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If I Have Had Natural Breast Reconstruction Do I Need To Have A Yearly Mammogram?

March 23, 2012 by

diep and mammogramThe below question is answered by Charleston breast surgeon, Dr. James E. Craigie. of The Center for Natural Breast Reconstruction:

After having breast reconstruction using the DIEP method do I need to have yearly mammogram?  If so, can the pressure from the procedure cause any damage to the tissue or blood vessels used in the reconstruction?

First of all, following mastectomy and reconstruction with your own tissues, a mammogram is routinely not needed on a regular screening basis.  Screening mammograms are only helpful for normal breast tissue; therefore, in our patients we do not recommend that they have regular screening mammograms.  From time to time, people will be seen in follow up for examination and have areas of the breast feel firm or hard and sometimes the oncologist or other physicians will order mammograms to investigate a specific finding.  This would normally be performed after the first and second stages of the reconstruction process were completed and therefore should pose no risk of injury to the blood vessels that were connected to the breast.

-James E. Craigie, M.D.

Do you have a question about breast implants or natural breast reconstruction? Ask the doctor by submitting your questions here.

 

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The Best Tours of Charleston

March 21, 2012 by

Charleston ToursCharleston, South Carolina, is commonly cited as one of the nation’s most historical cities. Many of our patients who come for breast reconstruction surgery stay long enough to enjoy the eclectic sights Charleston has to offer.

The next time you’re in town, consider making time to visit one of these excellent Charleston tours.

Historic Charleston Tour

Founded in 1670, Charleston boasts more than three centuries of fascinating history. Join the historic tour to learn about Charleston’s role in the Revolutionary and Civil Wars, as well as the natural disasters that the city has withstood through the years. Your licensed tour guide will draw your attention to more than 100 points of interest. Hotel pick-up and drop-off service may be available.

Old Charleston Walking Ghost Tour

Keep your mind sharp and your body healthy with a walking tour of Charleston’s most haunted places. Tour guide Mike Brown offers more than a decade’s worth of research about the city’s spookiest alleys, graveyards, and other locations. Offered at 7:30 and 9:30 p.m. daily, these tours are sure to get your heart thumping and can act as either a main attraction or the opening for an exciting night on the town.

Historic Harbor Boat Tour of Charleston

Relax aboard a boat for a nonstop tour from the water. During your 90-minute sea adventure, you’ll learn about the historically significant Charleston Harbor and get to view three major forts (Moultrie, Sumter, and Johnson). The tour also includes views of Charleston’s best-known landmarks, including St. Michael’s Episcopal Church. If you keep your eyes on the water, you may even spot dolphins, pelicans, or other Low Country sea life.

Gone with the Wind City & Mansion Tour

Relive the beauty and drama of Margaret Mitchell’s iconic novel on Charleston’s Gone with the Wind City & Mansion Tour. You’ll see the French Quarter, the Market, Old Citadel, and the Rainbow Row of homes in pastel colors. The tour concludes inside the historic Manigault House, complete with antique furniture and architecture.

 

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What Can You Do to Improve Your Surgical Experience?

February 24, 2012 by

We at the Center for Natural Breast Reconstruction are constantly finding breast reconstructive patients asking how they can have the most optimal surgical experience. We have decided to share with you some steps we have to help our patients have the best surgery experience possible!

Starting Immediately

Stop Smoking: Smoking reduces circulation to the skin and impedes healing.  (This includes avoiding rooms with smokers.)  You must be nicotine free for at least 1 month prior to the procedure and throughout the duration of the various stages (a minimum of around 10 months).  Note: nicotine in your system increases risk for wound healing complications, infections, cardiac complications, pulmonary complications, or flap loss/failure.

Get in Shape: While reconstruction process will help improve parts of your body, it is important to be in optimal shape prior to surgery.  A Body Mass Index between 19%-25% is an ideal goal.  We do not recommend “crash diets” or extreme lifestyle changes.  However, statistics have shown patients with a lower Body Mass Index have fewer wound healing complications, infections, pulmonary complications, and cardiac complications.

The Day before Surgery

Cleansing:  Purchase Hibiclens or Dial soap and wash all surgical areas with these products.  (The Hibiclens is provided with the other prescriptions given pre-operatively.) DO NOT use this after your surgery unless otherwise instructed.

Do not shave the day before your surgery. Open wounds can invite infection.

Eating and Drinking:  Do not eat or drink anything after 12:00 midnight the evening prior to surgery.  This includes water.  No breath mints, no chewing gum.

The Morning of Surgery

Eating and Drinking: Do not eat or drink anything!  If you take a daily medication, you may take it with a sip of water in the early morning unless the hospital has given you instructions otherwise.  No breath mints, no chewing gum.

