Tag Archives: reconstructive plastic surgery

breast cancerBreast cancer patients are thrust into a situation in which they need to make many decisions once they are given a breast cancer diagnosis. A recent article highlighted a survey conducted by the American Society of Plastic Surgeons that revealed 89% of women would like to see breast reconstruction surgery results before going under treatment for breast cancer. The results were released in advance of Breast Reconstruction Awareness Day which is October 17, 2012.

Breast Cancer Reconstruction  Gets A Celebration

There will be a celebration in New Orleans. ASPS President Dr. Malcolm Z. Roth is spearheading an initiative to allow breast cancer patients to view breast reconstruction results ,which until now has been virtually a taboo topic. The goal is to give women a forum and to allow them to realistically manage their expectation of breast reconstruction surgery. Breast cancer patient organizations have found that the majority of women faced with breast cancer treatment decisions and the decisions regarding breast reconstruction would like to see real results and talk to real patients who have had the procedure. The survey also found that only 23% of women new the wide range of breast reconstruction options available to them.

Breast Cancer Reconstruction Options at Newport Plastic Surgery

The survey also found that only 19% of the women understood that timing for their treatment, and their decision to undergo breast reconstruction has a significant impact on their options and results. Some women are never shown breast reconstruction surgery results at all. Most shocking of all, is that previous research showed that 7/10 women diagnosed with breast cancer are never given breast reconstruction options at all. Dr. Seify is pleased to see the elevated attention that is being focused on breast reconstruction. Dr. Seify has been in the forefront of participation in clinical trials to improve the options available for women choosing breast reconstruction. Dr. Seify continues to remain committed to a team caregiver approach in which he works closely with oncologist, radiologist, and general surgeons involved in the patient breast cancer treatment as well as breast reconstruction options. Dr. Seify encourages patients who are diagnosed with breast cancer to arrange their plastic surgery consultation to consider breast reconstruction options immediately following diagnosis, so that they are able to make the best decisions concerning the possibility of breast reconstruction.

plastic surgeryPlastic surgery after weight loss is the desire of many patients who have lost a significant amount of weight following either weight loss surgery or a long-term nutrition plan. Most of these patients had never considered plastic surgery prior to the weight-loss and are unfamiliar with what is important when making the decision to have plastic surgery.

Plastic Surgery After Weight Loss Procedures

Many patients are most unhappy with the loose and lax skin on their abdomen. Most are aware of the common term tummy tuck for the abdominoplasty procedure that removes loose and lax skin. This prompts patients to begin looking for a cosmetic tummy tuck. The Internet is full of doctors offering cosmetic tummy tucks or abdominoplasty for patients who have previously had children, or lost a significant amount of weight.

Plastic Surgery After Weight Loss at Newport Plastic Surgery

Patients who have lost a significant amount of weight should be sensitive to the fact that the source of their weight loss should be an important consideration when choosing a plastic surgeon. Dr. Seify explains to this population of patients that they should consider their abdominoplasty a more complex procedure because of the expertise required to create excellent results. As a reconstructive and cosmetic plastic surgeon Dr. Seify approaches a post massive weight loss abdominoplasty with consideration for not only the loose and lax skin(also known as an abdominal apron) but also with the surgical expertise necessary to reduce the amount of redundant skin that is more common in post massive weight loss patients than  normal weight patients who are postpartum. Dr. Seify is also careful to advise patients when the right time would be to have their plastic surgery. Rushing to have plastic surgery while patients are still losing weight and have not reached their stable weight is not ideal for the patient. The best and longest lasting results are likely for patients who are at a stable weight for at least three months. Other popular procedures for post massive weight loss patients include thigh lift, and brachioplasty(arm lift). While these procedures are typically not all combined in one surgery, Dr. Seify is careful to explain to patients which procedures should be a priority and which procedures can be combined. Safety and results are equally important in ensuring the best patient experience.

Breast CancerBreast cancer diagnosis during pregnancy is challenging for both the mother and baby. According to a recent online article, pregnant women who need chemotherapy as part of their breast cancer treatment plan should not have to compromise the treatment or deliver their babies preterm according to a new study. The study which was published online August 15 in the Lancet Oncology, German researchers discovered that babies born to breast cancer patients who were given chemotherapy during the pregnancy were not found to be at increased risk for complications. They also discovered that the babies who did experience complications were premature whether they were exposed to chemotherapy are not. “Our findings emphasize the importance of prioritizing a full-term delivery in women who undergo chemotherapy while pregnant,” study leader Sibylle Loibl, of the German Breast Group, said in a journal news release.

