How One Woman Discovered the Positive Outcomes of Reconstruction Surgery and Cancer

Today’s In Her Words post comes to us from a past patient of The Center for Natural Breast Reconstruction, Jakki Grimball. Jakki is a breast cancer survivor who lived in Columbia, SC and traveled to Charleston to receive her DIEP reconstructive surgery. Today, her and her husband live in Charleston where her husband is the director of The Neighborhood House, an organization providing services for people in need, including food pantry, soup kitchen, emergency assistance, sewing classes, resume writing, and more.

See below for our interview with Jakki:

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

I had the DIEP flap procedure done October 2007 by Dr. Craigie. The outcome far outweighs the surgery and recovery time. I am very pleased with the results and having a tummy tuck as an added benefit!

Would you make the same decision again if you could go back?

I would definitely make the same decision. I had a friend who had implants and she now wishes she had done the DIEP flap procedure. She’s had several complications. Of course, I believe I had the best plastic surgeon in South Carolina perform my surgery.

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

I would and have advised women to have the DIEP flap surgery. It is far better to have natural breast reconstruction than to have a foreign substance placed in the body. I realize advances have been made in breast implants and there are fewer adverse effects; however, I believe that using my own tissue left little opportunity for infections and other complications. I have never regretted having the surgery or choosing Dr. Craigie as my surgeon.

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

The only negative affect breast cancer had in my life was the mastectomy and the chemotherapy. I firmly believe God has a purpose for everything and having breast cancer made me more aware of how fragile life can be. Breast cancer brought my family and friends closer and I hate to say it, but it weeded out those who were truly not my friends. I found out I had breast cancer three days before my wedding and I gave my fiancé the chance to cancel the wedding. He told me he would marry me at my bedside if necessary. So the diagnosis also brought us closer together. I now cherish every moment and I don’t sweat the small stuff (sometimes not even the big stuff).

You and your husband recently relocated from Columbia, SC to Charleston, SC where your husband is the Executive Director of Neighborhood House. Tell us a little bit about this non-profit organization and how it helps the community.

Click here to view a document from The Neighborhood House, outlining their mission and daily services to the community.

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Enjoying the Glorious Outdoors of Charleston: Best Parks in Charleston County

charleston county parksCharleston County parks offer some of the best scenery, activities, and fishing in the area. With water parks, dog parks, play areas, and campgrounds, the opportunities for quality family time are limitless. The following parks are three of our favorites.

James Island County Park:

A short drive from downtown Charleston, the James Island County Park is open year-round, with something for everyone. Kids love the Splash Zone Waterpark, while adults enjoy the Climbing Wall and boat and bicycle rentals. With over 100 sites and 10 cottages, the Campground offers peace and quiet among the beauty of the park, and anglers will find plenty of opportunity for crabbing and saltwater fishing. Dogs and their owners enjoy the freedom and open space of the off-leash dog park.

The park’s location also makes it ideal for events such as concerts and festivals. Highlights include the Reggae Nights Summer Concert Series, the Lowcountry Cajun Festival, and the Holiday Festival of Lights.

Mount Pleasant Palmetto Islands Park:

With its tropical beauty and lush nature trails, Mount Pleasant Palmetto Islands Park is almost like a trip to Hawaii. Ideally suited for groups and families, this 943-acre park was designed around nature and its splendor, and the peaceful tranquility of Nature Island is well worth the price of admission.

In addition to the island, visitors can ascend to the top of the 50-foot observation tower and take in the spectacular view while the kids enjoy themselves in the tower’s play area. With Splash Island Waterpark, nature trails, tidal creek fishing and crabbing, boat rentals, and volleyball courts and horseshoe pits, the park offers hours of fun and excitement.

Mount Pleasant Pier:

Over 1250 feet long, the Mount Pleasant Pier gives visitors an amazing view of Charleston Harbor and the Arthur Ravenel, Jr. Bridge. Kids and adults alike enjoy fishing off the pier, and the Cooper River Challenge fishing tournament takes place several times during the summer and fall. Prizes are awarded for largest game fish catch in several categories. Rods and tackle are available at the Pier, and after the tournament, you can grab a bite at the River Watch Café and Gift Shop.

