Ask The Doctor-I had a double mastectomy in 2008 and now wish I had implants…is it too late?

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

Question: I had a double mastectomy in 2008 and now wish I had had implants…is it too late?

Answer: Yes, you can have breast reconstruction 8 years after your mastectomies. I have patients who have waited 22 years. Also its up to you and your plastic surgeon which technique is best for you. That includes implants. Thank you for you question!

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

 

Ask The Doctor-I’m having implant difficulties. Can you help?

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

Question: I was diagnosed with triple negative breast cancer in my left breast in December of 2010. I had a lumpectomy in January 2011 followed by chemotherapy, a bilateral mastectomy and radiation. I have implants now. The right implant has dropped and the left is hard and contracted. I need help. My 36d has been replaced by 38b and the cups are too big. Please help.

Answer: I’m sorry you’re having problems with your breast reconstruction. Our practice specializes in breast reconstruction using your own tissue and preserving your body’s muscles.  Approximately 30% of our patients have already had implants and we remove them and complete their reconstruction without implants. You may already know that after radiation the chance for complications with implants increases. We have helped many women having similar problems to what you described. I would be glad to give you more specific information about your situation but I would need more information from you. I could talk to you over the phone or you could come for a consult depending on what is most convenient and where you live. Let me know.

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

Happy Thanksgiving!

Thanksgiving - What Are You Thankful For?

Happy Thanksgiving to all of our faithful blog readers, Facebook friends, and Twitter followers.  

We sincerely hope you have the most blessed of days, safe travels, and happy hearts as you celebrate.   

  Most of all we are thankful for you!   

Ask The Doctor-Is it Possible to Perform Breast Reconstruction 28 Years after Mastectomy

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

Question: Is it possible to provide a reconstructive breast to a 28+ years left radiate then mastectomy-cancer x 2 in that breast?

Answer: Thanks for your question. Yes it is possible to perform breast reconstruction 28 years after mastectomy, radiation and other treatments. There are no definite time limitations. Personally I recently had a patient who waited 22 years before having reconstruction.  Some, but not all, important factors we may consider when we evaluate someone for breast reconstruction are: overall health (other medical conditions), weight, no tobacco smoking and successful surgery to remove the cancer. I hope that I answered your question.

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

Ask The Doctor-Can I Get Trans (TRAM) Flap Surgery if I Am Overweight?

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

Question: I’ve been told I cannot get Trans Flap surgery because I am overweight. In fact, the practice said there was nothing they could do for me. Is that so for you also?

 Answer:It is true that a person’s weight can be an important factor in the chances for serious complications during breast reconstruction. Specifically for a TRAM flap procedure the risks can potentially be life threatening! One of the most serious complications that can happen with any surgery is a blood clot in the leg veins that can become a blood clot to the lungs. This is called a pulmonary embolus. It is  true that the risk for this type of blood clot is increased in people who are seriously overweight. It does not mean that a patient has to be their ideal weight but at a certain weight the risk goes up. In order to completely answer your question I would need to know how much you weigh and how tall you are. Also your overall health and any other medical problems like diabetes or high blood pressure. If you were also a smoker that has a major impact on the risks. We look at each patient’s body mass index to determine if we should have the patient lose weight before surgery. We also like to evaluate each individual and the overall situation not just the weight alone. The body mass index is a general guide and we work with each patient to determine individual goals for their weight in order to make sure the risks are as low as possible. I hope I answered your question, let me know if you need more information.

Thanks for your question!

-James E. Craigie, MD

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

Ask The Doctor – Will My Medical Insurance Policy Cover My Procedure?

<alt="medical insurance coverage"/>This week , Gail Lanter, CPC, Practice Manager of The Center for Natural Breast Reconstruction answers your question.

QUESTION: I have Buckeye Medical Insurance and I wanted to know if it will cover reconstruction of my right breast after having a lumpectomy and radiation treatment. It left my right breast disfigured, so I need to have this surgery. Thanks!

ANSWER:  I’m happy to try to answer your question for you. Buckeye Medical Insurance looks like it offers a few different types of policies so without knowing which you have I can give you some general information. There are some payers who will not consider reconstruction of lumpectomy defects unless medical necessity has clearly been established. However, the majority of reputable insurers will allow for a reconstruction procedure if a medically necessary lumpectomy results in a significant deformity – as often happens with radiation treatment. Your surgeon’s office should be able to submit all of your documentation, including photos, demonstrating the problem you are having and ask that Buckeye pre-authorize the procedures necessary to reconstruct the area so you have a definitive answer prior to undertaking surgery.

There are many possibilities as far as what procedure to use according to what specific problem you are experiencing. It could be as simple as a scar revision procedure with fat grafting or as complex as the muscle sparing procedures in which we specialize according to how severe the defect. You would definitely want to consult with your plastic surgeon to get a plan as your next step.

Hope that information is useful, and please let us know what else we can do for you. We’re always happy to help!

— Gail Lanter, CPC, Practice Manager 

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

Komen Lowcountry Race for the Cure was a SUCCESS!

The 21st Annual Komen Lowcountry Race for the Cure at the Family Circle Cup Stadium on Daniel Island was a resounding success!  We were excited to be in attendance and to be the a Survivor Sponsor and also host the Survivor Café before the race.

Thousands of our popular string backpacks were distributed and we were tickled to see them dotting the race course! Big THANK YOU’s go out to the ZTA’s who stuffed them with information and made sure all of the ladies who visited the Survivor’s Café received one instead of standing in the long lines in front of our exhibit tent!

It’s amazing every year to see the HUGE difference people make when a community comes together to support a cause. And we got to meet lots of new people and see many of our past patients on a beautiful Saturday morning!  

