Tag Archives: breast surgery

The frequency of a mammogram continues to be a topic of debate. According to a recent article having a mammogram every two years has the same advantages for older women as getting one annually. Screening for breast cancer with a mammogram every two years ultimately result in significantly fewer false positives according to recent study. The research conducted by a team at the University of California San Francisco was published in the Journal of National Cancer Institute and included over 140,000 females between the ages of 66 and 89 years old. Lead investigator Dejana Braithwaite, PhD, a UCSF assistant professor of epidemiology and biostatistics, explained:  “Screening every other year, as opposed to every year, does not increase the probability of late-stage breast cancer in older women. Moreover, the presence of other illnesses such as diabetes or heart disease made no difference in the ratio of benefit to harm.”  Researchers gathered and analyzed data from 1996 to 2006 on 2933 older females with breast cancer and 137,949 females without breast cancer. The result of the study found that there were no differences seen in late stage breast cancer rates between the women who received a mammogram annually and those who risk green biannually. Conversely, scientists discovered that 40% of the women between 66 and 77 years old who had received screening annually experience false-positive results but only 29% of the females within the same age group who received biannual screening had false positives. The U.S. Preventive Services Task Force’s recommended that females ages 50 to 74 should receive screening once every two years. Dr. Seify explains to breast augmentation patients that proactive breast health including breast cancer screening is recommended. While breast augmentation with implants has not been tied to any increased risk of breast cancer it is important for women to realize that maintaining their best and most aesthetically pleasing breast shape and contour with breast augmentation is not a replacement for good breast health. Patient should consult with their primary care physician regarding the recommended frequency of mammograms. Breast self-exam continues to be a monthly recommendation for the best familiarity with a patient’s own breast. Patients who are considering breast augmentation are encouraged to contact Dr. Seify and schedule a consultation.

Increasingly patients are being encouraged to have a conversation with a plastic reconstructive surgeon concerning breast reconstruction options prior to having of mastectomy. According to recent article a CBS affiliate KVAL reported that some experts believe that patients should consult a plastic surgeon before the initial operation. The importance of a pre-mastectomy consultation is rooted in the fact that it can provide options for plastic surgeons to reshape the breast as closely as possible to its original shape throughout the entire reconstruction process. The ability to preserve the existing skin of the breast so that the plastic surgeon can utilize it directly after the mastectomy during reconstruction will almost always yield the best cosmetic results. Also, by having a consultation prior to the mastectomy it may lead to an increase in postmastectomy reconstructions. This is an area medical experts agree needs to be addressed since only about 20% of mastectomies are reconstructed. Multiple studies proved that having breast reconstruction positively affects body image, as well as self-esteem for women who must undergo a mastectomy. Dr. Seify explains to patients who consult with him prior to having a mastectomy that it is his intention to work with the entire team of medical professionals treating the patient. Ultimately the decision to have breast reconstruction surgery is solely decision of the patient. Dr. Seify will help the patient understand the pros and cons of breast reconstruction as well as cover in detail the different types of reconstruction procedures. Patients who are considering breast reconstruction following mastectomy are encouraged to contact Dr. Seify and schedule a consultation.

Breast reconstruction patients continue to have increased options for breast reconstruction as technology continues to offer new and innovative method according to recent article. These options include the ability to have mastectomy and reconstruction in the same day. This allows the patient to eliminate several trips back and forth to the hospital using tissue expanders to expand skin. Flap reconstruction uses skin from other parts of the body to reconstruct the breast and many women feel it looks more natural than a tissue expander. When patients are cleared by the doctors some are able to have breast reconstruction right after a mastectomy. This is where the plastic surgeon uses the remaining skin from the surgery to actually construct a new breast. The mother new and innovative techniques include fat transfer and stem cell surgical options. Dr. Seify has been selected to participate in several clinical trials for both fat transfer and stem cell surgical options. Because of his unique and diversified practice he is able to utilize some of the new breast reconstruction techniques and his breast augmentation procedures. Patients who have breast augmentation are reminded to be proactive concerning their breast health. This means adhering to the American Cancer Society’s recommendations for early detection. These recommendations include monthly breast self exam as well as a yearly mammograms after the age of 40. It is important for patients to understand the breast implants will not increase the risk of cancer however patients are instructed to follow the same guidelines for breast health as they would if they do not have breast implants. Patients who are considering breast augmentation or have been diagnosed with breast cancer and are considering breast reconstruction are encouraged to contact Dr. Seify’s office and schedule a consultation.

