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TBP Blog

Breast Lift and Reduction; What to Expect

6/29/2020

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We have several services to make you look and feel exactly how you want, and to provide natural options for oncoplastic surgery. What should you expect when you're about to go through a breast lift and reduction?

In our last two blogs, we've discussed some of our many treatments and services we offer to help your battle with breast cancer and survivorship journey. Each of these services can improve your quality of life mentally, physically, and emotionally. Today we want to talk about and discuss one of our oncoplastic surgery services, breast lifts, and reductions. Oncoplastic surgery is aimed at breast cancer surgery with or with reconstruction to improve cosmetic outcomes for our patients. Our medical providers are trained and certified in oncoplastic surgery as well as Hidden Scar (trademarked) surgery, nipple spanning mastectomies, breast lift and reductions, implant repair, and natural reconstruction. Today, our blog is going to be focused on breast lift and reduction, what our services look like, and what to expect with the procedure. The surgery itself is the rearrangement of tissue after breast disease is removed. It allows the shape and size of the breast to be repaired.

Depending on your needs and what your cancer diagnosis is, you might choose to have both of your breasts removed (a double mastectomy) to remove the breast with cancer and to eliminate any risk of it returning. You also might choose to have both of your breasts removed to eliminate any diagnosis if you are a high-risk individual. Some choose to or only need to remove one breast, replacing it with natural reconstruction or an implant to match their other breast. Some only have cancerous tissue removed from one breast, leaving the shape and size of the breast altered and different from the other breast. This is where our breast lift and reduction services come into the picture.

The removal of the cancerous tumor and lymph nodes, not the whole breast itself, is called a lumpectomy. Breast tissue will also be removed with the tumor that it was connected to that could continue to put the patient at risk. This will cause the shape of your original breast to change during this surgery. This is where the lift begins. Your breast will be reconstructed, along with the placement of your nipple and areola. It will naturally be placed higher on your body and look "perkier" since tissue and skin have been removed to create a smaller firmer breast. Your other breast will still be its original size, and your nipples will no longer be symmetrical. This is where the next step, reduction, begins. Your surgeon will remove tissue from your other breast to match the newly constructed breast and move the nipple as well.

You can have a reduction and lift, or oncoplastic surgery, during your lumpectomy. There are many advantages to doing so. One is that you'll only have to go through one surgery, instead of two. It also helps with limiting or eliminating the risk of cancer returning to the breast that held the cancerous tumor, because it allows for more tissue to be removed. It is easier for a surgeon to achieve better symmetry when doing a lift and reduction at the same time as a lumpectomy. Also, those suffering from pain caused by having naturally large breasts will receive relief from that pain while keeping their risk of returning cancer very low.

Please note that a breast lift doesn't make the breast bigger or smaller. That is done with the removal of tissue or adding in tissue from another part of your body or with the use of implants. The lift itself is your surgeon tightening and reshaping your breast tissue, the removal of excess skin, and making sure your areola and nipple are in the desired position. Our services allow the shape and size changes of your breast to be repaired on both the affected breast and the non-cancerous breast. A breast reduction will allow your non-cancerous breast to be reshaped into a smaller, lighter, firmer breast that will sit higher on your chest. Both surgeries can be outpatient procedures, with a short recovery time. Many women can return to work 2-3 weeks after their surgery. As it goes with any surgery, there are some risks involved. Those risks can include the loss of feeling in the nipple or breast, bleeding, scarring, and infection. It can also inhibit the ability to breastfeed. Make sure to speak with us about your pregnancy plans and plans after surgery before deciding to take this journey.

Your breast cancer battle is tough, but you're tougher. We are here to make it as easy as possible and to stand with you along the way. If you have any questions about breast lift and reductions, or about any of our services, don't hesitate to reach out. Continue to fight, be proud of the journey you're on, and be well.

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What Does Survivorship Look Like?

6/16/2020

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Life after treatment looks different for everyone, but what could it look like for you? 

