While mammograms are a yearly procedure that we recommend for our patients that are in their 40's and beyond, there can still be so much mystery in what a mammogram is, how to prepare for one, and what to expect after the experience itself. Today, we are dedicating this blog to everything you need to know about the realities of a mammogram inside and out. We will also be talking about the before, during, and after process of getting one! 

Hello warriors! Welcome back to the Breast Place Blog! It has been a very exciting few weeks with a visit from our friend Amanda Syfriend, making appearances at the #pinkintherink hockey game with the South Carolina Stingrays, and supporting an incredible local charity called Share our Suzy. Share our Suzy, for our readers new to the charity, helps local breast cancer patients pay for utility bills, groceries, wigs, childcare, and much more. We are constantly fighting for, supporting, and educating those who are fighting and those who could one day fight if we don't find a cure fast enough. This is one of the many reasons why we invest our time and efforts into our social media pages and our blog, we want to share and spread awareness, support our community, and do everything we can to help. We appreciate all of our readers, followers, and supporters for their love and kindness they've shown to each of these platforms, and we applaud you for helping us achieve these goals, spread our message, and help lift up our warriors and fighters. With a whole year under our belts since the pandemic has started, we are coming out exhausted in more ways than one. There is still so much unknown and we hope that as time goes on, we continue to see a light at the end of the tunnel together. Let's continue to stay safe and make safe choices for our loved ones. 

Our last few blogs have been dedicated to our products and services that you can find when you visit our offices, their amazing results, and the power they can give to your self-esteem and self-confidence. Today, we are going to be circling back and talking directly about services related to breast cancer and the prevention of it. Today, we are going to be talking about mammograms. While they should become part of your regular yearly checkups once you're over the age of 40, there are still so many people who aren't getting them and so many who are unaware and unsure about what the whole process entails. Today, we are going to continue to use this platform as a tool for education to clear up any questions and confusion about mammograms, and to persuade you to get them if you're not already doing so.  

• What Is A Mammogram? 

What comes to mind when you think about what a mammogram is? Just the squashing of your breasts between a piece of machinery to see if you have any signs of breast cancer? While that might be one way to think about it, there is so much more to it than that, and believe us it is worth your time and the compression you'll experience on your breasts. We've talked about mammogram benefits in our blogs over the last few years and why you begin getting them once you turn 40. One of the reasons why women under the age of 40 don't get them is that the tissue in your breasts is too firm to be penetrated with the X-ray that is used in the procedure itself. This is why it can be so difficult to detect breast cancer in women 40 and young. Once you hit 40 and begin to go through menopause, your breast tissue becomes less dense and not as firm, allowing the X-ray to penetrate the breast better. First and foremost, it is very important to remember that mammograms are a very important role in early breast cancer detection to help find it sooner, treat it faster, and help to lower the number of fatalities due to breast cancer.

Mammograms are done both for screening and diagnostic purposes. Once your doctor begins to advise you to start getting them, usually around the time you turn 40, these mammograms are used to detect any changes in the breast in women who have shown no previous signs or symptoms of cancer. This can help detect cancer before clinical signs begin. A diagnostic mammogram is used to investigate anything unusual that has appeared in a woman's breast including lumps, pain, changes in skin appearance, and more. This mammogram will include more images than a normal screening. According to the American Cancer Society, women with a normal risk of cancer should receive a mammogram every year starting at age 45 until age 54, while the Preventative Services Task Force recommends screening every two years, starting at age 50 until 74. Those with a higher risk of breast cancer will benefit from starting mammograms sooner, and it is best to speak to your doctor about when best to begin your mammogram process. During the mammogram itself, a patient's breasts will be compressed between two separate hard surfaces to help spread out the breast tissue. This will help the X-ray capture images of the breasts. Once the breasts have been compressed, an X-ray takes black and white photos of the breasts that will then be examined by your doctor for any signs of abnormalities or cancer. 

• Tips for Getting a Mammogram

You're scheduled for your first mammogram, and you know the basics of what it is and what's going to happen. What are some other things to keep in mind to make it a comfortable experience? 