We had so much fun, we thought we’d share a few photos from the event…

Race for the Cure

The Center for Natural Breast Reconstruction team showing off our PINK boas!!!

race for the cure 3

We were thrilled and honored to be a Survivor Sponsor for the Race for the Cure!

Race for The Cure event pics

The start of the race. A BIG thank you to all of the participants!

race for the cure 6

Ladies sporting The Center for Natural Breast Reconstruction logo! Ready, set, run!

race for the cure 5

It was honor to host the Survivor Café before the race!

Race for the cure 2

“She’s not only my mom, but my HERO!” Sweet boy honoring his mom.

We hope everyone had a blast –  and we hope to see you next year!

If you haven’t yet, make sure you follow us on Facebook!

Ask The Doctor – I Have an Implant But Want Natural Reconstruction

<alt="natural breast reconstruction"/>This week, Dr. Richard M. Kline, Jr. of The Center for Natural Breast Reconstruction answers your question.

QUESTION: I had reconstructive surgery on my right breast in 2008. I have a silicone implant, but it feels like a hard lump on my chest. I’m 62 and healthy. I don’t know if my insurance will cover it if I decided to have the natural reconstruction.

ANSWER: Usually your insurance will cover conversion of an unsatisfactory implant reconstruction to a reconstruction using your own tissue with no problem, but we always check first to be sure. If you wish, we can give you a call to discuss your situation in more detail. Many, many people are or have been in your situation, and we are usually able to help.

— Richard M. Kline, Jr., M.D.    

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

Ask The Doctor – My reconstructed breasts are not well proportioned, can you help?

<alt=breast reconstruction"/>This week, Dr. Richard M. Kline, Jr. of The Center for Natural Breast Reconstruction answers your question.

QUESTION: I had a DIEP done at the same time of my mastectomy a few years back. My incisions opened up around both breasts one week after surgery. After about 3 months of my doctor telling me to put Vaseline on them and keep the areas covered, they became very infected. I then got a second opinion.

The next doctor had me on the operating table the next day and probably did a dozen surgeries on me over the next year to get me healed because I was so infected from being open for so long. I’m scared about this, and I’m very self-conscious about my breasts. One of my breasts was set lower on my chest than the other, making wearing bras difficult. The same breast that is positioned lower on my chest is also larger. It is impossible to wear bathing suits comfortably, too. I have to watch how tops are cut on me because they will show that my breasts are uneven. Is there anything your doctors can do to help with this?

ANSWER:  I’m terribly sorry about all the trouble you’ve had – it sounds like a real nightmare. I can’t, of course, guarantee you that we can make you good as new, but I strongly suspect that we can help, as we’ve seen plenty of other patients with similar stories. Probably the best place to start would be to have one of us call you to discuss your situation further, if that’s OK. It would be very helpful if we had some pictures to look at at the time of the conversation, but that’s not essential at this stage. I also suspect you will ultimately benefit from having an MRI at some point, as this is the best way to look for dead fat or other potential problems. Hang in there, no need to lose hope at this point.

— Richard M. Kline, Jr., M.D.    

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

How to Organize, Prepare, and Host a Breast Cancer Fundraising Event

October is all about pink
Breast cancer fundraising events are a fantastic way to show support for someone you know who has breast cancer, or support awareness breast cancer awareness and research. Like most events, fundraising for breast cancer requires these important event planning steps:

  1. Organizing
  2. Preparing
  3. Hosting

However, unlike most events, breast cancer fundraising requires a few key, specific steps for raising money and registering your event with the National Breast Cancer Foundation.

(By the way, if you’re looking for breast cancer fundraising ideas, we recently wrote 10 things you can do to fundraise for breast cancer.)

In this post, we’ll cover the event planning steps you need to follow for success, as well as what you must do to properly host a fun breast cancer fundraising event for your friends, family, colleagues, or community!

Organizing

Before you host your event, you should determine the details and tasks required, so you can assign responsibilities accordingly. Some of the questions to answer include:

  • Where will the event take place?
  • When will the event happen
  • Who will you invite?
  • What’s your budget?
  • How much do you plan to raise? (setting a goal provides a target number to work toward)
  • How many people can you accommodate at your event?

After you’ve outlined the specifics of your event, register your breast cancer fundraiser with the National Breast Cancer Foundation (NBCF). Registering your event as soon as possible allows the Community Fundraising Team have plenty of time to help you. This team is a free resource from the NBCF, so it would be smart to take advantage of it!

Before moving onto the next step, preparing for your event, make a checklist of all the things that need to be done. This way, you can mark off tasks as you complete them.

Preparing

Once you have all roles assigned, a clear vision of your event, and a list of tasks required, it’s time to prepare for your breast cancer fundraising event. During preparation, your role is to keep everything running smoothly. Make sure the people you choose to help you don’t have any problems with completing their duties.

Another major thing to considering during preparation of a breast cancer event is promotion. Tap into friends and family networks to get the word out. Call local media outlets and local businesses for free promotion. Many local businesses will support your event and give you free promotion in their newsletters or regularly scheduled announcements.

Lastly, you can make it easy for people to make a donation by setting up an online donation page. The National Breast Cancer Foundation provides instructions on how to set up a webpage for donations do so here.

Hosting

As the host of the event, people will look to you for information. This is why it’s important to educate yourself on breast cancer prior to your gathering. The NBCF site has everything you should know about breast cancer, including the latest research, statistics, and news.

Be sure to thank everyone who shows up in person. They’ve taken the time out of their day or evening to come to your event — let them know how much that means to you!

To collect donations, you may want to put a note near the donation area (or include something in the announcements) that says any donation over $2 is tax-deductible, and you will provide them a receipt upon request.

If you follow these guidelines, your event will be a success!

Let us know if you have any questions, or if you’d like us to promote your next Charleston area event in our newsletter!