Healing, as we mentioned in our last blog, comes in may waves. Survivorship becomes a way of life, and it looks a little different for everyone. It's a daily battle to deal with but you are strong enough, wise enough, and worthy enough to live with it and through it. You are allowed to claim how you want to live your life. We do offer several services to help your survivorship feel a little easier. After life-changing events, we offer total wellness through IV therapy to help with energy, laser scar revision following surgery, skin resurfacing and rejuvenation using the latest laser technology, dermal fillers for fine lines and wrinkles, body contouring to address unwanted areas of fat with noninvasive treatment, and more. We are here for you in many ways, please never hesitate to reach out. 

What else can survivorship look like? For some, it begins when you've finished treatment, and there are no signs of cancer left. For others, it begins with their diagnosis and continues through a long term treatment that helps manage their illness or helps reduce the risk of it returning. It is a different process, because how you physically and mentally respond is not the same for everyone, and that's ok. Here are some tips and suggestions on how to handle what you might be feeling and going through to provide some peace and guidance. 
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  • Continued Care
For some, continued medical care is needed. Medical checkups, tests, and other health care monitoring recommended and prescribed by your doctor and medical care team needs to be taken seriously and followed. This can range from emotional counseling to physical therapy and all forms of continued care are important to your healing and survivorship journey. These appointments can cause some anxiety and worry. Continued care after your cancer has been beaten into remission can still bring on the worry that it could come back. It can be hard to change care teams and doctors for this continued care when you're already so used to the one you've had this whole time. If you are feeling this way, feeling anxious, or feeling worried, it is important to talk about these concerns with your current care team, family members, and potential new care team. Putting continued care first and making it a priority in your life allows you to stay ahead of what could become. It can also help you remain productive and independent in your life and with your health. Just like chemo and radiation, continued care is focused on keeping you healthy and happy for as long as possible. 

  • Giving To Your Body
Health and wellness have been a part of your battle since your diagnosis, and taking care of your body might move to a whole new level through your survivorship. This might mean embarking on a whole new workout regime with your partner, a trainer, or on your own. This can help build your strength back up after treatment, increase your energy, and make you feel better overall. It can help manage stress and anger, too. Changing your eating habits, eating healthier, quitting smoking, and limiting your alcohol intake can also improve your daily and long term health. It can also continue to make you feel better. Making room and time for your emotional and mental health is very important too. Make sure you have a good support system in your caregivers and with medical professionals if and when it is needed. 

  • Your Loved Ones
As your journey changes, it also changes for your loved ones and caregivers. Survivorship means something different for them, and it evolves as it does for you. They are impacted daily from the moment you are diagnosed and beyond. As you go through and finish treatment, their roles as caregivers change from being involved in every step to being needed less and less. This adjustment can be a hard one for them, as they figure out how and how much they are needed in the next steps of your life. 

  • The Next Challenge
As we've talked about in our last blog, your body may experience long term or permanent changes from treatment. These changes are had to adapt to and to live with. But, knowing what challenges you're facing, knowing how to face them, how to live with them, and how to treat them can empower you and ease your burden. Having the care you need physically, emotionally, and professionally is also very important in making this step successful. You may also be experiencing financial issues, changes in your career, and changes in your day to day living. Talking with your insurance companies, your financial planner, and a career counselor can help you manage these next steps as well. Your body might also take you down a different path than you expected. For younger patients now living with survivorship, infertility and early onset menopause could be something you're now facing. If you are wanting to conceive after treatment, discuss this with your doctor. There are new options that are now available to help with these struggles. 

  • Your Voice Matters
Your journey, your survivorship, and what you want to share about it with others to help comfort them through their journey is valid, worthy, and empowering. Join the movement and help educate others. Share the importance of early detection, share your story, and support when and where you can. A blog, meeting with support groups, becoming a mentor, and sharing what you've been through can make all the difference. It can empower those you meet and it can also empower you. The pen and paper are very mighty, as is the social media world. 

It is common for the first year after your treatment has finished to be the hardest of all the years to follow. Take these tips to heart, and know we're here to help you through your whole survivorship journey. If you are interested in any of our services, please contact us at your earliest convenience and visit our website to request a consultation. We are here when you need us. Your survivorship is as unique as you are, and that is ok. We can embrace it together and give you the best quality of life as possible. Continue to fight, be proud of the journey you're on, and be well. 

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Healing from Emotional Scars

6/2/2020

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Breast cancer and its treatments leave behind scars of many kinds. Healing from your physical and emotional scars are a part of your healing process. Both need to be looked after with equal amounts of care. 