• Don't be afraid about getting a mammogram. According to the American Cancer Society, only 2 to 4 in 1000 screenings leads to a diagnosis. The more you know, the better you can prevent it! 
• Choose a facility that frequently or only does mammograms, and once you begin going to a facility keep going to the same one. if you have any questions, we can help with that! 
• Make sure to dress comfortably. It is recommended to wear pants or a skirt, so all you need to remove is your top for the exam. 
• If this is your first mammogram, please come prepared with a full medical history and share any changes or abnormalities that have appeared in your breasts. Also, bring a list of any treatments you've had done to your breasts in the past. 
• It's recommended not to get a mammogram during the week before your period. To avoid extra discomfort, schedule an appointment when your breasts aren't tender and swollen. This also helps with the quality of the photos that the X-ray will take. 
• On exam day, don't wear antiperspirants or deodorants. They can contain ingredients that can show up on the X-ray as white spots. 
• If you are breastfeeding or think you could be pregnant, please share this information with your doctor before your exam. 
• During the exam, the procedure will only last 20 minutes and the compression will last a few seconds on each breast. If it does hurt, please tell the tech. Two views of your breasts will be taken, but if you have implants or larger breasts, more might be needed. 
• You will have to undress above the waist but you will be given a wrap to wear during your exam. A tech will be the only one in the room with you. 
• You will be standing for the exam, so comfortable shoes are recommended. 
• Caffeine can make your breasts feel more tender, so limiting your coffee, tea, soda, and chocolate intake a few days before your exam can be helpful. 
• Eat and drink as you normally would before your appointment, and take your daily medications too. 
• Don't wear necklaces during the exam, it's best to leave them at home. 

 

• What To Expect After a Mammogram? 

You've made your appointment and have been seen by the doctor, now what? 

• Once you've finished at the doctor's office, you're all set! It is recommended that while at the doctor's to just go ahead and schedule your next visit. 
• The pain and discomfort felt during the exam should stop very shortly after compression, but aching can be felt for a few days after the exam. Using an anti-inflammatory, a heating pad or bath, and avoiding tight clothes can help! 
• Once you're finished, your doctor will send your full results to your healthcare provider along with a summary mailed directly to you. If you don't hear back from your provider 10 days after the exam, make sure to call and check-in. 
• Please know it is very common to be called back after your screening. Your doctor might have found something they want to look at a little closer just to be safe. This call back will most likely lead to more pictures and tests. This is when a diagnostic mammogram is used! 
• You might also need to get an ultrasound on the area doctors want a better look at and an MRI is also possible. 
• You could be told one of three things in this situation; that it is nothing to worry about and to continue with your regular screenings, that it's nothing to worry about but just to be safe you should come back in 6 months, or that it could be cancer and you need to get a biopsy. Remember, even if you do get a biopsy this still doesn't mean you have cancer! 

If you have any more questions about mammograms and the experience of getting one, please do not hesitate to reach out! We are here to answer any questions and calm any worries. Until next time warriors, stay strong and keep fighting! 

When dealing with a breast cancer diagnosis, one of the first things you'll have to deal with head-on is what is true and what is false in the information available to you. Just like any medical diagnosis, you will come across myths and falsehoods that need to be debunked right away. Today we are going to be tackling the top three most common myths about breast cancer.

Hello, Warriors! We hope this blog finds you well and fighting hard. We hope you are keeping up the hope in yourself and your treatment. If no one has told you recently, you are incredible. You are getting up every day and facing every challenge head-on. With how this year has turned out, that is truly an amazing feat. We are constantly blown away by your journies, strength, and how you balance your everyday professional and personal lives while going through treatment and recovery. We are in awe of you and are inspired by you every day. Keep up the incredible work, we believe in you.

Out of everything that you've already been dealing with and what you're going through, one thing you should never have to deal with is incorrect information and myths. We are the biggest proponents of education and early detection, but we also want to eliminate any fear or misinformation due to old wives' tales or poor information that has turned into what seems like it could be true facts. To deal with this, we want to discuss and debunk some of the most common myths about breast cancer.

Myth #1: If I don't have breast cancer in my family history I won't get it; If I do have breast cancer in my family I will get it.
We wanted to roll this into one myth because to a point both myths are incorrect. It is true that if your family's medical history does include breast cancer you will be at a higher risk, but this doesn't mean you will for sure get breast cancer. According to the Susan G. Komen Foundation, only about 13% of women who have breast cancer had a direct relative who was also diagnosed with breast cancer. Also, please be aware that even if breast cancer hasn't been in your family history, this does not mean you won't get it. Breast cancer will appear when it wants to and can happen to anyone at any age. According to BreastCancer.org, most people who do get breast cancer have no family history of it at all, which means other factors besides heredity are most likely the cause. These other factors could be your environment or your lifestyle.

Myth #2 Wearing a bra with an underwire, wearing deodorant, carrying a cellphone in your bra, or using a cell phone can all cause breast cancer.
Please remain calm, if you do any or all of these things, there is nothing to worry about. Keep wearing a bra if you want, use it as a handy pocket for your phone when you need to, put on your deodorant in the morning, and keep up with your nighttime scrolls. None of these statements have actual scientific proof that links them to causing breast cancer. Although, some are still being studied to see if there is a link that could have been overlooked. According to the Susan G. Koman foundation, there are certain chemicals found in certain antiperspirants and deodorants that, "can enter the skin and cause changes that could lead to cancer". Even with that knowledge, there is still no direct link between the two. There is also no direct link between how you use or carry your cell phone that links either activity to breast cancer. There is also no increased risk of getting breast cancer connected to using your phone for long periods.

