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Scarring After Breast Reconstruction Surgery

June 15, 2012 by

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

Is there anything you do to diminish the scars resulting from all of the reconstruction processes?

Generally speaking the quality of the scar is not affected by the surgeon’s technique, and is unfortunately completely dependent upon the patient’s biochemistry.  Having said that, there are some scar patterns, which are more favorable than others, in terms of allowing patients to wear different styles and types of garments without displaying scars.  In a best case scenario, every patient would have a nipple sparing mastectomy where scars readily conceal beneath most swimsuits, although this is unfortunately not possible.  The next best scenario is to have skin sparing mastectomies with a nipple reconstruction, which can still result in a scar pattern which can be readily hidden under most swim wear and in most types of clothing.

More Information on Scarless Mastectomy/Hidden Scar Mastectomy Procedures

Advances in microsurgery and breast surgery allow us to perform mastectomy with hidden scars as in a breast lift or augmentation, without leaving scars on the breast skin. Patients who are candidates for this surgery preserve their breast skin – including the nipple and areola.

This technique begins with an incision under the arm, under the breast fold, around the nipple or down the bottom of the breast below the bra line. Reconstruction involves using a one of the perforator flap techniques (DIEP, SIEA or GAP), with the relocated tissue filling in and shaping the breast.

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The Sound of Music: A List of Outdoor Concerts and Music Events Coming to the Low Country

June 13, 2012 by

Summertime in the South wouldn’t be complete without a picnic blanket, several hundred of your closest friends, and the sound of music weaving through the air.

Luckily, Charleston is a music city. You can find a concert to attend just about every night of the week, and in the summertime, many of them are outside. If you enjoy the outdoors, music, and good company, then these options will be great for you and your family!

Awendaw Green Barn Jam

Wednesday nights in Awendaw are filled with the sound of Charleston’s best homegrown up-and-coming artists. Shows start at 6:00 p.m. at the Awendaw Green, off Highway 17, just past the Sewee Outpost.

Party at the Point

Head over to Patriot’s Point after work on Fridays for an evening filled with great music and $2 beer. The Charleston Harbor Resort and Marina hosts this weekly happy hour concert series, letting you enjoy the cool harbor breeze as you unwind and enjoy the show. The series runs through Friday, June 29.

Last Summer On Earth Tour

Barenaked Ladies, Blues Traveler, Big Head Todd & the Monsters, and Cracker are coming to Daniel Island’s Family Circle Stadium July 14. Don’t miss this chance to see all of your 90’s musical favorites in one place! Tickets are available on Ticketmaster .

What are the summer concerts you’re most looking forward to? Let us know in the comment section below!

 

 

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Omega-3s: 5 Ways to Load Up on These Healthy Fats

June 11, 2012 by

omega3Many people hear the word “fat” and immediately think it should not be a part of their diet. But what you might not know is that some fats are actually good for you!

Omega-3 fatty acids are in the “healthy fat” group, and your body actually needs them to function normally. Not only are they great for your brain, but they also have been shown to reduce inflammation, boost heart health, lower triglycerides, relieve rheumatoid arthritis, and even aid in the treatment of depression. As an added bonus, Omega-3s are an antiager!

These miracle fats are vital to your overall health and longevity. Your body can’t produce these healthy fats on their own, so you need to make sure you’re getting a daily dose through your diet.

Chances are you’re already eating foods that contain Omega-3s without even knowing it. Below are five wonderful sources of Omega-3 fatty acids and how to include them in your diet. Happy eating!

1. Fish

Salmon and tuna are two of the best natural sources of Omega-3 fatty acids. These are a wonderful dinner option, served with wild rice or on top of a salad. Don’t shy away from the white part of the fish when it’s cooked – that’s where the highest concentration of Omega-3s is!

2. Avocados

Cut up an avocado and toss it into your salad – it’s a great way to get those healthy fats with fewer calories! Plus, they add variety to your traditional salad.

3. Walnuts

Keep a handful of these at your desk to ward off afternoon hunger and keep your mind alert.

4. Olive Oil

Heart-healthy olive oil is full of Omega-3 fatty acids, and is also great for your skin and waistline! Try substituting it for butter when cooking your morning omelet.

