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A woman in need of emotional support during her breast reconstruction journey after battling breast cancer.

The Importance of Emotional Support During Breast Reconstruction: How to Find Help

Written by Breast Reconstruction Associates on . Posted in Breast Cancer, Breast Reconstruction, Womens Health. No Comments on The Importance of Emotional Support During Breast Reconstruction: How to Find Help

Breast reconstruction is more than just a physical journey – it’s an emotional one that touches every aspect of a woman’s life. While much of the focus is often on the surgical procedure itself, the emotional support you receive before, during, and after reconstruction can be just as crucial to your overall healing and recovery. At Breast Reconstruction Associates, we understand that emotional well-being is an essential part of the healing process.

Understanding the Emotional Journey

Every woman’s experience with breast reconstruction is unique, but many share common emotional challenges. It’s important to recognize and address these feelings, as they are valid and part of the healing process. Some of the emotional experiences that patients often face include:

  • Anxiety about the surgical process and what to expect
  • Concerns about body image and how reconstruction will impact self-identity
  • Feelings of grief or loss, particularly if the reconstruction follows a mastectomy
  • Uncertainty about the final outcome and how the reconstruction will look and feel
  • Impact on relationships and intimacy during recovery
  • Worries about recovery time and returning to daily activities

These feelings are normal, and acknowledging them is a crucial part of your overall well-being.

Building Your Support Network

Navigating the emotional landscape of breast reconstruction doesn’t have to be done alone. Building a support network can help you manage the mental and emotional aspects of recovery. Your support system should include both professional and personal resources.

Professional Support

  • Your Surgical Team: Beyond the physical care, your surgeons and nurses can offer emotional guidance, reassurance, and honest discussions about the process.
  • Mental Health Professionals: Counselors and therapists who specialize in breast cancer and breast reconstruction can provide emotional support, help you navigate complex feelings, and offer strategies for coping with anxiety or depression.
  • Support Group Facilitators: Trained professionals can guide group discussions, offering you a space to share and connect with others going through similar experiences.

Personal Support

  • Family and Friends: Open communication with loved ones about your needs and feelings can create a strong support system that nurtures your emotional recovery.
  • Support Groups: Whether in-person or online, connecting with others who understand your experience can be incredibly helpful. These groups offer empathy, advice, and shared wisdom from women who have been through similar experiences.
  • Online Communities: Virtual support groups and forums provide access to support 24/7, especially when you need someone to talk to outside of regular hours.

Tips for Finding the Right Support

  • Start Early: Begin building your support network before surgery. This allows you to feel prepared and empowered when the time comes.
  • Be Specific: Don’t hesitate to tell people exactly what kind of support you need, whether it’s emotional or practical.
  • Stay Connected: Regular check-ins with your support system help maintain emotional well-being and ensure you feel cared for during recovery.
  • Explore Options: Try different types of support to find what works best for you—whether it’s one-on-one counseling, group therapy, or online support.
  • Trust Your Instincts: Choose support resources that make you feel comfortable and understood. It’s important to feel safe and supported in the process.

Professional Resources Available

There are many resources available to help you along your emotional journey during breast reconstruction:

  • American Cancer Society’s Reach To Recovery program – offering peer support from others who have gone through breast cancer and reconstruction.
  • Local Breast Cancer Support Organizations – These groups provide community support, resources, and events for patients.
  • Hospital-Based Support Groups – Many hospitals have groups designed to provide emotional support for women undergoing breast reconstruction.
  • Online Support Communities – Virtual spaces where you can connect with others anytime, anywhere.
  • Professional Counseling Services – For those seeking personalized therapy during the reconstruction process.

How We Can Help

At Breast Reconstruction Associates, we understand that emotional support is a vital component of your reconstruction journey. Our team is committed to providing care that addresses both your physical and emotional needs. We offer:

  • Connections to local support groups and resources
  • Referrals to mental health professionals who specialize in breast cancer and reconstruction
  • Educational materials for you and your family
  • Extended consultation times to address your concerns and questions
  • A compassionate team ready to support you through every step of the process

Moving Forward

Remember, seeking emotional support is not a sign of weakness – it is a powerful step toward healing and recovery. Every woman deserves to feel supported and understood during her reconstruction journey. Whether you are considering breast reconstruction or are already on your path to recovery, we are here to help guide you every step of the way.

Would you like to schedule a consultation to discuss your reconstruction journey and learn more about our support services? Contact our office to speak with our caring team at Breast Reconstruction Associates.

Patient considering breast reconstruction surgery with a checklist of important factors to discuss with a doctor.

