins are water soluble.

Vitamin B Complex

The B vitamins, also known as the B complex, are a group of eight vitamins that perform a variety of functions in the body. They help your body’s cell division and metabolism perform at peak efficiency, aid your immune system’s function, and promote healthy hair and skin.

The main sources of the B vitamins are whole grains, beans and legumes (including peanuts), animal products, yeast, and green or cruciferous vegetables. The vitamins are listed below along with their common names and prime sources:

B1: Also known as thiamine, B1 is found in whole grains, cruciferous vegetables, and animal products.

B2: Called riboflavin, this B vitamin is found in dairy products and green vegetables.

B3: Food sources high in niacin include meat, fish, and vegetables.

B5: Find pantothenic acid in animal products and green vegetables. Women may recognize this as an ingredient in beauty products.

B6: Also called pyridoxine, eat plenty of veggies and meat to get your B6.

B7: Biotin (also an ingredient you might recognize from beauty products) is found in animal products and peanuts.

B9: Folic acid is a vital nutrient for a healthy pregnancy and is found in grains and leafy vegetables.

B12: This vitamin, cyanocobalamin, presents challenges to vegetarians and vegans because it is found only in animal products.

Vitamin C

Known as ascorbic acid, vitamin C aids metabolism, fights infections and acts as an antioxidant. It also promotes healing, such as from breast reconstruction surgery,  so we always suggest you ensure you’re getting enough. It’s found primarily in fruits and vegetables, as well as some meats such as liver. Sources high in vitamin C include peppers, berries, rose hips, and parsley.

The water-soluble vitamins are easily supplemented if the diet is deficient, though natural sources are always the best way to ingest them. These vitamins degrade when cooked, so raw foods are preferred. The important thing is that you’re receiving at least the reference daily intake (RDA) each day, as excess B and C vitamins are excreted in the urine.

 

 

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Potential Issues to Watch for After DIEP Flap Breast Reconstruction

April 27, 2012 By Gail Leave a Comment

The below question is answered by Charleston breast surgeon, Dr. Richard M. Kline, Jr. of The Center for Natural Breast Reconstruction:

What potential issues should I be watching for right after having DIEP flap breast reconstruction?

I am going to split the answer for this into two parts.  First, what you should watch for while you are in the hospital (at which time you will, of course, have lots of help watching for things). Second, what should you watch for when you go home?

When you are in the hospital, we primarily look for changes in the vascular status of the flap.  There are monitors attached to the flap which will within seconds pick up any change in the blood flow to the flap.  If on further evaluation by the nurses, it shows that there is a problem, we will take you back to surgery immediately and attempt to correct the problem.  Fortunately, incidents such as these are rare, but if they do occur.  We have learned that the most important factor is to get to the operating room quickly, in which case we can almost always fix whatever might be wrong.

Thankfully, it is unbelievably rare to have a problem with the blood flow to the flap after going home, although it is not impossible.  Your primary concern should be to follow the specific directions which we have given in terms of positioning and brassiere support.  Most patients still have temperature monitoring strips attach to the flap, and this can serve as useful reassurance to let you know that your flap is fine.  Infections are extremely rare after DIEP flap surgery, but they can occur either at the reconstruction site or at the abdominal donor site.  Wound healing problems are not as rare as infections but may occur.  If you are not radiated, the most likely place to have a wound healing problem is your abdomen.  If you are radiated, it is very common to have a little bit of a wound healing problem where the healthy flap tissue meets the radiated breast skin.  Essentially all wound healing problems can be managed very effectively, so it is not something you need to worry about.

Share this post with friends and family on twitter or facebook. Do you have a question for our surgical team? Submit them here!


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