5. Flax Seeds

Flax seeds have one of the highest concentrations of Omega-3 fatty acids found in nature. A three-tablespoon serving of flax seeds has the same amount of Omega-3s as a pound of fish, making this a great option for a girl on the go. Add them to your cereal, or serve with yogurt and fruit for a nutritious meal that will keep you going all day!

There are also many Omega-3 supplements available at your local health food store, if you feel that you’re not getting enough of these foods. Just make sure that you’re taking 500 mg of fish oil, or Omega-3s, per day.

Visit our Facebook page and share your healthy eating tips!

 

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Back to Bras: Adjusting to Bras After Reconstructive Surgery

June 8, 2012 by

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

How soon can I wear a regular bra after the first stage surgery?

Well, I am not sure I know what a regular bra is.  Sport bras are very similar to the bras which we use in the hospital and we often recommend the people transition to sport bras.  I think most patients could wear almost anything they wanted, even an underwire, somewhere from 1-2 months after surgery, although this may not be as comfortable as some other options.

If you do need to have a special bra after your incision lines have healed, we are happy to provide a prescription. We’ve had lots of our patients rave about Nordstrom’s for post mastectomy bras. Not only do the kind folks there provide a professional fitting for mastectomy patients, but they also handle the insurance paperwork for you too!

Here are more helpful hints for post surgery clothing:

If you are having a DIEP breast reconstruction, abdominal swelling limits clothing choices. Wear loose-fitting garments to the hospital. Women should avoid fitted, zippered pants and skirts because they probably won’t zip when it’s time to leave. Even clothing with snug elastic waistbands may be uncomfortable. A loose chemise or drop waist dress or jumper is a good choice.

Slacks or skirts with elastic in the back and a smooth band in the front may be slightly more comfortable than those with a totally elastic waistband.

Consider clothing that doesn’t wrinkle easily. Resting and naps are necessary while recuperating.

Cotton underwear breathes and is absorbent and comfortable next to the skin. Cotton’s fiber ends help the fabric stand away from the sensitive incision area rather than hug it, as some textured, synthetic fabrics do. If you don’t already have cotton briefs, buy a pair a size larger than your normal size. A little extra room adds comfort during recuperation. For waistline incisions, bikini cut styles may be better, while full cut panties and shorts might be preferred for incisions in the lower abdomen and buttocks.

Loose-fitting nightgowns and nightshirts are comfortable, especially when made from absorbent, breathable cotton or cotton-blends. If you prefer pajamas, select those with drawstrings. Elastic waists may be less comfortable for some people depending on swelling, tenderness, and location of incision. Sweatpants or crew pants are a comfortable change from bed wear, especially those with drawstrings, which allow some flexibility at the waistline.

Flat soled shoes that slip on your feet rather than tie are great to have, too, as you may be limited in your ability to bend over and tie your shoes.

Are you thinking of having reconstructive surgery and have questions or just want more information? Then click here to ask our team, we’d love to hear from you!

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Catching the Last Bits of The Spoleto Festival 2012

June 6, 2012 by

SpoletoWe at the Center for Natural Breast Reconstruction absolutely love our city! Charleston has a unique blend of metropolitan and small-town charm, with a healthy dash of the arts thrown in. While Charleston’s arts scene is great year-round, The Spoleto Festival is the pinnacle of all things artistic in the Holy City.

If you haven’t had a chance to visit the Spoleto Festival USA yet, don’t worry! There are still plenty of opportunities for you to experience this international arts Festival between now and Sunday.

Westminster Choir

The Spoleto Festival’s choir-in-residence will be performing a wide variety of pieces, from Rachmaninoff to contemporary composer Eriks Ešenvalds Friday evening at the Church of St. Luke and St. Paul. Come sit back, relax, and let the choir’s angelic voices wash over you as you begin your weekend. Concert begins at 5 p.m. Tickets are available here.

Return to the Sea: Saltworks by Motoi Yamamoto

This site-specific art installation is on display at the Halsey Institute of Contemporary Art at the corner of Calhoun and St. Phillip Streets. Yamamoto’s intricate works are created entirely of salt, which are a symbol of purity in Japanese culture. Take a break from the mid-day heat and wander through the salt lands of Yamamoto’s mind from 11 a.m. – 4 p.m daily.

Rebirth Brass Band

Dance the night away with New Orleans’ Rebirth Brass Band in the College of Charleston Cistern this weekend! This jazz, funk, and hip-hop ensemble will be playing shows on Friday and Saturday at 9 p.m.