Before Undergoing Breast Reconstruction Surgery, 10 Things to Consider

Written by Breast Reconstruction Associates on . Posted in Breast Cancer, Breast Reconstruction. No Comments on Before Undergoing Breast Reconstruction Surgery, 10 Things to Consider

Breast reconstruction surgery is a crucial step in the recovery process for many breast cancer survivors. But with the overwhelming amount of information available, it can feel like trying to drink from a fire hydrant. Here’s a concise checklist to help you make informed decisions about your treatment plan.

1. Research Thoroughly

When faced with a breast cancer diagnosis, it’s natural to want to expedite your treatment. However, taking the time to understand all your options is vital. Consult reputable sources and discuss your choices with your doctors to ensure you’re making well-informed decisions.

2. Talk to Your Doctor

While online support groups and patient forums can provide valuable support, every patient’s situation is unique. It’s essential to address questions specific to your care directly with your doctor for the most accurate and personalized information.

3. Make the Best Decision for You

Breast reconstruction is a highly personal decision influenced by various factors. Involve your spouse, family, or support system in consultations to help weigh your options. Ultimately, the decision must be best for YOU in your current situation.

4. Plan Ahead

Surgery requires a recovery period that varies depending on the type of work you need to resume. Discuss the expected recovery time and post-op restrictions with your surgeon to adequately plan with your support system and employer.

5. Choose Your Breast Size

Your pre-operative body habitus will influence the size of your breast reconstruction. During your consultation, your surgeon will discuss your ideal breast size and show you photos of patients with similar body types to help set realistic expectations.

6. Know Your Timeline

At Breast Reconstruction Associates, our goal is to complete your reconstruction in as few surgeries as possible. Ask your surgeon how many surgeries they anticipate and the timing of each one. This timeline may need adjustment to prioritize your cancer treatment.

7. Understand Your Post-Surgery Appearance

Looking at photos of other patients who have undergone the surgery can alleviate fears. At Breast Reconstruction Associates, we review photos with patients to provide an accurate visual of what to expect regarding scar patterns and overall appearance.

8. Ask Questions

Don’t hesitate to ask any questions you have. Make a list of all your concerns and go through them with your doctor to ensure you have clarity and peace of mind.

9. Consider Your Nipples

Some patients may have the option of keeping their nipples through a nipple-sparing mastectomy, depending on the tumor’s location and nipple position. If not, options like nipple reconstruction or 3D nipple areola tattoos can complete your reconstruction.

10. Understand the Goal of Reconstruction

Discuss realistic expectations with your plastic surgeon and understand the difference between reconstructive and cosmetic surgery. The goal is to restore what cancer took away, allowing you to fit clothing evenly without needing a prosthesis. It’s a life-changing experience that requires time and perspective to accept and love your new reconstructed self.

Conclusion

Take the necessary time to research and understand your options before moving forward with breast reconstruction surgery. For more information, visit Breast Reconstruction Associates.

Breast cancer awareness and prevention tips for 2024

How Common is Breast Cancer? Updated for 2024

Written by Breast Reconstruction Associates on . Posted in Breast Cancer, Womens Health. No Comments on How Common is Breast Cancer? Updated for 2024

Breast cancer is the most common malignancy affecting American women, with one in eight women diagnosed during their lifetime (12.5% risk). There are several risk factors that can affect a woman’s risk, some of which are modifiable while others are out of our control.

Modifiable Risk Factors

  • Body Mass Index (BMI): Weight can significantly increase a woman’s risk for developing breast cancer as adipose (fat) tissue stores estrogen. Being overweight or obese increases estrogen exposure and cancer risk. Maintaining a healthy BMI is essential not only to lower your breast cancer risk but also to decrease the risk of recurrence if you are a breast cancer survivor. A balanced, nutritious diet and avoiding processed foods play crucial roles in achieving this.
  • Alcohol Consumption: The more alcohol you consume, the higher the risk of developing breast cancer. Limiting your intake to less than 3 to 4 drinks per week is recommended.
  • Tobacco Use: Nicotine use increases breast cancer risk and inhibits wound healing. It’s crucial to quit all nicotine products before undergoing surgical management.
  • Physical Activity: A sedentary lifestyle can increase your risk for breast cancer. Aim to engage in at least 150 minutes of exercise per week, though ideally, you should aim for 300 minutes for optimal risk reduction.
  • Hormone Replacement Therapy (HRT): Combination HRT (estrogen/progesterone) increases breast cancer risk. Most women must stop these medications once diagnosed. It’s especially important to perform routine self-breast exams and screening mammograms while taking HRT.