Myth #3: When you have breast cancer, a lump always forms so you know it's there.
This is very untrue. While discovering a lump can indeed be a sign of breast cancer, our last blog should be proof enough that one lump does not automatically mean you have breast cancer. Actually, most lumps are not connected to breast cancer at all. Sometimes there are no warning signs, while some are slight or drastic physical changes that you can see. Some cancers don't form a lump at all. Any change to the breast that is abnormal for your body could potentially be a sign of the early stages of cancer. When you do notice something, your doctor needs to be alerted right away!

It's easy to get caught up in everything you hear when you're dealing with a breast cancer diagnosis. You want to have something to blame for what you're going through, you want to justify why you have it, and to know what caused it in the first place. Sometimes these answers won't be easy ones to find if you can even find them at all. Do your research, talk to your care team, and try to avoid anyone who thinks they've heard something to share with you. Leave the myths at the door! Be well out there, we know that you're fighting hard. You are not alone in this, and you never will be!

Being diagnosed with breast cancer at any age is difficult. Being diagnosed with breast cancer during your pregnancy can make that difficultly paramount. In this blog, we will be discussing pregnant associated breast cancer and its realities.

We hope that if you've been reading our blog consistently, or have stumbled upon it recently, that there are few things we always want our readers to walk away with; that early detection is key, no one determines how you fight your battle, and to eliminate the stigma that breast cancer only appears later in life. While it is more common to be diagnosed with breast cancer after menopause, we hope that you've seen in our blogs that it is more common than you'd think to be diagnosed at a much younger age. Even more eye-opening, you can be diagnosed during your pregnancy. Just like any condition, there are plenty of rumors and myths floating around the internet. One that we've debunked before is that pregnancy and breastfeeding can cause cancer. While the two are not related, it is still possible to be diagnosed with breast cancer during your pregnancy.

• Pregnancy-associated breast cancer or PABC is when an expectant mother is diagnosed with cancer during pregnancy or in the year or two after her baby is born. Treatment is, of course, looked at with much hesitation when diagnoses comes early in the pregnancy. Generally, most doctors prefer to wait to do surgery and chemo until after the first trimester. We've also talked about this a little bit before in previous blogs. When this treatment is delayed until after the 1st trimester, there are no medical findings or studies that show that it harms the baby. When it comes to radiation or IV therapy, that can be harmful to the baby, and in almost every single case, doctors will wait to use these treatments until after the baby is born. According to the Wiley Online Library, PABC affects 1 in every 3000 pregnancies and is more commonly found in women who what to have children in the 40s or 50s. It is also one of the "most common malignancies to complicate pregnancy". However, according to Johns Hopkins Medicine, recent research has shown that pregnant women diagnosed with breast cancer "do as well or even better than non-pregnant women" when it comes to treatment or recovery. Most women and their children go on to have very healthy and happy lives after they go through their diagnosis and treatment.

• The reason why doctors wait for surgery and chemo until after the 1st trimester is that both could cause birth defects or the loss of the baby. Treatment will of course depend on how far along you are in your pregnancy and how far along you are in your diagnosis. According to Johns Hopkins, if your tumor is estrogen, progesterone, or HER2 positive, certain types of hormone therapy is recommended but will be performed after the baby is born. Surgery can be done during pregnancy and can be followed up with radiation after birth in certain situations.

• One of the biggest challenges you will be facing with PABC is breastfeeding. Surgery on a breast that is lactating can be much more difficult and the chemo or hormonal therapy you could be on can contaminate your breast milk, making it unsafe for your baby. It is recommended to postpone or stop breastfeeding until it is safe to do so. There are lactation specialists that you can add to your care team that can help you make the best decision and help guide you through breastfeeding during your treatment. Depending on where you are in your pregnancy and how far along you are in your diagnosis, if it is safe for the baby and necessary for your treatment, your care team might possibly discuss delivering your baby early. This will allow treatment to begin faster. Any lump or any warning signs found during your pregnancy need to be brought to your doctor's attention right away, just like they would be in any other part of your life. Early detection in this situation is not only crucial for your health but also that of your children.

• Remember that rumor we brought up at the beginning of this blog about how breastfeeding and pregnancy can make it more common to get breast cancer? According to BreastCancer.Org, studies have shown that breastfeeding and pregnancy improve survival rates. When a woman's breast is producing milk, this limits the cell's ability to behave or to act abnormally. This, in turn, will limit the ability for cancer cells to being growing. Also, women have fewer menstrual cycles during the time they spend breastfeeding, which lowers estrogen levels. Lowering these estrogen levels cuts down on the probability of cancer. Not only is breastfeeding good for you and your baby to connect and for the baby to be healthy and happy, but it is also natural prevention against breast cancer. So again, please don't believe everything you read!