Breast Cancer Treatment During Pregnancy

The study found that the health the newborn baby was strongly associated with the gestational age of the baby at the time of delivery. This is significant because many of the babies of women undergoing chemotherapy for breast cancer diagnosis were delivered preterm as a medical precaution. The study shows promise for treating patients with breast cancer while pregnant and that there may be no need to interrupt pregnancy or reduce the dosage of chemotherapy. Unfortunately breast cancer can affect the lives of women at different stages in their lives.

Breast Cancer Treatment and Reconstruction

Dr. Seify treats breast cancer patients who have chosen breast reconstruction at different stages of their breast cancer diagnosis. Pregnant women who have been diagnosed with breast cancer may have a different recommendation regarding breast reconstruction than other women who are diagnosed with breast cancer and are not pregnant. Dr. Seify encourages patients to remain well-informed concerning their breast reconstruction options. Breast cancer reconstruction is required by law to be covered under insurance policies and women may opt for breast reconstruction at any time following a breast cancer diagnosis. If for health or any other reason it is necessary to wait to consider breast reconstruction patients are still able to take advantage of breast reconstruction surgery as part of their covered insurance benefit. Dr. Seify is committed to providing patients with accurate information regarding their breast cancer diagnosis and options for breast reconstruction.

 

Breast cancer diagnosis is often accompanied by a treatment plan that includes radiation. A recent online news story highlighted the effectiveness of radiation treatment for breast cancer patients who are older. According to the article radiation treatments for older women with early-stage breast cancer who had had a lumpectomy performed could reduce the risk of needing a mastectomy in the future according to new research. The study raises new concerns as to whether the current guidelines that recommend that older  breast cancer patients do not have radiation should be updated according to the authors of the study.

Breast Cancer and Radiation

The study results were published in the August 13 online journal of Cancer. “Overall in this group of women, radiation was associated with a decrease in mastectomy,” said study senior author Dr. Benjamin Smith, an assistant professor of radiation therapy at the University of Texas MD Anderson Cancer Center, in Houston. “The absolute decrease was small but it was certainly measurable.” Treatment guidelines currently in existence were mostly derived from a 2004 study that concluded that among the group of older women radiation only slightly decreased the odds of reoccurring cancer when compared to women who were given the estrogen blocking drug tamoxifen alone. The risk of recurrence is lower in older women when compared to younger women. Younger women are typically advised to have a lumpectomy followed by radiation. It is unclear whether these findings will change the recommendations.

Breast Cancer Treatment Plans

Many of the breast cancer patients who are treated by Dr. Seify for breast reconstruction may have undergone radiation treatment. Depending upon the type cancer, stage of the cancer, this is and many other factors Dr. Seify may make recommendations that vary for breast reconstruction. Dr. Seify works closely with the team of medical professionals treating the patient. The team often includes the general surgeon, radiologist, as well as oncologist. Patients who have had a lumpectomy may benefit from a variety of breast reconstruction options including stem cell fat transfer as well as breast implants. The goal is to help the patient regain of the most natural looking breast possible following a breast cancer diagnosis and subsequent breast surgery.

Breast CancerBreast cancer and the density of breast tissue have been in the news recently. According to recent online news story a new study that will be featured in the August 20 addition of the Journal of the National Cancer Institute discovered that the risk of mortality from breast cancer is not linked to the high mammographic breast density and breast cancer patients. Increased mammographic breast density is one of the most pronounced risk factors for  non- familial breast cancer and even though patients with increased mammographic breast density are at an elevated risk of developing breast cancer, at this point it remains unclear if a higher density also raises questions as to whether a lower survival rate is prevalent in these breast cancer patients.

Breast Cancer, Density, and Survival Rates

Upon further investigation, Gretchen L. Gierach, Ph.D., M.P.H., of the Division of Cancer Epidemiology and Genetics (DCEG) at the National Cancer Institute in Maryland and her team analyzed data from the U.S. Breast Cancer Surveillance Consortium, which involved information on 9,232 women diagnosed with primary invasive breast carcinoma between 1996-2005. They observed that the density of the breast tissue had no obvious impact on the mortality risk once the disease had developed. The study authors concluded that the results support the need for further investigation and concluded that possible interaction associated with breast density and other patient characteristics, as well as breast cancer treatment are all likely to influence breast cancer prognosis.

Breast Cancer Detection and Cosmetic Surgery

Dr. Seify encourages all breast surgery patients including those who have had cosmetic procedures such as breast augmentation with breast implants, breast lift, or breast reduction to consult with their primary care physician regarding his/her recommendation for mammography. Patients that naturally have dense breast tissue may find that their primary care physician recommends they have a mammogram along with an additional ultrasound test designed to detect breast cancer in dense breast tissue. All patients should conduct monthly breast self- exams as a preventative measure that also allows patients  to become more familiar with their own breast and detect any changes that could be present.

