Hello, Warriors! How are you feeling? Thank you for taking time out of your active schedule to visit The Breast Place blog. Welcome! We cover a range of topics here, including breast cancer management, anti-aging skin treatments, and tips for overall health and wellness. The Breast Place is committed to sharing the best health practices and treatment options with you! While you’re here, be sure to check out our previous posts about the importance of genetic testing and male breast cancer! 
 
Today, we’re discussing the intricacies of breast reconstruction. There’s a bunch of information available to those looking to undergo breast reconstruction. We wanted to make things easy and give you an in-depth look into the options available to you. We hope this makes your decision a bit easier!
 
The Facts
 
Women who have undergone a double mastectomy (which includes the full removal of both breasts), a mastectomy (which includes the full removal of single breast), or a lumpectomy/segmental mastectomy (which includes the removal of a portion of the breast), often choose to also undertake a breast reconstruction. A breast reconstruction is a medical procedure which involves replacing the tissue which was removed during the mastectomy in order to alter the aesthetic appearance of breasts. According to studies conducted in 2016, 40% of women who underwent a mastectomy went on to have reconstruction surgery. In 2018, 101,600 women in the United States alone underwent breast reconstruction surgery, according to the American Society of Plastic Surgeons (ASPS) and the Plastic Surgery Foundation. 
 
Considering how many women undergo breast reconstruction every year, it’s astounding only 23% of women are knowledgeable about their breast reconstruction options. This is why the next section will be devoted to a comprehensive overview of the options available to women looking to undergo reconstruction. 
 
The Options
 
There are two time-based factors which alter the type of surgery you’ll undergo. The first type of reconstruction is immediate reconstruction. An immediate reconstruction, as the name suggests, occurs immediately after a mastectomy. This type of reconstruction is more common, with three-fourths of reconstruction patients adhering to this type. The positive attributes of an immediate reconstruction include improved aesthetic results, heightened psychological well-being post-operation, and lower costs. Patients are able to mitigate a bit of the body dysphoria which can accompany a mastectomy, as well as lessen scarring, with this method. However, immediate reconstruction can be associated with more postoperative complications when postmastectomy radiation therapy is required. 
 
The second type of reconstruction is delayed reconstruction. This type of breast reconstruction is done some time after the initial mastectomy and is much less common. The reason for this is because multiple surgeries mean further healing, multiple scars, and longer downtime. However, unlike immediate reconstruction, this type is not associated with higher risk of complications when combined postmastectomy radiation therapy. Therefore, this type might be recommended for breast cancer patients who still have a ways to go in their treatment, even after their mastectomy. 
 
Underneath the broader umbrella of immediate and delayed, there are further types of breast reconstructions, which are differentiated by their chosen makeup. Implant-based reconstruction (IBR) is the first type and 81% of breast reconstructions consist of this type. Further, within IBR, there are two subsets: single-stage (or direct-to-implant placement) and two-stage. The single-stage IBR entails a single surgery, during which the chosen implant is the only implantation. While the two-stage IBR entails two surgeries, the first of which includes the placement of a tissue expander, and the second of which includes the placement of the permanent implant. Two-stage is actually the more common of the two subsets of IBR, with 68% of women receiving this type. 
 
Beyond single-stage and two-stage, there’s also the choice between silicone or saline implants. Silicone implants are known to have a more natural appearance and feel, which results in greater levels of patient satisfaction. Thus, silicone implants are used in about 95% of breast reconstructions. 
 
We’re still not done with IBR, because patients also need to consider the anatomic plane in which their implant will be placed. There are three planes in which the implant could reside: the total submuscular, the partial submuscular, and the prepectoral. Which anatomic plane you choose can affect the final appearance of the breasts after reconstruction and the risk of unintended side effects. Therefore, you should conduct plenty of research and ask your doctor about the implications of each plane. 
 
While a total submuscular placement lends vascularized soft tissue coverage and does not require the additional placement of an ADM (discussed later), this plane limits the overall size of the implant and has a high rate of animation deformity. Animation deformity is characterized by a distortion of the reconstructed breast when in motion (such as when the major pectoralis muscle is contracted). Around 80% of breast reconstruction patients whose implants are placed on the total submuscular plane experience this deformity. 
 
A partial submuscular placement with the additional use of an ADM reduces the risk of animation deformity. An ADM, or an adjunctive acellular dermal matrix, acts as a support system for the chosen implant. Whether derived from human sources (allografts), animal sources (zenographs), or synthetic materials, ADMs are scaffolding which serve to revascularize and integrate host cells into the newly placed tissue. ADMs can reduce the rate of capsular contracture and improve aesthetic definition, but also carry the risk of infection and seroma.
 
Prepectoral plane placement with the use of an ADM is the only IBR which does not carry the risk of animation deformity. As well, since this type does not require surgeons cut into the pectoralis muscle, this method is less painful overall. However, compared to the other types discussed above, there’s been little research done into its efficacy in terms of aesthetics or harmfulness. 
 