Being diagnosed with breast cancer at this point in your life can come with a huge mix of emotions, ranging from joy of expecting your first child to the fear and panic of what could happen next. Please know you are not alone, and that there are many positive options to keep both you and your baby safe and healthy. Never hesitate to reach out to us if you have any questions or concerns, and know we are always here for you!

You fight so hard during your treatment while your body gets beaten up every day. What can you do to make yourself feel better in your daily regime of self-care?

As we've discussed throughout many of our recent blogs, claiming and celebrating who you are is a challenge during breast cancer treatment and recovery. Coming to terms with and allowing yourself to feel positive about how you look, feel, and care for yourself is part of your battle and survivorship journey. Self-care and self-love are just as important to your battle as your doctor's visits are. You might be rolling your eyes as you read that, but think about the days where you felt good or were truly realized through your treatment and recovery. Did you get a good night's rest? Feel like yourself again? Feel good in your skin? Did you take time for yourself and maybe had a bath and a facial?

[Mental Health and How It Feels]
These little moments of good have such a huge and positive effect on your mental health, which is one of the first things affected by your diagnosis and treatment. Improving any part of your health and quality of life during these difficult times can help strengthen your battle. So please, don't turn your nose up at self-care. Before your diagnosis, you had your beauty regime and care that was unique and so wonderfully you. That doesn't have to stop with your diagnosis. It might change and evolve, but that's ok too! In this two-part blog, we are going to be sharing some tips and suggestions on how to have and maintain a beauty regime that celebrates you and is dedicated to making you feel better during and after treatment.

The physical changes that you can see are sometimes harder than the effects that chemo and treatment leave behind. It sinks in when you can see the changes, and not see you looking back in the mirror. Your body hair can be gone, your skin is dry, blotchy and pained, your nails are weak and cracking, the shape of your body can change, and you could have pieces of you removed and then added back, with scars left behind. Every fashion item you used to come into contact with affects you differently than it did before, from how it feels to how it will affect your skin or toenails. Fashion magazines offer little when it comes to positive reinforcements or guidance. Thankfully, designers like Stella McCartney has designed bras for those who have had double mastectomies. Jewelry like statement earrings and necklaces can really pop against scars or bald heads or hide a chemo port. More and more designers are creating comfortable, flattering, and beautiful clothing pieces, head scarfs, and other garments with breast cancer patients in mind. But what about your skin and the rest of your regime?

[Skincare]
Chemo affects your skin in so many ways and can leave your complexion blotchy and even change it completely. Chemo also affects your sense of smell, so anything overly perfumed or has a strong smell can make you sick during or after treatment. Try finding and investing in natural skincare that has little to no fragrance and is paraben-free. Nontoxic beauty products can limit the exposure to harmful chemicals and ingredients while your skin and body are so sensitive and susceptible during treatment. They are also much gentler on the skin, which could have become extremely sensitive as a result of your treatments. This goes beyond facial lotions, washes, and toners. Look into all-natural and fragrance-free nontoxic eyeliners, lipstick, lashes, lash glue, eyebrow pencils, and more. Be mindful, there are toxic ingredients that still exist in manufactured makeup and beauty products that can cause cancer. You don't want to put these in or on your body, as you are already at risk with a compromised immune system. Adding natural deep hydrating lotion and healing ointments can combat whatever chemo does to your skin and soothe it away. Add in under-eye patches, face masks, sheet masks, and at home facial kits to help you relax, care for your skin, and give it a new glow.

When washing, make sure all of your skin is cared for, and not just your face. Use very gentle soaps that also have light or very little fragrance. Avoid products that contain alcohol and put away your antiaging creams and products. Many of which, according to Everyday Health, can irritate your skin even more than it is during treatment. Cornstarch can soothe irritation on your skin, and limiting shaving can help avoid irritation as well. Make sure to limit your sun exposure, and always wear sunscreen. Don't forget to cover your head and always bring your lip balm!

[Makeup Choices]
In the same safe non-toxic and organic world of beauty products, you can add some fake lashes and brows too. The options are staggering when it comes to these products. You can even professionally have sets of eyelashes put in, and you have the option of stencils, stamps, pencils, and eyebrow wigs to fill your eyebrows. Using bronzers and highlight can help with a natural glow without wearing too much makeup, and quartz colors around your eyes and a bold flash of red can make your lips pop!

Please remember, the choice to do any of this is yours and yours alone. Not societies, not a family member, not a friend. Many of our patients use these tips to feel more like themselves, to feel more feminine, and to care for their skin during and after treatment. But, just like your journey through survivorship, it's unique to your personal needs. In the second part of this blog, we will be discussing tips for your nails, regrowing your hair, and hair care.  If you have any questions about this any of our services, don't hesitate to reach out. Continue to fight, be proud of the journey you're on, and be well.

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.