Oral Hygiene:  You may brush your teeth but do not swallow the water.

Cleansing:  Shower and wash the surgical areas again with HIBICLENS or DIAL soap.

Make-up:  Please do not wear any moisturizers, creams, lotions, or make-up.

Clothing:  Wear only comfortable, loose fitting clothing that does not go over your head.  Remove hairpins, wigs, and jewelry.  Please do not bring valuables with you.

Check back next week as our team will share  tips and suggestions for improving healing and cutting down recovery time.
Do you have a question for our team at The Center for Natural Breast Reconstruction? We’d love to hear from you

 

 

 

 

 

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The Latest Technology in Preventative Mastectomy Procedures

February 17, 2012 by

Today we are putting a twist on our usual Ask the Doctor series and sharing a video interview with our very own Dr. James Craigie. If a picture is worth a thousand words a video must be worth at least a million, right? With the discovery of the correlation between breast cancer and family history, more and more women and opting for preventative mastectomy procures. Watch as Dr. James Craigie highlights the latest advanced reconstruction techniques offered at The Center for Natural Breast Reconstruction to restore a woman’s natural look.

As part of our weekly ask the doctor series we encourage you to submit your questions to our team or leave a comment below and we will get back to you! For more information on The Center for Natural Breast Reconstruction visit our website. We’d love to hear from you!

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How to Take a Healthier Shower

February 6, 2012 by

healthier showerWhile we don’t consider taking a shower an unhealthy activity, there are a few steps you can take to make your shower healthier and even more invigorating.

When you take a shower, the steam and hot water open the pores of your skin, so anything you use on it is absorbed into your skin. Following are a few tips to reduce the toxin load of your shower.

Filter your water.

Municipal water systems add chlorine to the water during the treatment process, and a certain amount of chlorine remains in the water. Many places have hard water, meaning the water contains minerals. Adding a home water filter reduces chlorine and other chemicals at the point water enters your home. If you prefer not to buy a whole house water filter, you can buy a filter for your shower head to reduce the chlorine, chemicals, and minerals you inhale and absorb.

Use organic or natural soap and shampoo.

If you read the ingredients of your soap and shampoo, you’ll find ingredients you can’t pronounce, and some of these are bad for your skin, such as sodium laureth sulfate. Why not try some goat’s milk or natural bath products? A Google search will bring up many websites for organic soaps and shampoos, and once you try them, you won’t return to the chemical-laden cleansers.

A side note: Several companies also sell natural toothpaste or tooth soap. You’ll be amazed at how clean your mouth feels without the chemicals in your regular toothpaste.

Leave the door open.

The chemicals in your water or in your cleansers give off fumes that become concentrated if you leave the bathroom door closed. Opening the door allows the steam and fumes to disperse outside the bathroom, giving you cleaner air to breathe.

Don’t flush the toilet right before you shower.

Flushing spews bacteria into the air, and those bacteria can linger in the bathroom if you shower right after flushing—especially if you leave the door closed. You can flush with the lid down, or wait to flush after your shower.

Change loofahs and washcloths regularly.

Be sure to let bath poufs, washcloths, and loofahs dry completely between showers. Bacteria thrive in moist environments, so do what you can to ensure that the entire washcloth surface is exposed to air. Change your bath accessories regularly—at least every few weeks—to reduce bacterial contamination.

Do you have any tips for a healthier shower?

 

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How to Enhance Your Mood with Environmental Changes

January 30, 2012 by

Your mood is linked with your surroundings, and a change in your environment can make a tremendous difference in your feelings. To calm or enhance your mood, try some of these simple modifications to your environment.

Soothing colors.

Color has an amazing ability to affect mood. We know someone whose employer painted the office walls a deep reddish-burgundy color. She said it was far from calming; in fact, she noticed a difference in her stress levels compared with the previous color, which was pale lavender. The color also hurt her eyes until she was used to it. Soothing colors, such as pale blue and green, improve your mood and reduce stress. Think of how calm you are in nature and the colors you see.

You don’t have to repaint your home—adding splashes of soothing colors can be very helpful. For example, buy some blue pillows or green curtains, or find an art print of a relaxing scene. Bright artwork can cheer you up not only by its colors, but also by its design. If you work from home, perhaps a blue mouse or purple post-its will help your mood.

Relaxing music.

Sound affects us to our core, and our moods reflect the vibration of the music. If you don’t care for a particular type of music, your mood will change for the worse if you hear it, and then if you hear music you love, your mood will improve—and both changes happen very quickly.

To relax and soothe yourself, try listening to yoga music or to an instrumental radio or satellite TV station. Classical music can be intense for some, yet soothing for others.