Charleston is absolutely alive this time of year, so even if you don’t attend a performance, be sure to take a stroll downtown and take in the atmosphere! Visit our Facbook page for all the up and coming events in Charleston!

 

 

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The Only Safe Tan: Tips to Achieve a Perfect Faux Tan

June 4, 2012 by

self tanningA golden tan is the perfect summer accessory. But devoting yourself to achieving that enviable glow is both time consuming and damaging to your skin. At The Center for Natural Breast Reconstruction, we prefer to use the healthy alternative to sunbathing—faux tanning.

Applying sunless tanner can seem very daunting, but it’s as easy as four simple steps.

1. Exfoliate

Many women fear sunless tanner because it can streak and leave orange patches when applied incorrectly. Proper exfoliation prior to application will help smooth the skin and prepare it to accept the tanner evenly.

2. Moisturize

Another reason sunless tanner can appear fake is due to improper moisturization beforehand. Dry skin, especially on your elbows and knees, will absorb more tanner than the rest of your skin, so be sure to moisturize those areas well.

3. Use Gloves

To avoid ending up with bright orange palms, wear thin, tight-fitting rubber or latex gloves during the application process. After you have tanned the rest of your body, place a small amount on the backs of your hands, and rub them together before briefly interlacing your fingers.

4. Buff

If you see any spots that are drying slightly darker than the rest of your skin, take a cotton pad and gently buff the offending area—it will help blend your tan more evenly.

These simple tips will help you to achieve that perfect summer glow—without the damaging effects of the sun! Flaunt those faux tans with confidence, ladies.

 

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Will An SGAP Procedure Help With My Lymphedema?

June 1, 2012 by

sgapThe following submission below is answered by Dr. Richard M. Kline Jr., MD, of The Center for Natural Breast Reconstruction.

Will a SGAP help with lymphedema?

There is some indication that patients with lymphedema may benefit from having an autogenous reconstruction, and this is one reason why we have elected in our practice not to perform vascularized lymph node transfer at the same time as breast reconstruction.

About Our Procedures

Microsurgery has come a long way since its invention by vascular surgeons in the 1960s. The term refers to any surgery involving a surgical microscope. And it has found one of its best applications in breast reconstruction. Through microsurgery, our skilled surgeons are able to harvest healthy tissue from one part of a womans body and reattach it to the breast area. Through the careful process of attaching blood vessels, microsurgery allows patients to have natural looking breasts made from their own, living tissue. Another benefit is the minimized impact and injury to muscles, allowing patients to enjoy a faster, fuller recovery.

View an animation of our procedures here.

Share this post with your followers on Twitter and Facebook. And if you have a question for our breast surgeons, submit them here!

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The Best Brunch Spots in the Holy City

May 30, 2012 by

poogans porchCharleston isn’t only a great city to visit for the history—we have some of the best restaurants in the South, too! Whether you’re in town for a weekend or a local looking for someplace new, we’ve got the city’s best brunch spots lined up for you.

Toast

One of downtown Charleston’s most popular brunch spots, Toast is known for its $10 bottomless mimosas, enthusiastic wait staff, and delectable Lowcountry fare. Some of its most popular menu items include Shrimp & Grits, Stuffed French Toast, Fried Green Tomatoes, and a spicy Crab Cake Sandwich. Grab your gal pals, and head to Toast for a fun morning of bubbles and breakfast!

Poogan’s Porch

Located in a beautiful Victorian home on historic Queen Street, Poogan’s Porch is arguably Charleston’s best-known brunch spot. Named after the little dog that made his home on the restaurant’s porch, Poogan’s has developed a menu of down-home Southern dishes sure to please any palate. Some of their signature dishes include a Crab Cake Benedict, Fried Alligator, and Chef Issac’s She Crab Soup. Put on your favorite sundress, and relive the Victorian era at this beautiful restaurant!

Lost Dog Café

Looking to get out of the city for a morning? Head over to the Lost Dog Café on Folly Beach, where life moves a little bit slower and breakfast is served all day. Pictures of patrons’ pooches line the walls, while their real-life counterparts lie complacently beneath their owners’ chairs on the patio. The food is a delicious brunch fare with an island twist—perfect for a lazy morning!