Meanwhile, the other 19% of breast reconstructions outside of IBR consist of autologous reconstruction (AR). Autologous reconstructions utilize the patient’s own tissue for the reconstructive implant. Therefore, types of AR are differentiated by the anatomic region where the tissue flap is harvested. The most common source area is the deep inferior epigastric (DIEP), which consists of the skin and fat located along the lower abdomen. 52% of AR use this region. The second most common source area is the latissimus dorsi (LD), which is the broadest muscle along the side of your back. 22% of AR use this region. There are lower rates of usage among the transverse rectus abdominis myocutaneous (TRAM), which form the deep abdomen, and other regions. Depending on your comorbidities, past surgeries, and preferences prior to surgery, your doctor may recommend one harvest site over another. 
 
Your Truth
 
Federal law dictates any insurance company which covers mastectomy must also cover breast reconstruction surgery, however you’ll still need to look into what exactly your insurance company will cover. Beyond this, you’ll need to ask yourself a few questions. How well do you understand the entire breast reconstruction process, from pre-op preparation to recovery from multiple surgeries? Do you feel adequately prepared both mentally and physically to undergo this process? If you’re still currently undergoing treatment for cancer, how will breast reconstruction affect your treatment? 
 
There’s a likelihood your breast reconstruction will not result in your breasts appearing as they did pre-mastectomy. In this event, will you be able to manage your resulting emotional response? It's better to ask yourself these questions in advance and be honest about your answers. If you have concerns about breast reconstruction, bring them up with your medical provider. With clarity and time, you may solidify your certainty about whether or not breast reconstruction is right for you. 
 
Your Support
 
A support system is crucial following any surgery, for emotional reasons as much as practical reasons. While you will probably need someone’s help during your recovery process, nothing is more helpful than a community in which you can discuss your journey. As we quoted above, more than one-hundred thousand women undergo this process every year. There are Facebook groups and online chat rooms where you can learn more about the process you’re about to undertake and ask women who have already undergone the process for their perspective. The value of community resources cannot be underestimated.
 
 
The Breast Place is dedicated to provide you with the options and support you need to make the best decision for your breast reconstruction. We offer natural reconstruction (i.e. AR) and impact reconstruction (i.e. IBR) services, as well as nipple-sparing mastectomy, breast lift and breast reduction. Breast reconstruction is about more than just aesthetics. It's about feeling your best in your body and taking the proper steps to do so. For a free consultation, reach out to us today. Thank you for reading and we look forward to hearing from you!

While we offer so many different kinds of services for our warriors and anyone who comes into our offices, skincare and body care is a big part of what's important to us and what we give to our patients every day! 

Hello to all of our warriors, friends, supporters, and readers! We are so thrilled you're back reading the blog and here to read more about the many different ways The Breast Place can make you feel better, look better, and how you can enjoy a little more out of your everyday life. In our last blog, we debunked some of the top myths about botox, and it got us thinking about all of the products, services, and merchandise we offer here at The Breast Place for all of our patients and patrons. It also got us thinking that we needed to remind all of our readers that everyone is welcome to come visit and work with us. Our offices aren't limited to a certain age group, and we are open to anyone who wants to make their bodies feel and look better. We are here for those incredible warriors who are fighting every day against that tyrant silent killer, breast cancer, and for those who are looking to support their body's natural health to make them feel better with a multitude of skin and body care. So, that inspired us to give a little blog overview on some of our many services and why they are both important and beneficial to those who get them! 

1. Laser Hair Removal

Sometimes hair doesn't always grow where you want it to. It certainly can have a mind of its own and appear wherever it chooses to! Hair in unwanted places can affect self-confidence and mental well being, both of which are very important to us and we fight hard to help our patients keep healthy and strong. Treatment can also sometimes affect where and how your hair grows. The Breast Place is now offering laser hair removal in the office with the latest laser technology. What are some of the other benefits of laser hair removal on top of adding to a strong mental health foundation and good self-confidence? There might be a few more than you realize. 

• One of the biggest reasons why many of our patients get laser hair removal is the cleanliness it offers, and that it helps avoid ingrown hairs. Ingrown hairs can appear in some very inconvenient places, can be very painful, and can lead to some pretty serious infection.
• If you are someone who has very sensitive skin and has difficulty with shaving due to the pain and irritation that shaving and waxing can cause you, this is an excellent option to have the smooth skin you want without the irritation and pain. 
• Waxing can come with an array of pros and cons. One of the most difficult is that to get a well done and beneficial wax, you need to let your hair grow out all the way in between waxings, which seems a little counterproductive. This can land you back into some awkward situations dealing with hair on your extremities that you didn't want to have in the first place. With laser hair removal, you can shave as often as you'd like in between treatments. 
• After every treatment, your hair will grow back thinner and softer than it was before! So thick patches of hair will be a thing of the past. The effects also last much longer, and your skin will stay smoother and hair-free longer. 
• The actual process of treating multiple different size areas can happen relatively quickly and can lead to permanent hair loss in your chosen lasered areas after only a few sessions. Those dark and coarsely difficult hairs can be targeted and taken care of without any damage done to your skin 