For some breast cancer patients immediate breast cancer reconstruction is not possible. They may need to wait a certain length of time after their mastectomy before having breast reconstruction surgery. According to recent online article a Dallas news report shared that many women character prosthetics in the interim to help feel better about themselves. They highlighted patient who was diagnosed at the young age of 21. She had to delay her breast reconstruction based on her doctors’ orders. She along with other women shop at specialty store that caters to women who are waiting to have their breast reconstruction performed. There are prosthetics that are designed to fit a woman’s body following a mastectomy. Prosthetics that are available today are much more comfortable and aesthetically pleasing than those available years ago. For most patients it gives them the self-confidence to be able to wait the 6 to 9 months that many wait prior to beginning the breast reconstruction process. While the ideal situation is to have a breast reconstruction consultation prior to having a mastectomy Dr. Seify assures his patients that once a patient is diagnosed with breast cancer she will be able to have breast reconstruction surgery if she is a candidate covered by your insurance regardless of when she chooses to have the procedure performed. It is important for patients to the assured that breast reconstruction is an option covered under insurance by law for any breast cancer patient. Dr. Seify explains to patients that the process can be tedious with the use of tissue expanders to stretch the skin so that it can accommodate a breast implant. For other patients that transfer without using an implant may be an option. The main point for patients to understand is that there are options available for them and that the law provides insurance coverage for breast cancer patients so that they do not need to worry about breast cancer reconstruction options being available to them following their mastectomy. Patients who are diagnosed with breast cancer are encouraged to contact Dr. Seify and schedule a consultation.

Finding the right bra can be a disheartening experience. According to a recent online article a new business venture claims to have a bra that will solve the problem for 80% of all women. Sue McDonald a businesswoman has joined forces with a plastic surgeon to develop and launch a new bra aimed at a ensuring the perfect fit. The bra is called  Optifit and has no underwire. The back of the bra sits lower than a traditional bra and the creator promises that it will promote better posture and create a slimmer profile by minimizing the bulges that are caused by bras that are too tight and ride up on the woman’s back. Conventional measurements for a bra take only two measurements into consideration the back and cup size. Optifit is based on three different measurements frame, the depth, and the volume. Fitting can be adjusted for asymmetry. For the perfect fit women need to measure themselves with Optifit’s patented Opti-color-coded measuring tape. A woman with a conventional 32 DD size would be a red, small, four using the Optifit measuring system. Customers pay for the tape but the money is refunded when they buy their first brought. The creator says the conventional bras compressed and distort the body which she claims can cause bad back and problem with digestion. While it is true that a great bra matters a lot, Dr. Seify cautions patients who are considering breast augmentation against using bra size to determine what size they should be after breast augmentation. Breast augmentation using breast implants will take into consideration many different factors when determining size. This includes whether or not a woman has a breast lift combined with her breast augmentation. It can be very tempting for women to believe that they should be a certain bra size when the reality is that every bra is different and uses different types of measuring systems. Dr. Seify helps women to choose the best size for them by taking  into consideration not only their measurements and what is most feasible but also their lifestyle and what will make the most comfortable. When choosing breast augmentation it is imperative that patients remember sizing is a personal decision and in the end is left solely up to the patient. Patients who are considering breast augmentation are encouraged to contact Dr. Seify’s office and schedule a consultation.