Throughout the summer, the Pier shows classic movies at sundown, and admission is free. Spring and summer are the time for Shaggin’ on the Pier, the perfect opportunity to dance the night away to live music.

All of Charleston County’s parks offer amazing views of the beauty of the Lowcountry. Which park is your favorite and why?

Nerve Recovery and Breast Reconstructive Surgery

breast reconstructionThe below question is answered by the Charleston breast surgeons at The Center for Natural Breast Reconstruction.

How long does it take for nerves to recover and for full skin sensation to return after reconstructive surgery?

During any surgery, numerous sensory nerves, generally too small to have names, are invariably cut. Depending on the extent of the surgery, this can result in numbness of the skin or other areas. This is not typically regarded as a complication, but rather an essentially inescapable result of making an incision in the body. Most of the little divided nerves literally “wither away,” and other sensory nerves eventually grow in to take their place, restoring sensation once again. This process can take anywhere from a few months to 1 – 2 years. There is no limit on how late sensation can be regained, but the longer, beyond 1 – 2 years numbness, lasts, the less likely it is that sensation will spontaneously return. Occasionally, numbness can persist indefinitely, although this is uncommon.

In addition to numbness, other symptoms such as discomfort, hypersensitivity, or chronic pain can also result as a consequence of nerve damage following any surgery. Thankfully, these complications are much rarer then numbness. While it can be very difficult to ascertain exactly what mechanism is causing discomfort, some possibilities include traction or tethering of nerves by scar tissue, or formation of a “neuroma,” which is a painful little ball of tissue at the end of a regenerating nerve.

Nerves irritated by adjacent scarring may be helped by massage, injection of local anesthetics, or simply the passage of time. Neuromas, which are thankfully extremely rare following breast surgery, usually result in pain when pressure is applied to a very specific location, and can be much harder to treat. Surprisingly, additional surgery is often not effective in treating these rare cases of chronic pain, and referral to a Pain Therapist for injectable nerve blocks may be the most effective option.

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Can Breast Reconstruction Improve A Woman’s Psychological and Sexual Wellbeing?

DIEP flapIn a recent article, titled Advanced Post-Mastectomy Breast Reconstruction Improves Women’s Psychosocial and Sexual Wellbeing, by CANCER Online Journal, a study found that “After a mastectomy, women who undergo breast reconstruction with tissue from their own abdomen experience significant gains in psychological, social, and sexual wellbeing as soon as three weeks after surgery.” (CANCER Online Journal: http://www.canceronlinejournal.com/newsroom)

The study was performed by Toni Zhong, MD, MHS, of the University Health Network Breast Restoration Program in collaboration with several others at the Memorial Sloan Kettering Cancer Center in New York City. They surveyed 51 women who were preparing for their MS-TRAM or DIEP flap reconstructive surgery during the months between June 2009 and November 2010.

Breast reconstruction is restoring the form of a breast that has been damaged, partially removed, or completely removed. Breast reconstruction is almost always done after treatment for breast cancer, although there are some birth defects that can result in the need for breast reconstruction. Breast reconstruction can be performed with implants (the same ones used for breast augmentation), or with the body’s own excess tissue (usually from the abdomen or buttocks), thus avoiding the need to place foreign objects in the body.

The study found that these women who experienced breast reconstruction “reported significant improvements in psychological, social, and sexual wellbeing just three weeks after surgery,” according to the article.

Although The Center for Natural Breast Reconstruction has not performed a formal study on the feelings that patients experience post breast reconstructive surgery, we have found that many of them feel a sense of improved psyche and self-esteem. Just ask Leslie Haywood who underwent breast reconstruction with the Charleston breast surgeons of The Center for Natural Breast Reconstruction: “I have never been happier with my body and I have never been more in shape in my entire life!”

If you know of someone who would be interested in hearing about this study, visit the CANCER Online Journal newsroom where the article will soon publish to: http://www.canceronlinejournal.com/newsroom

What Are My Options for Uneven Breasts?

charleston breast surgeonsThe below question is answered by the Charleston breast surgeons at The Center for Natural Breast Reconstruction.