Non-Modifiable Risk Factors

  • Age: Breast cancer is predominantly diagnosed in women over the age of 50.
  • Gender: While women are overwhelmingly more affected by breast cancer than men, men constitute 2% of all breast cancer diagnoses each year. Men should also be aware of this risk and practice breast awareness.
  • Genetics & Family History: Certain genetic mutations like BRCA1 and BRCA2 can increase the risk of developing breast cancer. Other genes include CHEK2, PALB2, and ATM. Even if genetic testing is negative, a family history of breast cancer can still place you at higher risk.
  • Lifetime Estrogen Exposure: Early menstruation (before age 12), late menopause, delaying childbirth after age 30, or not having children at all increases estrogen exposure and breast cancer risk.
  • Atypical Breast Cells: Not every breast biopsy is malignant; many are benign like fibroadenomas or cysts. However, some biopsies reveal high-risk lesions like atypical ductal and lobular hyperplasia and lobular carcinoma in situ.

While breast cancer rates have been increasing, more women are surviving this diagnosis thanks to increased awareness, early detection, and improved treatment options. If you have been diagnosed with breast cancer or a genetic mutation and are considering breast reconstruction surgery, reach out to us at our Fort Worth, Austin, Bozeman, or Oklahoma City offices. At Breast Reconstruction Associates, we are committed to our patients’ overall health and reconstructive goals.

Learn more about breast cancer prevention and modifiable risk factors to take proactive steps in reducing your risk.

For more information and personalized advice, book a call with one of our specialists today!

Common Plastic Surgery Risks | Breast Reconstruction Dallas Forth Worth, Austin & Oklahoma City, OK

Surgical Risks of Breast Surgery and Reconstruction

Written by Breast Reconstruction Associates on . Posted in Breast Cancer, Breast Reconstruction, Womens Health.

Making the decision to undergo surgery, regardless of the operation, can be overwhelming. At Breast Reconstruction Associates, we understand that discussing the surgical details in plain English as well as reviewing the potential risks involved imparts the needed information that leaves patients feeling informed and confident.

A few of the general risks associated with any surgery are bleeding, infection of the surgical site, blood clots, and adverse reactions to general anesthesia. During your consultation with your plastic surgeon, you will review these general risks as well as the risks specific to breast surgery and/or reconstruction in detail. Although most women do not experience the following complications, here is a brief preview of the risks that will be covered in your discussion:

Fluid collections

Fluid or blood (seroma or hematoma) may accumulate between the skin and underlying tissues following surgery. Drains may be left in place after surgery to prevent this accumulation. Should this problem occur after drain removal, it may require additional procedures for drainage of the fluid.

Changes in sensation

The surgery will alter the sensation to the nipple, areola and surrounding breast skin. It’s important to discuss the possible extent of these changes with your surgeon, as it will depend on what type of surgery has been recommended for you.

Potential loss of the nipple-areola complex

If you are having a procedure that spares the nipple and areola, there is a risk of decreased vascular supply to these structures which can lead to necrosis (or death). This can either be self-limiting or require intervention.

Mastectomy flap necrosis

The breast skin remaining after mastectomy can have trouble healing from a lack of blood supply. When the blood supply is low enough, breast skin can die.  This is more common in larger breasted women.  Tobacco use and previous radiation history can also increase the risk of mastectomy flap necrosis.

Delayed wound healing

Wounds may separate after surgery. This may require daily home wound care or further surgery to correct the defect.

Microvascular thrombosis

Autologous breast reconstruction is associated with the risk of clot formation within the artery or vein providing circulation to the flap. This most commonly occurs during surgery but can happen afterwards, usually within the first 24-48 hours after surgery. This requires a second operation to attempt salvage of the tissue. The risk of this occurring is low and will be discussed in further detail with your surgeon.

Failure of the reconstruction –

Regardless of the method selected (implants, DIEP flap, or other flap), the reconstruction can fail which leaves the patient with a flat chest wall.  Alternative methods would be considered if the patient elects to proceed with secondary reconstruction. In general, in properly selected patients, failure is uncommon.

At Breast Reconstruction Associates, we are committed to helping you navigate your surgical options, weigh the risks and benefits of surgery, and make the best decision specific to your care.  Reach out to our plastic surgery office in Fort Worth, Austin or Oklahoma City if you have questions. We are here as a resource for you.

Breast Surgery for Older Women | Breast Reconstruction Associates

Breast Surgery for Older Women

Written by Breast Reconstruction Associates on . Posted in Breast Cancer, Breast Reconstruction, Womens Health.

Breast cancer is the most common malignancy affecting American women with 1 in 8 women diagnosed during their lifetime.  There are several risk factors involved in the development of breast cancer, some of which are modifiable (weight/BMI, hormone use, smoking and alcohol use) while others cannot be changed or controlled (age, genetics).  Increasing age is considered the most significant risk factor for this diagnosis, and it may contribute to the treatment decisions as chronologically advanced women may have other co-morbidities that must be considered.

