Risks of Complications in Implant Post-Mastectomy Breast Reconstruction

The two most important risk factors of implant loss after post-mastectomy breast reconstruction are smoking and obesity.  Those women who do smoke or are obese are more likely to suffer complications during their reconstructive procedure, as reported in a recent published article.  Such complications include early implant loss, infection, wound complications, additional revisionary procedures or need for flap procedures.

Other risk factors include diabetes, heart or lung disease, history of radiation therapy, and age.  The study also cited age >55, undergoing bilateral breast reconstruction, and undergoing direct-to-implant breast reconstruction as being associated with a higher risk of complications.

Thankful

Feeling just how much of an impact a friend can affect your life...what an inspiration to me as a person. Truly adoring her and thankful for having her in my life.

Breast CA/Reconstruction Radio Talk

Following is a link to a recent 4part series on Breast Cancer/Breast Reconstruction.  I was asked to discuss the topic of breast reconstruction on Main Street Out Loud with Rudi K hosted every Sat 3PM - KKNT 960AM radio.  See and listen to the 3rd Part of the Series of my discussion on breast reconstruction - implications/insurance/options/breast reconstruction/DIEP flaps.

http://www.mainstreetoutloud.com/id10.html

Hope this is helpful!

October 2013

Breast Cancer Patient Education Act introduced in Congress

During Women's Health Week (May 12-18), the Breast Cancer Patient Education Act (S.931/H.R. 1984) was introduced in both the Senate and House of Representatives.  This would direct the Health and Human Services to create an educational campaign to assist women understand their options for post-mastectomy breast reconstruction preoperatively.  As we know, a majority of women are unaware of this option, and thus, most women do not have reconstruction of the breast following mastectomy for that reason - because she is not aware of this option. 

This legislation would require the Health and Human Services Department to create information about reconstruction options for women.  Such educational materials would will hopefully inform women that breast reconstruction is possible at the time of their breast cancer surgery, or anytime after that.  It would also inform them of immediate, delayed, and no reconstruction.  Also, information will be given in regards to post-mastectomy breast prostheses, if no reconstruction is chosen.  Any educational materials will certainly inform breast cancer patients that federal law mandates the coverage of breast reconstruction in accordance with the Women's Health Rights and Cancer Act. 

We truly support and commend the Plastic Surgery Society in our efforts and hope that this will make a big impact on the breast cancer patients. 

Another FDA approval for a "gummy bear" implant

Recently, the FDA has approved the Mentor MemoryShape CPG implant.  This adds the 3rd company to have an anatomically-shaped breast implant in the U.S.  The "gummy bear" implant has been widely available worldwide for the past decade. 

With the approval of such form-stable, "gummy bear" implants, the use not only in breast augmentation, but also for breast reconstruction are heightened.  It gives another option for implant-based reconstruction to women, as each woman is different. 

Furthering awareness of breast cancer and breast reconstruction

The most prominent news in breast cancer today is the recent announcement by actress Angelina Jolie of her opting for bilateral prophylactic mastectomy (removal of both breasts) due to her high risk of developing breast cancer in the future, although she does not have breast cancer now.  It began with her mother's recent fight with ovarian cancer, which then led to testing for a gene linked to both of these cancers.  It ended up that she does have the BRCA1 gene, which poses approximately between 65-87% risk for developing breast cancer throughout the afflicted person's lifetime.  In addition, there is also an association with ovarian cancer. 

With this gene, it is recommended to have both breasts and ovaries surgically removed.  Angelina Jolie did undergo bilateral mastectomy, followed by immediate implant-based breast reconstruction.  She relates having a nipple-sparing mastectomy, in which the nipples are spared, as long as there was no diagnosed cancer in the ductal tissue when tested.  Breast reconstruction is certainly an option for any woman after a mastectomy.  She said that she hoped that other women would find encouragement from her story.

"I choose not to keep my story private because there are many women who do not know that they might be living under the shadow of cancer," Jolie said in the Times article. "It is my hope that they, too, will be able to get gene tested, and that if they have a high risk they, too, will know that they have strong options."

"I choose not to keep my story private because there are many women who do not know that they might be living under the shadow of cancer. It is my hope that they, too, will be able to get gene tested, and that if they have a high risk they, too, will know that they have strong options."

Here is the link to her New York Times op-ed piece:
http://www.nytimes.com/2013/05/14/opinion/my-medical-choice.html?_r=0

I would hope that this announcement by such a prominent figure helps even more in the fight against breast cancer, not only in awareness and options, but in research, funding, and eventual cure of this disease.