 

eyelid surgeryEyelid surgery can be considered by patients for many different reasons. Eyelid surgery is considered plastic surgery yet it is not always considered a cosmetic procedure. A small percentage of patients could have what is considered an excessive amount of loose and lax skin on the eyelid, which in turn obstructs their vision. This amount of skin which is also known as “hooding” could cause the patient to be a candidate for reconstructive plastic surgery, which could mean that insurance would cover some of, if not all of the surgical fees.

Eyelid Surgery and Insurance Coverage

It is important to note that very few patients actually meet the criteria of the insurance companies in order to have the procedure covered. It is even more difficult obtain approval through Medicare to have the procedure covered. This does not in any way mean that the procedure is not warranted or that it would not greatly improve the patient’s vision as well as appearance. Eyelid surgery or blepharoplasty is often one of the last procedures patients consider when they are beginning to notice the first signs of aging. The reality is that eyelid surgery, performed early before the loose and lax skin on the eyelid is excessive, can make a dramatic difference in the youthful appearance of a patient.

Eyelid Surgery at Newport Plastic Surgery

Dr. Seify explains that the laxity of the skin is best when a patient is younger and the results tend to be better. Most patients who consider eyelid surgery also include the area beneath the eyes which often has a pocket of loose skin and fat that many call” bags beneath the eyes”. Dr. Seify is usually able to address both areas together and most patients are socially acceptable in public without little evidence that they had cosmetic plastic surgery within two weeks. Dr. Seify encourages patients who are considering eyelid surgery to schedule a consultation to discover if blepharoplasty is a viable solution for them.

Breast CancerBreast cancer like other cancers is beginning to be reviewed differently. Traditionally patients who were battling breast cancer and other cancers were instructed to screen on a regular basis and catch the cancer early. Then if an operation is possible they were instructed to remove a cancerous tumor. Then most would follow-up with chemotherapy and/or radiation in hopes of thwarting a return of the cancer. According to a recent article the standard treatment for breast cancer and other cancers is changing. According to the article primarily the treatment plan is the way it has always been however over the past couple of years there been new studies that indicate that the situation could be much more complex than we thought.

Breast Cancer Detection Methods Controversy

The studies could lead us to believe that the aggressive tactics taken routinely may not only be unnecessary but may also be harmful to us. The debate began most notably in 2009 when the recommendation from the Preventive Service Task Force was that women younger than 50 did not need to have mammograms. It claimed that the majority of suspicious tissue found during mammograms was ultimately determined to be benign. According to the researchers they claim that the biopsies required carry their own risk. They also added that some of the cancers that were found were on track to grow so slowly that over the lifetime of the patient they would never cause health problems. It claimed that women under 50 were less likely to have breast cancer than older women were also more prone to suffer harm due to unnecessary breast cancer treatment. While conflicting studies are easy to locate it is important that patients have a detailed discussion with their primary care physician to help them determine which test are necessary and the best time to have the test performed.

Breast Cancer Early Detection Should Be Considered Serious

 

Dr. Seify emphasizes to his patients that although there are conflicting reports on the value of mammograms currently routine screening on a regular basis still remains one of the most effective ways to diagnose breast cancer early. Dr. Seify explains to cosmetic surgery patients that they should remain diligent about breast health as part of their overall health. This includes patients who have had breast augmentation with breast implants, breast reduction, or breast lift. Dr. Seify will inform patients after the recovery period when it is okay for them to proceed with their breast cancer early detection screening.

Breast CancerBreast cancer prevention programs are most effective when patients understand the value of the things they can control and the things that they cannot. According to recent online article exercise  topped the list for maintaining a healthy lifestyle and stable weight; and is something that we can control. Several studies have proven an association between exercise and reducing the risk of breast cancer. Because of this, the American Cancer Society and many medical professionals recommend that women who have been diagnosed with breast cancer exercise regularly— which includes 4-5 hours per week at a moderate level of intensity.

Breast Cancer Risks and Exercise

A recent study by researchers at the University of North Carolina at Chapel Hill discovered that women who got approximately 2 hours of exercise daily, regardless of the intensity were approximately 30% less likely to develop breast cancer than those who did not exercise that much. It is important to recognize that women gained a substantial amount of weight following menopause it appeared to cancel the benefits gained by exercise. The study was published in the Journal of Cancer online in June. Exercising during the reproductive years which included from birth of the first child up until menopause seem to derive the most benefit. Exercising regularly after menopause also help to reduce the risk, it just was not as significant. Women who are busy with household chores, family matters etc could  view two hours a day of exercise as an impossible task. It is  important to remember that it was consistency that mattered not the intensity level that helped reduce the breast cancer risk.