Tamoxifen is a common drug used for patients who have been diagnosed with breast cancer, treated and are using the drug in hopes of preventing a recurrence of the cancer. According to recent online industry article tamoxifen may not work exactly the same in every patient. According to the article breast cancer patients who have a specific genetic liver enzyme alteration do not respond well to the hormone therapy tamoxifen because they have a difficult time metabolizing the drug, which leads to an increased risk of death as well as recurrence. This discovery was derived from a study completed by researchers from the Mayo Clinic Cancer Center and The Austrian Breast and Colorectal Cancer Study Group. It was published in the journal Clinical Cancer Research. Specifically the research found that women with alterations of the liver enzyme CYP 2-D6 were not able to metabolize the drug as well as those with a normal enzyme activity and this led to severe complications. The study involved carefully following the recurrence of cancer as well as deaths among two groups of women who had been prescribed different forms of breast cancer treatment. The first group was comprised of postmenopausal women with primary estrogen receptor positive breast cancer who only received tamoxifen therapy for five years, the second group of women took tamoxifen for two years and then went on to take and aromatase inhibitor(not requiring the CYP 2-D6 enzyme) known as an anastrozole for an additional three years. They discovered that women who had significant genetic alterations of CYP 2-D6 were 2.5 times more likely to develop a recurrence of cancer or succumb when compared to women with normal CYP 2-D6 activity. The recurrence of cancer and death was 1.7 times more when compared with women who had intermediate levels of the enzyme. These studies highlight the importance of doctors monitoring patient’s response to post breast cancer drug therapy. Following a breast cancer diagnosis patient is likely to have a lifelong history of follow-up with physicians to monitor her progress. Dr. Seify encourages patients through the process task plenty of questions and get a clear idea of what they can expect throughout treatment. Patients who choose to have breast reconstruction following their breast cancer diagnosis are given specific options available to them which could include traditional breast cancer reconstruction methods using tissue expanders and tram flap methods as well as newer fat injection and stem cell options. Dr. Seify’s recommendation is based on many different factors however patients can be assured that is talent and expertise as a board-certified plastic surgeon serves his patients well. Patients who are diagnosed with breast cancer and are considering breast cancer reconstruction are encouraged to contact Dr. Seify and schedule a consultation.

Two of the most common forms of cancer for women are breast cancer and ovarian cancer. According to recent industry article mutations found in a gene known as PPM 1D are linked with an increased risk of breast and ovarian cancer which may be representative of a new cancer-causing process. Discovery was a result of a new study published in the Journal Nature which was conducted by a team of Researchers from the Institute of Cancer Research, London. Women with the PPM 1D mutations have a one in five chance of developing either breast or ovarian cancer. This is double the risk of breast cancer and more than 10 times the risk of ovarian cancer for women in the general population. A previous study discovered that mutations in the gene known as RAD 51C are linked with a 60 to 80% increased risk for breast cancer and a 20 to 40% risk for ovarian cancer. According to the researchers, this newly discovered research suggests that genetic testing and targeted revenge and for cancer could be a requirement, especially for ovarian cancer due to the fact that it is usually detected at a very late stage. PPM 1D appeared to be present and in entirely dissimilar way when compared to other genes that are linked with increased risk of ovarian and breast cancer including BRCA1 and BRCA2. It is the hope of researchers that women who have the genetic information detailing their risk for ovarian or breast cancer could make proactive decisions concerning steps that they could take to reduce their chances of developing either cancer. Breast cancer is a devastating diagnosis not only for the patient before her family and support system as well. Dr. Seify consults with patients who are newly diagnosed with breast cancer and helps them to understand their options related to breast reconstruction surgery. When at all possible, Dr. Seify will work with the entire team of doctors who were treating the patient. This could include the oncologist, radiologist, general surgeon as well as primary care physician. It is important for patients to understand the implications of their choices of not only which breast reconstruction method to choose but also when that choice should be made. Dr. Seify encourages patients who are reviewing the available options following breast cancer diagnosis to contact his office and schedule a consultation.