Living things.

Watching living things move and grow is incredibly soothing and relaxing. If you don’t have a pet, perhaps now is the time to adopt one. Stroking a cat or a dog reduces blood pressure and increases endorphins. Watching fish is so relaxing that you may find yourself mesmerized.

If you’d rather not have a pet, surround yourself with live plants. Not only will they clean the air in your home, but they’ll also give you a touch of nature and a splash of color. Good choices are ferns, bamboo palms, spider plants, and African violets.

How do you create a soothing environment?

 

 

 

 

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3 Trending Gym Classes that Will Get You Excited and Toned

January 23, 2012 by

If you enjoy getting out of the house to exercise, you may want to try one of these trendy gym classes.

Zumba

Created by Beto Perez of Colombia, Zumba is a high-energy dance program that gives you amazing fitness benefits. One day, Beto forgot the music for an aerobics class he was teaching, so he improvised with his own music—and Zumba was born. Today, you can choose from Zumba dance, Zumba toning, Zumbatomic for kids, Zumba in the Circuit, and Aqua Zumba classes. You can also purchase DVDs and dance at home.

Exhilarating and fun, Zumba burns hundreds of calories an hour, tones and tightens the body, and makes you feel like you’re at a party.

Pure Barre

Pure Barre’s website claims it to be the fastest, most effective way to change the shape of your body by using small isometric movements while standing at the ballet barre. Pure Barre clients typically see results within a few weeks.

Dancer and choreographer Carrie Rezabek Dorr created Pure Barre 10 years ago to help women and men achieve a strong, lean body. The Pure Barre technique does not involve any high-impact jumping and requires intense focus to do properly, much as yoga and meditation do. The exercises work the abdominals and lower body. Classes are small, and the exercises move along swiftly, driven by the music.

Spinning

The ideal way for bicyclists to stay in shape in the off-season, spinning is indoor cycling that anyone can do. It’s adaptable to every level of fitness and experience. Most spinners burn about 500 calories per class, and spinning differs from simply riding an indoor bike in the energy and enthusiasm of the instructor, the support from the group, and the motivating music.

According to the website, spinning has five core movements. Seated flat builds your stamina, seated climb works your lower body, and standing flat helps improve core strength.  The standing climb defines leg muscles, and jumps help you become more coordinated.

Have you tried any of these gym workouts?

 

 

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Breast Cancer Survivor Shares Reconstruction Success Story

September 14, 2011 by

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.

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Tips for Post Surgical Clothing for Breast Reconstructive Surgery

July 29, 2011 by
breast reconstruction

Chris Murakami RN, CNOR, & Christina Hobgood Naugle, PA-C

The below question is answered by Chris Murakami RN, CNOR, & Christina Hobgood Naugle, PA-C, of The Center for Natural Breast Reconstruction.

I am having a SGAP breast reconstruction in a few weeks. Do I need to buy post op surgical bras? If so, which kind and can I get a prescription for insurance purposes? Also, I heard people use various bras / camisoles with pockets for drains. Have you heard of those or think they are helpful? Do you think button down shirts are something I need to get? Anything else?

No need to buy any special bra, vest, or camisole in advance. Our hospital, East Cooper Regional Medical Center, provides a soft cotton vest with drain pockets as well as a surgical bra that acts as a post operative surgical dressing. Let them know if you feel like you need an extra for when you leave the hospital and they are great about sharing another with you.

Absolutely, I would make sure I had button down shirts and loose clothing that you can easily get in and out of. You’ll have some limitation of lifting your arms above your head so button down shirts are easiest to get on and off without lifting your arms. Some women choose to wear loose sundresses; others track suit pants or cotton shorts. Whatever you are comfortable in is fine, but keep in mind we won’t want you wearing anything right away that could potentially put any pressure on your suture lines.

Here are more helpful hints:

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.

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!

—Chris Murakami RN, CNOR, & Christina Hobgood Naugle, PA-C

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Having a Positive Outlook on Life Before, During, & After Breast Cancer: Interview with Leslie Haywood

July 27, 2011 by
Leslie Haywood

Leslie Haywood

We are SO excited to share with you Part II of our interview with Leslie Haywood, creator of Grill Charms™. For those of you who have not yet read Part I of this interview, Leslie shared her story as a breast cancer survivor and explained how she started a successful company while undergoing treatments.

We absolutely love how Leslie can be so inspirational and funny at the same time!

If you missed Part I of this interview, click here.

See below for Part II of our exclusive and highly inspirational (not to mention, hilarious!) interview with Leslie Haywood:

1. Your first Grill Charms™ sale was somewhat unexpected! Tell us where you were and how you sold your first Grill Charms™.