Seabiscuit Café

A little-known island treasure, the Seabiscuit Café on the Isle of Palms has been serving brunch to Charlestonians for 25 years. Their delicious Southern-style food is the perfect complement to an early day on the beach. Just make sure you get there early! Brunch is only available until 11 a.m.

Old Village Post House

Don’t feel like fighting the city crowds for brunch? Try the Old Village Post House in Mount Pleasant. This neighborhood gem is part tavern, part inn, and entirely fabulous. The Post House offers some heartier brunch foods, such as a Croque Madame (gourmet grilled cheese with egg), Pan-Seared Salmon, and Cinnamon French Toast, complete with brioche and sausage.

No matter which restaurant you choose, you won’t go wrong! Sit down, relax, and enjoy a delicious brunch with loved ones—it’s good for you!

 

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Best Spring Workouts to Stay Fit and Energized

May 28, 2012 by

woman-working-outWhen the chills of winter finally recede (and we start to remember that bathing suit season is just around the corner), the thought of working out becomes more appealing than it’s been for months. Here are some ways to take advantage of longer, warmer days to build fitness habits that will keep you healthier all year long.

  • Ride your bike. Whether you cycle on a nearby trail or pedal to run errands, biking is a great way to get exercise, spend time outside, and save money on gas. For added enjoyment, recruit a friend or two to ride with you.
  • Take a hike. Walking through the woods connects you with all the beauty of spring and lets you get away from the stresses of civilization. Kick the health level up a notch by combining a hike with a hunt for morel mushrooms and other edible spring blossoms (but be sure to double check the identity of everything you pick before eating!)
  • Go for a swim. True, it’s not warm enough in most of the country to swim outdoors yet, but warmer temps make indoor pools seem much more appealing than they did during the depths of winter. Bonus: find an indoor pool with diving boards, and you can make it a family event.
  • Help your garden grow. Vigorous gardening (such as preparing ground for spring planting) lets you work up a sweat for a bigger purpose. There’s no motivation to get active than thinking about the crop of succulent tomatoes that awaits you in a few months!
  • Mow the lawn. Powerless mowers provide the best workout, but even gas-powered push mowers let you work up a sweat while exercising most major muscle groups.
  • Hit the net. Call a friend for a game of tennis or set up a net in your backyard for volleyball or badminton. Lawn games are a great addition to springtime barbecues because they offer a non-eating, non-drinking way to interact with others.
  • Wash your car. Scrub away the caked pollen and get your heart rate up in the process.
  • Play a game of pickup. Basketball, soccer, softball—any game that lets you run around outside without feeling foolish is okay in our book. And don’t feel as if you have to recruit two full teams—one-on-one matchups are possible in almost any sport!

Exercise is one of the easiest and most important ways to maintain your health after breast cancer or to lower your chances of developing cancer and other diseases, so head outside and enjoy the season!

 

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What’s Next if My First Attempt at DIEP Flap Breast Reconstruction Fails?

May 25, 2012 by

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

If the first DIEP flap breast reconstruction fails what are my options?

This is a rare scenario, but in our practice we generally recommend waiting 3 months for the body to recover, then using another area of tissue, most commonly the buttock to perform the reconstruction.  The failure of the first reconstructive attempt does not seem to adversely affect the success rate of the second reconstructive attempt. We have in the past sometimes attempted to perform the salvage reconstruction at an earlier date, but we have come to feel that the patients do better overall if they are allowed a period of healing before proceeding with the next surgery.

What is DIEP Flap Reconstruction?

Perforator  flaps and natural breast reconstruction represent the state-of-the-art in breast reconstruction. The DIEP flap is the most frequently used type of  perforator surgery for breast reconstruction because of the tummy tuck benefit  that can be part of the process. Doctors  borrow skin and tissue from your abdomen, and use it to create a soft, warm,  living breast.

It starts  with an incision along the bikini line similar to a tummy tuck incision.  Surgeons remove the necessary skin, soft tissue, and tiny feeding blood  vessels. The blood vessels are matched to supplying vessels at the mastectomy  site and reattached under a microscope. Tissue is then transformed into a new  breast mound.

Our refined technique provides all the necessary  tissue to build a breast, without removing the abdominal muscles. In addition  to reconstructing the breast, the contour of the abdomen is often improved –  much like a tummy tuck.

Have questions for our team? Send them on over, we’d love to hear from you!

 

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