As we age, our organs experience various changes that can affect surgical healing.  For example, the skin becomes thinner and has less connective tissue like collagen and elastin, all of which can lead to delayed healing.  While we cannot reverse this physiologic process, we can control other components like smoking. All nicotine products cause vasoconstriction, which makes it more difficult for the arteries to deliver necessary oxygen and nutrients to all organs and tissue.  Smoking and the use of nicotine products exponentially increases the risks of surgery and can sometimes disqualify a patient from reconstructive surgery.  We prefer that any patient undergoing reconstructive surgery be off all nicotine products for at least 6 weeks.

General anesthesia is required during breast reconstructive surgery whether using implants or autologous aka tissue-based reconstruction.  At Breast Reconstruction Associates, we use a two-surgeon team on all autologous cases to minimize the length of surgery and therefore the amount of anesthesia, which directly correlates to quicker recovery times.  Age is a consideration for these surgeries as there are increased risks of post-operative delirium and post-operative cognitive dysfunction in patients aged 65 and older.  These patients are at higher risk if they have an established diagnosis of any form of cognitive impairment.

At Breast Reconstruction Associates, we offer various reconstructive options for our patients and always involve the patients in this discussion and decision process.  Each patient is unique due to their age, medical and family history, and tumor profile among many other considerations.  We want to work with you and your breast cancer team to determine the best possible outcome, so please contact us today to set up a consultation.

Sources:
“Preparing for Surgery – Age Risks,” American Society of Anesthesiologists, https://www.asahq.org/whensecondscount/preparing-for-surgery/risks/age/.

How Common is Breast Cancer? | Breast Reconstruction Associates

How Common is Breast Cancer?

Written by Breast Reconstruction Associates on . Posted in Breast Cancer, Breast Implants, Breast Reconstruction.

Breast cancer is the most common malignancy affecting American women with one in eight women diagnosed during their lifetime (12.5% risk). There are several risk factors that can affect a woman’s risk, some of which are modifiable while others are out of our control.

Modifiable Risk Factors:

  • Body Mass Index (BMI) – Weight can significantly increase a woman’s risk for developing breast cancer as adipose aka fat tissue stores estrogen. Being overweight or obese increases estrogen exposure as well as cancer risk. It is important to maintain a healthy BMI to not only lower your breast cancer risk, but also decrease the risk of cancer recurrence if you are a breast cancer survivor. Your diet plays into this as well so it is important to eat a balanced, nutritious diet and avoid processed foods.
  • Alcohol consumption – This is an exponential risk factor in that the more alcohol you consume, the higher the risk of developing breast cancer. You should limit your intake to less than 3 to 4 drinks per week.
  • Tobacco use – As with most malignancies, nicotine use increases breast cancer risk. It also inhibits wound healing, so it is important to quit all nicotine products before undergoing surgical management.
  • Physical Activity – A sedentary lifestyle can increase your risk for breast cancer as well. Ideally, you should increase your exercise routine to 300 minutes per week, but risk reduction is observed at 150 minutes per week.
  • Hormone Replacement Therapy – Combination HRT (estrogen/ progesterone) increases breast cancer risk. Most women must stop these medications once diagnosed. It is especially important to perform routine self-breast exams and screening mammograms while taking HRT.

Non-modifiable Risk Factors:

  • Age – Breast cancer is an aging woman’s disease with a majority of cases diagnosed after the age of 50.
  • Gender – Women are overwhelmingly more affected by breast cancer than men, but men constitute 2% of all breast cancer diagnoses each year so it is important for men to practice breast awareness as well.
  • Genetics & Family History– Certain genetic mutations can increase a woman or man’s risk of developing breast cancer. Most people are aware of the BRCA1 and BRCA2 genes, but there are several other genes that increase this risk as well (CHEK2, PALB2, ATM to name a few). Even if genetic testing is negative for these mutations, patients are still considered to be at a higher risk than the general population if they have a family history of breast cancer.
  • Lifetime Estrogen Exposure – Starting menstruation before the age of 12, menopause at a later age, and delaying childbearing after the age of 30 or not having any children all lead to increased estrogen exposure and ultimately breast cancer risk.
  • Atypical breast cells – Not every breast biopsy is malignant; many are benign like fibroadenomas or cysts. There are some biopsies considered high risk lesions like atypical ductal and lobular hyperplasia and lobular carcinoma in situ.

While breast cancer rates have been increasing over the years, the good news is that more and more women are surviving this diagnosis. This is largely due to increased patient awareness and early detection as well as improved and increasing treatment options. If you have been diagnosed with breast cancer or a genetic mutation and are considering breast reconstruction surgery, reach out to us at our Fort Worth, Austin or Oklahoma City offices. At Breast Reconstruction Associates, we are committed to our patients’ overall health and reconstructive goals.