I had TRAM flap reconstruction in 2002 with revision and a follow up surgery in six months later. Since then some shrinkage has occurred in the reconstructive side and I have a hollow area on the upper portion. Do I have options for more normal looking breast without the hollow area?

You potentially have many options to improve your reconstruction. No one solution is perfect for all situations, but some options include repositioning the flap to a higher location, augmenting the hollow area with your own fat grafts (taken usually from abdomen, thigh, or buttocks), or using any excess skin / fat from under your armpit as an additional flap to lift and augment the TRAM (we call this a 5th intercostal artery perforator flap). Some more aggressive options would include placing a small breast implant under the TRAM flap, or adding a whole new microvascular flap from another area, although this is rarely in practice necessary.

Hope this helps. Please feel free to email or call with any additional questions.

–The Center for Natural Breast Reconstruction Team

How to Keep Your Tresses Healthy and Radiant

healthy hair tipsHaving a healthy head of hair is easier than you might think. It all starts with your diet and ends with what you put on your hair. Following are a few tips to create the healthy hair you’ve always wanted.

Your hair is what you eat.

One of the easiest ways for doctors to see if their patients eat a healthy diet is to look at their hair. What you eat dictates how healthy your hair is from the inside out.

When it comes to nourishing your hair, get your nutrients from food, and use supplements such as multivitamins only as an insurance policy. Other concoctions that promise thicker, fuller hair don’t give your body anything you can’t give yourself through good food choices.

Eat a balanced diet of the following foods to nourish your hair:

  • Salmon, flaxseed, nuts, and seeds for omega-3 fatty acids.
  • Meat, dairy, and poultry for high-quality protein.
  • Fruits and vegetables, especially dark green and carrots, for vitamins A and C.
  • Nuts, seeds, eggs, and beans for trace minerals such as biotin and zinc.

If you eat a poor diet, your hair will suffer because it’s not getting the nutrients it needs.

Use a gentle shampoo and conditioner.

As it cleanses, shampoo strips the natural oils that make your hair shiny and healthy, so you put conditioner on it to bring back the shine and promote softness. Many shampoos have harsh detergents called sulfates, and two of the most common are sodium laureth sulfate (SLES) and sodium lauryl sulfate (SLS). These ingredients create the suds we’re used to, but they also cause  your hair to lose moisture and can fade color.

Sulfate-free hair cleansing can take many forms: sulfate-free shampoos, cleansing conditioners, and natural hair soaps. Any of these choices are much gentler to your hair, and you’ll be amazed at how much softer and healthier your hair looks and feels.

Try hair treatments.

Especially if you blow dry, curl, or straighten your hair, regular hair treatments can dramatically improve the look and feel of your hair. Your hairdresser can recommend treatments, and stores carry a large variety, ranging from hot oil vials to deep conditioning packs.

You don’t need to wash every day.

Women who switch from washing their hair every day to every other day report that their hair is stronger, silkier, and healthier than those who wash every day. It’s simply not necessary for most women to wash their hair daily. Often, women who believed their hair was oily find that after a short adjustment period, they are able to wash less frequently, and some use dry shampoo in between washings.

What do you do to keep your hair healthy?

Breast Cancer Survivor Shares Reconstruction Success Story

according to shirleyWe are so happy to share with you another In Her Words post, this time with Shirley Trainor-Thomas, a breast cancer survivor, Hodgkin’s lymphoma survivor, and reconstruction success story!

Shirley was a patient of ours at The Center for Natural Breast Reconstruction and we are delighted to share her story with you.

See below for the interview (*Don’t forget to download a copy of According to Shirley, a short story / information booklet written by Shirley about her breast reconstruction experience):

When you were diagnosed with breast cancer in your left breast, you chose to have a double mastectomy. What influenced this decision? In other words, what factors did you consider when deciding whether or not to have a double mastectomy?