According to recent online medical news story survivors of breast cancer, who are postmenopausal, have an increased risk of developing diabetes. This according to a new study published in Diabeticologica, the largest study yet to concentrate on the association between surviving breast cancer and ultimately developing diabetes. The study also highlighted that the risk of developing diabetes was significantly associated with those patients who had undergone chemotherapy. Scientist continue to emphasize the link between diabetes and cancer. Women with diabetes, have a 20% chance of ultimately developing postmenopausal breast cancer. A different study concluded that patients with diabetes who are over the age of 60 are more likely to develop breast cancer when compared to their peers who have not been diagnosed with diabetes. As the number of breast cancer survivors increases it becomes even more important to understand the long-term outcomes for survivors as they age. Dr. Seify explains to breast a cancer reconstruction patient that making the decision concerning the type of breast cancer reconstruction treatment they will have performed is not one to be taken lightly. For most patients getting the devastating diagnosis of breast cancer is extremely difficult. Patients could be forced to make a decision concerning their future health including the option for breast reconstruction surgery. There are several different breast reconstruction methods. The best breast reconstruction method for each patient is determined by Dr. Seify after examining the patient, reviewing recommendations by other physicians participating in the patient’s treatment, as well as the patient’s own desires. Patients who are diagnosed with breast cancer should consider breast cancer reconstruction options early even if they believe they are not going to pursue breast cancer reconstruction immediately after surgery. Dr. Seify and his staff work closely with patients to help reduce the amount of stress that can sometimes occur when navigating the insurance process and breast reconstruction. Patients who are considering breast reconstruction are encouraged to contact Dr. Seify’s office and schedule a consultation.

Breast asymmetries are present in the majority of the population as either a very mild asymmetry all the way up to and including a severe breast deformity. For many people this may appear to be subjective; however, there are patients who have who are medically considered to have breast or chest wall deformities. For women these asymmetries or deformities can cause shame and embarrassment. Some chest wall deformities consist of a large dip in the center of the chest wall. For some patients this irregularity is also coupled with a lack of breast tissue on either one or both sides of the breast. When this condition exist something as simple as purchasing a bra is nearly impossible. For other patients, breast tissue may have grown at a normal rate on one side of the breast but on the other side of the breast there may have been little to no growth. In some cases patients can have asymmetries as severe as an F cup size bra on one side and less than an A cup size bra on the other side. Obviously, this can cause more than just a slight psychological concern. While these situations are likely to have occurred from birth; and are considered congenital, there is not a standard that requires insurance companies to pay to have these breast asymmetries corrected. Dr. Seify examines patients and completes the necessary recommendation to submit to private insurance companies to see if in fact insurance will cover breast augmentation surgery. While it is not always covered, there are situations and insurance plans that will cover congenital breast deformities. If you believe you have what is considered a congenital breast deformity and would like to see if it could be improved with plastic surgery contact Dr. Seify’s office and schedule a consultation.

After the devastating diagnosis of breast cancer women are forced to make decisions concerning not only their treatment but also whether or not they will consider breast reconstruction. Traditional breast reconstruction requires many stages using tissue expanders to allow for the stretching of the skin before implanting a breast implant. One stage breast reconstruction has proven to be a viable option for some patients. According to one report using what is known as human acellular dermal tissue matrix has been reported as extremely effective in helping to provide coverage and durability over breast implants as well as improving the overall shape of the reconstructed breast. In the study saline implants were used in conjunction with human acellular dermal tissue matrix in an immediate one stage surgical procedure. Both complications as well as appearance were evaluated for all breast reconstructions in the study. 23 patients were included in the study. 11 patients had unilateral reconstruction and 12 patients had bilateral reconstruction totaling 35 reconstructions. All of the patients had immediate reconstruction following skin sparing mastectomy. The study found that by adding human acellular dermal tissue matrix in conjunction with breast implants especially in the one stage breast reconstruction procedure had measurable proof of success. The complication rates were extremely low and the need for tissue expanders and the risk associated with them were eliminated with one stage breast reconstruction. Dr. Seify will discuss with each patient if they are a candidate for one stage immediate breast reconstruction. There are many variables that will need to be assessed and patients should remain open to other forms of breast reconstruction if immediate breast reconstruction is not an option. Dr. Seify’s goal is to provide the best overall results for the patient in the safest way possible. Patients are treated with the utmost compassion and care throughout their entire breast reconstructive experience. Dr. Seify’s knowledgeable staff helps patients to navigate the entire process from the very beginning. Patients who are diagnosed with breast cancer and are considering their breast reconstruction options are encouraged to contact Dr. Seify and schedule a consultation.

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