Oh yes! My most memorable sale to date! I was in the office for my final “procedure,” if you will. I was in The Center for Natural Breast Reconstruction office for my nice pinkish brown tattoo. As you can imagine, I have known all the folks at Dr. Craigie’s office  for over a year by then (and  pretty intimately I must say), so in an effort to help me think about anything other than what she was doing, the nurse asked about how my brand new business was going. Her distraction technique worked! I instantly forgot the discomfort and gave her the complete rundown of Grill Charms™, ending with: “I have a set to show you in my purse over there!”

By the time the nurse was done waving her buzzing magic wand all over my reconstructed girl parts, she said “I need 5!”  I immediately jumped off the table (still half dressed), showed her the set out of my purse, and right then and there, with my cell phone calculator (yep, still topless) I totaled up everything plus tax and she wrote the check on the spot. After our business transaction was done, she helped me with the bandage / pad etc. and I put my clothes back on. I can’t imagine any other sale being quite as “interesting” as this one. Obviously I’m not opposed to be doing business topless, but thankfully I have not had to resort to that since!

 

Grill Charms pink collection

Grill Charms Pink Collection

5. How did you decide which type of breast reconstruction surgery you wanted?

Because of my family history, I feel like I was at an “advantage” (if you can call it that!). I have had YEARS to consider and decide how I would handle a breast cancer diagnosis. Back when my mother had her treatment and reconstruction, there were very few options and she pretty much did what she was told (mastectomy and implant).

I saw what 20 years had done to her reconstruction and had always wanted better for myself. I didn’t like the idea of an implant being in me for all eternity and also knew that I wanted “symmetry” for the rest of my life, so both boobs would HAVE TO GO! The fact that my “baby pooch” would be used to make my new breasts and the fact that I’d have the stomach I used to have in my 20’s, was a BONUS!

Oh, another little story about the surgery (**For those of you who know me, you know I’m the queen of TMI, so you’ll have to excuse my “frankness” when it comes to what some might view as sensitive topics. I apologize if my candor and tone offends anyone.).  Okay… so when the decision was made and we knew that “natural breast reconstruction” was the way to go, and that “belly fat” was where my new breasts were going to come from, I talked to my husband about “size.”  He said “porn star, please” and I said “NO WAY,” but I did want something to show off.  I really wanted to make sure that Dr. Craigie had enough “material” to work with, so I went on an 8-week eating FRENZY!

My family would watch me getting 2nds and 3rds of my favorite food, STEAK! They’d say “Leslie . . . slow down there girl!” and my reply was always the same, “Shut up! I’M MAKING BOOBIES!” For those 8 weeks, food and I had a magical relationship! Ahhh…. I miss those days!

Now what I DID NOT take into account with natural breast reconstruction was how my breasts would look after the surgery. With my tummy flat and my new natural breasts a fabulous B+ maybe C, I wanted do right by my “second chance” and  eat right and exercise to keep it. I have never been more fit in all my life! BUT, because the new breasts are “all natural,” when I started to lose all that “boobie making weight” and toned everything up, my new breasts acted exactly like my old ones. There was a little shrinkage factor! So now I’m more like an A+ to a B-, but I have never been happier with my body and I have never been more in shape in my entire life! Just look how awesome they are! THANKS Dr. Baron for saving my life and thanks Dr.Craigie for making me look and feel better than ever!

6. What would you tell women who have had a mastectomy or are planning on undergoing one about natural breast reconstruction?

You owe it to yourself to at least learn about natural breast reconstruction and fully understand this option. Knowledge is power and you will never regret finding out about what you don’t know. There has not been a single SECOND that I wish that I had done things any differently. Natural breast reconstruction was the absolute best option for me, NO QUESTION!

About Leslie Haywood and Grill Charms™:

Leslie Haywood is founder and President of Charmed Life Products, LLC, and inventor of Grill Charms™. Leslie was a stay-at-home mom when a very spicy light bulb moment thrust her into the entrepreneurial ring. During the start up phase of her company, she was diagnosed with breast cancer, but still managed to launch her product on store shelves within 18 months and is now sold in over 400 stores internationally. She has been featured numerous times on CNBC, various local and regional news programs, as well as ABC’s prime time reality TV show Shark Tank seasons I and II. Her story and product have publicized in such magazines as Everyday with Rachael Ray, Parenting magazine, Health magazine, Inventors Digest, and was also featured on The Today Show. All the while she is mindful of “the cause,” whether it’s giving back through “The Pink Collection” of her gift and grilling accessory Grill Charms™, or her work as Honorary Chair for The Race for the Cure .

Leslie’s Special Offer:

***Put “natural” in the coupon code of www.grillcharms.com for 10% off!***

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