2. Body Contouring 
No matter how hard you work out, no matter how much you diet, and after going through some very big life changes like having a baby, your body will always decide what it wants to do with the fat in your body. Somehow, it always tends to stay in the places we hate the most, and no amount of push-ups, crunches, mountain climbers, or burpees can chase it away. After any life challenge or natural challenge, unwanted fat can hang around no matter how hard you work. In as little as 15 minutes per treatment, you can target those unwanted areas on your lunch break with no downtime and resume your daily activities right away! The muffin top, love handles, lower abdomen, and "bra-fat" can be treated with our non-invasive body contouring done in the office. Outside of these wonderful benefits, what are some other benefits that body contouring can give you? 

• After you've spent what could be years dieting and exercising to get down to your goal weight, the number on the scale might not bring you as much joy as you expected. Sometimes, in these situations, you are left with excess skin. Being able to remove it can make you feel better and look how you want after you've put in so much work. This procedure can also improve how you feel when those stubborn areas are finally gone. It can help eliminate any unwanted jiggling, chafing, you can avoid weight interference, and everyday tasks can finally be pain-free and easier to do with that stubborn excess fat gone! 
• The results are ones that you just can't beat, for most they are long-lasting effects, if not permanent, and can finally give you the look and confidence that you've been wanting. 
• What's great about a non-invasive procedure is that it allows you to heal quicker, have an incredibly mild recovery, and it doesn't get in the way of your life. You can start looking and feeling great without having to put your life on pause before you do so. Also, it means much less risk than other weight loss surgery and doesn't put the physical stress on it that bypass and other surgeries can do to your body. It highly reduces infection, pain, ulcers, and weight gain compared to other surgery. 
• We understand that surgery isn't for everyone, and we also understand that not all bodies can go through surgery safely. With non-invasive body contouring, this weight loss procedure can be done on anyone, any shape, and for any amount of weight that needs to be lost. 
• It can help reduce the visibility of cellulite on your body in those hard to reach and hard to exercise locations. It can also help get rid of and pause any unwanted lines and wrinkles in your skin by helping promote healthy, strong, and tight skin. 

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3.Facial Rejuvination
You live your life to the fullest and through each trial and celebration that comes with it. While we all work hard to care for our skin and to let it age how we choose, our bodies and our skin makes those decisions. That's where facial rejuvenation comes into play. To keep you looking young even after the effects of treatment, raising children, menopause, or surviving life’s challenges, we now offer facial rejuvenation services, Botox/Dysport, and dermal fillers! Laser resurfacing is used to address pigmentation issues like melasma and sunspots, micro-needling with radiofrequency is to promote collagen rebuilding and with no downtime. Laser resurfacing is the newest technology aiding in rejuvenation and antiaging. If you are concerned with fine lines, wrinkles or redness like rosacea, our Cutera Excel V+ laser treatments are right for you. Paired with the best skin products for optimal results, we hope to empower you to look and feel your best at all times. Outside of all this incredible information, what are some more positive benefits of facial rejuvenation? 

• Our skin reacts and is a product of everything we do. It is affected by our stress, our diets, the sun, exercise, smoking, and much more. Each of these very natural and common practices and choices can lead to the deterioration of the skin. Facial rejuvenation can help slow this down and reverse much of that deterioration. It can also help with scars left behind from acne. 
• Ever feel like the skin on your face is never as clean as you want it to be? Even after a huge amount of product and lotion? Facial rejuvenation can help with this and leave your skin feeling much healthier and cleaner than you could imagine. 
• As you age, even with proper sun protection and doing everything by the book, your skin can begin to change color, could become discolored, and your skin tone could become very uneven. Fail rejuvenation helps with all of this! It can help reduce or get rid of age spots, broken blood vessels, age spots, and more! 
• As we age, our skin begins to weigh a little bit more than we remember, and it can begin to sag in some of our least favorite places. Facial rejuvenation helps tighten your skin around your cheeks, jawline, eyes, and more. This can help make the face look rested, refreshed, and healthier. 
• While we age, your body's amount of collagen production begins to slow down. Facial rejuvenation can help the production speed back up. It can also get rid of that "double chin" effect by eliminating the extra fat in that part of your body! 

There you have it! An insider's look into just three of our many services and products. Can you believe the number of benefits that come from just these three services? There are so many wonderful reasons why these and all of our services are incredibly beneficial for all of our patrons, warriors, and friends that come to our offices! If you have any questions about these or any of our services, please don't hesitate to reach out to us. We would love to speak with you about the many ways we could help improve your life with one or all of our treatments. While this blog was dedicated to skincare and much more, we are still the best breast cancer center in Charleston! Be well out there, we know that you're fighting hard. You are not alone in this, and you never will be!

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!