Hello dear friends. We hope where ever you are while reading this, you know you are not alone. Where ever you are on your journey, you are strong enough to fight. In this blog, we will be talking about scars. Not necessarily the scars that are left behind from radiation, chemo, and surgery. We will be talking about the emotional scars that come along with fighting this battle. These scars need to be cared for and healed just as much as your physical scars do. This process can take time, but we promise it's worth it. Not dealing with these scars can make the journey into returning to the life you want difficult or even impossible. A scar is something a warrior should be proud of. You went through the fight, and you won. You are now more aware, realistic, stronger, and wiser. 

Your cancer treatments will affect your body physically, but it goes way beyond that. It can affect how you feel, think, and like to do things in your life. Treatment can even change the way your brain works. Yes, chemo brain is a real thing! You could be facing mental changes in how you learn, how well you concentrate, and how well you remember. There is nothing wrong with you, these are common effects for many people going through treatment. Also, how your treatments will affect you mentally and physically is unique to each person. It is important to be informed and educated about what is happening to your body before, during, and after your treatment. Discussing and researching how you can help yourself stay as healthy mentally and physically as possible is also key to this process. 

Long term and short term effects of treatment can affect your mental health. Depression, anxiety, and fear can develop during treatment. After treatment a lot of this fear is based on the worry and possibility that your cancer could return. Anxiety can bloom out of the initial shock of taking in all of the information you're given at the beginning of your journey. This can make it very difficult to cope or comprehend what is going on.  

While going through and working on your emotional healing, keeping an open line of communication is very important. Make sure to talk about how you're feeling. Express it, work through your emotions, and try to continue past them. Working through these emotions can help you move towards a more positive attitude, and to help you cope with life in general. Make sure to be open with your care team, a medical professional, or a trusted loved one. Holding in these emotions and feelings can be very hurtful. Feeling angry can get in the way of taking care of yourself. Sometimes, it can energize you. Use these emotions for a positive outcome, don't stew inside of them. Prioritize your mental health. You are allowed to feel how you do. They are valid emotions and you are worthy to feel this way. Allow yourself to grieve, but don't let it last forever. 

Your body could be facing many different kinds of changes, too. Some may only last for a little while, while others could stay forever. Even if you don't show these changes, you could still see them. Anger and grief are natural reactions to this situation. It can affect your sex drive. It might make you feel that your appearance has changed how your loved ones look at you, respond to you, and will act around you. These natural reactions can also cause depression, anxiety, and fear. 

Things That Can Help: 
  • Find the time to stay active
  • Control what you can, and let go or delegate what you cannot. Keeping on top of your schedule of treatments and the things you love to do can help you stay focused, positive, and help you feel more in control of your life. 
  • Ask your doctors and nurses if there are ways to care for your skin if it has been damaged, discolored, or burned during treatment. 
  • Contact us about survivorship. 
  • We can help with lactation, abnormal breast imaging, oncoplastic surgery, scar revision, body contouring, facial rejuvenation, and laser hair removal. Each of these services can help you make the process back to feeling like yourself a little easier. 
  • Make sure that any prosthetics fit properly. 
  • Ask if you can stay in touch with your doctors and nurses. Sometimes just knowing that you can have them as a contact can be very beneficial. 
  • If you need help with your mental care, ask for it. Your doctor can refer you to health care providers that are specifically trained in helping with these situations. Your mental health can get worse if it is not cared for. 
  • Continue to keep an open and honest line of communication with your partner and children. 

After treatment, it might be strange that you aren't always in panic mode. You're so used to that feeling, that it can be mentally jarring to start going back to some sense of normalcy. But that normalcy can place a lot of burden on you as well. Getting back to your sense of normal can take time. Even with the victory and empowerment that you've successfully beaten cancer. It might take time to feel like you can go back to your life again. Your normal may not be the same again, and it's difficult to adjust to that. Remember, your breasts are not who you are nor do they represent who you are. 

Healing doesn't just happen overnight and then you're better. It has many stages and steps along the way. Take the time to do what you need. We are here for you along every step of the way and are always here to talk when you need us. Never hesitate to reach out. Continue to fight, be proud of the journey you're on, and be well. 
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