“It’s not good, princess.” Those were the exact words Dr. Bob Flowers used when he called to tell me the results of my biopsy. I promptly informed him that it was not the right answer! And after I caught my breath, I asked what we were going to do about it. He said he would get me to a surgeon that very day. True to his word, my husband and I were in Dr. Stan Wilson’s office that afternoon and we started discussing options. I was a bit of a difficult case because many years ago I had Hodgkin’s lymphoma and radiation to my entire torso—which is what likely caused my breast cancer. There was a lot of discussion among physicians and tests that were taken to make sure we had all of the information we needed to make the best decision.

The waiting to get answers and opinions that would lead to a plan was excruciating. All I could think about was breast cancer and I spent endless hours on the Internet trying to learn everything I could about my diagnosis and choices. My husband and I were in a fog.

Long story short, it appeared that chemo and mastectomy was my option. But, Dr. Wilson wasn’t totally convinced chemo was the really indicated and sent my tissue to have the Oncotype test.   As we waited on those results, we were moving forward with the chemo option. On a Thursday evening, I was preparing for surgery to take place the next morning to have a port put in—and at 8:00 pm, Dr. Wilson called with the Oncotype results—they were great. We opted to not have chemo.

Because other cells in my breasts were described as “busy” by the pathologist, I knew there was a chance of cancer striking my other breast. Given the painful waiting and emotional impact we went through, my husband and I said that we need to eliminate the chance of having to go through this again. Playing into that decision was that I was aware of the DIEP reconstruction option. I’m lucky, not everyone knows about that option and most people have to do a lot of research to find it or the right surgeon. I knew right out of the gate that the only person I would allow to do this procedure was Dr. Richard M. Kline, Jr. of The Center for Natural Breast Reconstruction.

2. What type of reconstruction surgery did you have and how do you feel about the results? Would you make the same decision again if you could go back?

I had DIEP. The great thing for me is that I went into surgery with bosoms and came out with bosoms—and a flat tummy. Bi-lateral mastectomy and reconstruction were done in one surgery.

Recovery was frustrating. As Dr. Kline kept telling me, “It’s a process.” No matter what he told me, I was convinced I would be back to normal in just a few weeks. Okay, so it took longer.  I got tired easily and couldn’t stand up straight for a while because of the stomach incision. But, my job requires travel and I was able to get on an airplane six weeks after surgery and get back to work.

My energy level took some time to return—it’s a big surgery. But, if faced with the same decision today, knowing what I know, I absolutely would do it again.

My bosoms are perfect.

Unfortunately, I didn’t have enough tummy fat to make them bigger than they were (my one chance—had I known, I would have eaten a lot more over the years!). Even my oncologist has marveled at how real they look and feel. But I would only allow Dr. Kline and Dr. Craigie to do it. I’ve read some horror stories online about women who went to surgeons who either weren’t trained properly or didn’t have the skill level needed for microsurgery. I actually communicate with women around the country to share my experience and to alert them that they really need to investigate their surgeon’s success record.

3. You decided to write a short story / information booklet about your breast reconstruction experience titled According to Shirley. Why did you choose to write this book and what do you hope readers will get from reading it?

I love Dr. Kline and his entire staff. But, when planning for surgery they gave me a booklet of what to do and expect. After going through the experience, I let them know they left A LOT of information out! It was written by medical professionals who never actually experienced the procedure. When I told them that the information was technically good, but needed to include more practical information, they said fine—write one. So I did. It’s really meant to give women a better idea of what to expect throughout the process and to keep positive about the experience.

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

Research, research , research. Unfortunately, not all plastic surgeons will present options that they are not capable of providing, such as DIEP. Talk to several surgeons and get a feel for the success rate of the surgeon. Talk to their patients. It’s a major procedure. Women need to know how many procedures the surgeon has done and what his or her success rates are.

Have you downloaded your copy of According to Shirley? If not, click here.

How Can I Alleviate Scar Pain and Tightness After Surgery?

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

I had a Phase 1 SIEA flap reconstruction in February 2010, and a Phase 2 in November 2010. Abdominal and drain scars were revised in November 2010, but I’m still having severe pain, tightness, and discomfort, including bad scarring on part of the big abdominal incision and on both abdominal drain sites. I’m assuming that I need another surgery (I’m seeing my plastic surgeon soon). Is it correct to assume there’s a chance any new revisions might not work? And are there any techniques that could alleviate some of the abdominal tightness?