Breast Cancer and Women’s Health

Dr. Seify encourages his patients who have been diagnosed with breast cancer to include exercise programs as recommended by their treating physicians. When reviewing breast cancer reconstruction options with each patient Dr. Seify is careful to review the options available along with the anticipated recovery involved. As breast cancer reconstruction continues to evolve, and better alternatives are made available patients can expect to see more realistic and better tolerated results. Dr. Seify discusses the range of options available which  could include everything from traditional breast reconstruction to fat transfer breast reconstruction .

Breast CancerBreast cancer treatments and the approved drugs have come a long way. Researchers have worked diligently throughout the years to improve the survival rate of breast cancer patients with better treatments and more effective drugs. According to recent online article Afinitor (chemical name: everolimus) was approved by the U.S. Food and Drug Administration (FDA) to be used in combination with Aromasin (chemical name: exemestane) to treat advanced-stage, hormone-receptor-positive, HER2-negative breast cancer in postmenopausal women that has already been treated with Femara (chemical name: letrozole) or Arimidex (chemical name: anastrozole).

Breast Cancer Has A New Treatment for Advanced Stages

Locally advanced breast cancer is considered cancer that has spread beyond the breast into the chest wall either beneath the breast or the skin at the top of the breast. Metastatic breast cancer or advanced stage cancer is cancer that has spread to other parts of the body away from the breast including the bones or liver. Aromasin, Femara, and Arimidex are all aromatase inhibitors, which are known as a form of hormonal therapy. These drugs work to halt the production of estrogen in women who are postmenopausal. The way they work is they block the enzyme aromatase, which causes androgen hormones to turn into small amounts of estrogen in the body. This translates into less estrogen in the body to accelerate the growth of hormone- receptor- positive breast cancer cells. Afinitor was recently approved by the FDA because it shows promise for breast cancer patients with advanced staged breast cancer.

Breast Cancer early detection Still Critical

Dr. Seify is committed to breast cancer research and treatment. As an ASPS board-certified plastic and reconstructive surgeon who specializes in breast reconstruction it is important within the cosmetic plastic surgery portion of his practice that he informs breast surgery patients of the importance of early detection and breast cancer screening. Dr. Seify advises patients to follow their primary care physicians’ recommendations for breast cancer screening. Patients who have had breast reduction, breast augmentation, or breast lift are encouraged to continue to be proactive concerning breast health. Patient should participate in screening mammograms when recommended, and perform monthly breast self- exams. Early detection remains the best form of defense against breast cancer.

Breast CancerBreast cancer treatment has become more effective. As a result patients are more likely to return to work after breast cancer treatment according to recent online article. According to the article Swedish researchers discovered that of 505 women treated for breast cancer 75% remained employed 16 months after they were diagnosed. This is right in line with the overall rate of Swedish women in general.

Breast Cancer Treatment Allows Patients To Return to Work

According to the study 72% of the women who were working prior to their diagnosis returned to work without any changes made to their schedules. Approximately 15% had to reduce their hours, while around 11% did not go back to work at all. “It is a very positive finding that the majority of breast cancer patients return to their prediagnosis working time,” lead researcher Marie Hoyer, of Uppsala University in Sweden, said in an email. The study author made a point to remind the public that is still important to support women who decide not to go back to work due to their disease or treatment related to the disease. It appeared that women, who had chemotherapy as treatment had a tougher time going back to work than those who had other treatments, like surgery and radiation for example. About one fourth of chemotherapy patients had to reduce their work hours as compared to only 6% of the other women. This was expected as chemotherapy tends to have more negative side effects that affect the overall experience of patients.

Breast Cancer Treatment and Reconstruction  Allow for Work Schedules

Dr. Seify works closely with the patient’s other medical professionals involved in their breast cancer diagnosis. This often includes radiologist, oncologist, as well as general surgeons. It is important for patients to discuss not only the expected negative side effects of medications but also their desires and plans including plans to return to work. As Dr. Seify helps patients consider which breast reconstruction options will work best for them it is important for patients to also consider their plans to return to work and how much time will be necessary for recovery. Dr. Seify is committed to providing scheduling as well as staff support to help patients maintain a lifestyle as close to normal as possible. Breast cancer undoubtedly is an interruption that causes massive changes in the lives of patients. However, it is possible to manage the change and have a positive outcome with forethought and preparation.

 

 

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