I’m sorry that you are experiencing a rare, but, unfortunately, persistently recurring, complication – not specifically of breast reconstruction surgery, but of any surgery.

Any time skin or other body structures are cut, myriad nerves, a few named, most unnamed, are unavoidably divided, or at least damaged. Most of the divided or damaged nerves “wither away,” and cause no problem. A very few of the damaged nerves stay “irritated,” and some of the divided nerves form “neuromas,” or very tender balls of nerve tissue. These account for much of the chronic pain, which some people experience following surgery. Why this occurs when it does, and how to predict or prevent it, are questions all surgeons would love to know the answer to. It is not preventable – the best a surgeon can do is warn patients that it could happen.

As a practical matter, re-operating for painful scars may not be very productive. When our patients have chronically painful surgical sites, we refer them to pain management specialists for treatment. Usually this involves injections of local anesthetics, steroids, or other agents. We have generally been pleased with the results we have seen from this.

If there are other reasons to revise your surgical site, it is not completely unreasonable to think that more surgery may favorably affect the pain, and we wish you the best of luck in that scenario.

–Dr. Richard M. Kline, Jr.

Have a question for one of the Charleston breast surgeons at The Center for Natural Breast Reconstruction? Ask us!

Kicking Off Breast Cancer Awareness Month in Columbia, SC

breast cancer awarenessIn or near the Columbia, SC area? If so, join The Center for Natural Breast Reconstruction team and other physicians and clinicians from all over South Carolina and the Green Hair Salon as we host our very own breast cancer awareness party.

During this fun-filled evening, you’ll have the opportunity to socialize with various physicians from across the state and ask questions about breast cancer, prevention, and breast reconstruction. Throughout the night, our team members, as well as other physicians, will speak about breast cancer and what you need to know to make smart, informed decisions about breast cancer.

Whether you know of someone who has faced breast cancer, or are currently fighting the battle with breast cancer, this event is for all women who are eager to educate themselves about their breast health options.

green hair salon

center for natural breast reconstruction

See below for more details on this event:

When: Monday, October 3, 2011, at 6 p.m.

Where: 2000 Park Street, Suite 104, Columbia, SC 29201

Food & Drink: Wine and cheese will be offered

Admission: FREE

RSVP appreciated, but not required: (866) 374-2627

We hope to see you there! And don’t forget, bring your questions.

Do You Know Your Breast Reconstruction Options?

breast reconstruction optionsWe’re thrilled to share some exciting news with you, today! Dr. Richard Kline, Charleston breast surgeon, and the lovely Leslie Haywood, owner of Grill Charms™ and breast cancer survivor, were recently interviewed on one of our local Charleston news channels. During this interview, Leslie shares her inspirational story of breast cancer survival and how she chose to have the breast surgeons of The Center for Natural Breast Reconstruction perform her natural breast reconstruction.

Dr. Richard Kline of The Center for Natural Breast Reconstruction spoke about breast reconstruction options for women who are currently undergoing treatment for breast cancer or who have had a mastectomy.

See below for the interview:

If you want to learn even more about Leslie Haywood’s story (and get a chuckle from her hilarious narrative), click here to view one of our recent blog interviews with her.

For those of you who aren’t aware of The Center for Natural Breast Reconstruction and what we do, here’s a brief description:

Charleston plastic surgeons Dr. James Craigie and Dr. Richard Kline specialize in breast reconstruction for women who have undergone mastectomy and those who are considering risk reducing prophylactic surgery. Some of the procedures performed by these Charleston breast surgeons include DIEP, SIEA, and GAP free flap breast reconstruction, which utilize your own tissue with no implants and no muscle sacrifice.

Our Charleston breast surgeons also perform nipple sparing mastectomy, reconstruction after lumpectomy, microsurgical breast reconstruction, and breast restoration. Visit The Center for Natural Breast Reconstruction website at http://www.naturalbreastreconstruction.com/.