So what are "perforator flaps"?
Pioneered in the early 1990's, perforator flap breast reconstruction represents the state of the art in breast reconstruction surgery after mastectomy. The tissue removed at the time of mastectomy may be replaced with the patient's own warm, soft, living tissue to recreate a "natural" breast.
Skin, fatty tissue, and the tiny blood vessels that supply nutrients to the tissue ("perforators") can be taken from the patient's abdomen (SIEA flap and DIEP flap procedures) or buttocks (GAP flap procedure).
Unlike conventional tissue reconstruction techniques (like the TRAM flap), these microsurgical perforator flap techniques carefully preserve the patient's underlying musculature. The tissue is then transplanted to the patient's chest and reconnected using microsurgery.
Preserving underlying muscles lessens postoperative discomfort making the recovery easier and shorter, and also enables the patient to maintain muscle strength long-term. This is particularly important for active women.
While microsurgical breast reconstruction offers many advantages to the patient, the surgeries are very complex and time-consuming and specialized training is required. Our surgeons perform over 300 microsurgical breast procedures per year making PRMA Plastic Surgery one of the busiest breast reconstruction centers in and beyond the USA.
To learn more about each of the perforator flap techniques offered at PRMA please click on the following links:
DIEP flap
SIEA flap
GAP flap
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Dr Chrysopoulo is board certified in Plastic and Reconstructive Surgery and specializes in breast reconstruction surgery after mastectomy for breast cancer. He and his partners perform hundreds of microsurgical breast reconstructions with perforator flaps each year. PRMA Plastic Surgery, San Antonio, Texas. Toll Free: (800) 692-5565. Keep up to date with the latest breast reconstruction news by following Dr Chrysopoulo's Breast Reconstruction Blog.
******
Showing posts with label diep flap texas. Show all posts
Showing posts with label diep flap texas. Show all posts
Wednesday, December 19, 2007
Sunday, September 30, 2007
PRMA Sponsors Bold Breast Reconstruction Calendar
For Immediate Release: September 24, 2007
PRMA of South Texas, a leading cosmetic and plastic surgery practice in San Antonio, Texas is sponsoring a unique effort to inform and educate breast cancer patients about their options after mastectomy.
“Life is a Carnival,” a bold approach to mastectomy and breast cancer reconstruction education, is a 14-month calendar featuring photos of women who had breast reconstruction after mastectomy and those who didn’t. The calendar is published by Facing Our Risk of Cancer Empowered (FORCE), the only national nonprofit organization for families affected by hereditary breast and ovarian cancer. “More than just a calendar, ‘Life is a Carnival’ is an intimate collection of real women courageously sharing their bodies and their experiences to help others understand their choices,” said Sue Friedman, FORCE Executive Director. “Our calendar celebrates life after mastectomy. As these breast reconstruction photos attest, life after mastectomy— with or without reconstruction—does go on.”
Mastectomies are performed to treat various types of breast cancer. Increasingly, more women—including very young women—with a family history of the disease are choosing preventative (or prophylactic) mastectomies to reduce their lifetime risk of developing breast cancer, which can be as high as 85 percent. Choosing the best way to reconstruct breasts lost to mastectomy, or whether to reconstruct them at all, can be confusing and overwhelming. “Life is a Carnival” provides a unique way to explore options, consider different restorative techniques and make informed decisions when it comes to mastectomy reconstruction. “Today, women have many reconstructive options after mastectomy,” said PRMA’s Dr. Minas Chrysopoulo. “We’re proud to sponsor ‘Life is a Carnival’, a tool that helps women understand what is possible so they can make their own informed decisions.”
PRMA plastic surgeons Drs. Peter Ledoux, Chet Nastala, Steven Pisano, and Minas Chrysopoulo specialize in all aspects of cosmetic surgery and breast cancer reconstruction following mastectomy, with a special emphasis on advanced microsurgical breast reconstruction techniques using the patient’s own tissue. Their preferred reconstructive technique is the DIEP flap (Deep Inferior Epigastric Perforator flap), which uses the patient’s lower abdominal tissue (like a tummy tuck) and spares the abdominal muscle.
The DIEP procedure is the new “gold standard” in breast reconstruction surgery and is associated with less postoperative pain and a shorter hospital stay and recovery than the conventional TRAM flap procedure. Another major benefit of the DIEP flap procedure is that it prevents the loss of abdominal muscle strength usually associated with TRAM flap reconstruction. Experience is an essential factor for this technically demanding surgery; PRMA performs over 300 DIEP flap breast reconstructions per year.
The “Life is a Carnival” calendar is available from the FORCE website.
*****
Dr Chrysopoulo is board certified in Plastic and Reconstructive Surgery and specializes in breast reconstruction surgery after mastectomy for breast cancer. He and his partners perform hundreds of microsurgical breast reconstructions with perforator flaps each year. PRMA Plastic Surgery, San Antonio, Texas. Toll Free: (800) 692-5565. Keep up to date with the latest breast reconstruction news by following Dr Chrysopoulo's Breast Reconstruction Blog.
*****
PRMA of South Texas, a leading cosmetic and plastic surgery practice in San Antonio, Texas is sponsoring a unique effort to inform and educate breast cancer patients about their options after mastectomy.
“Life is a Carnival,” a bold approach to mastectomy and breast cancer reconstruction education, is a 14-month calendar featuring photos of women who had breast reconstruction after mastectomy and those who didn’t. The calendar is published by Facing Our Risk of Cancer Empowered (FORCE), the only national nonprofit organization for families affected by hereditary breast and ovarian cancer. “More than just a calendar, ‘Life is a Carnival’ is an intimate collection of real women courageously sharing their bodies and their experiences to help others understand their choices,” said Sue Friedman, FORCE Executive Director. “Our calendar celebrates life after mastectomy. As these breast reconstruction photos attest, life after mastectomy— with or without reconstruction—does go on.”
Mastectomies are performed to treat various types of breast cancer. Increasingly, more women—including very young women—with a family history of the disease are choosing preventative (or prophylactic) mastectomies to reduce their lifetime risk of developing breast cancer, which can be as high as 85 percent. Choosing the best way to reconstruct breasts lost to mastectomy, or whether to reconstruct them at all, can be confusing and overwhelming. “Life is a Carnival” provides a unique way to explore options, consider different restorative techniques and make informed decisions when it comes to mastectomy reconstruction. “Today, women have many reconstructive options after mastectomy,” said PRMA’s Dr. Minas Chrysopoulo. “We’re proud to sponsor ‘Life is a Carnival’, a tool that helps women understand what is possible so they can make their own informed decisions.”
PRMA plastic surgeons Drs. Peter Ledoux, Chet Nastala, Steven Pisano, and Minas Chrysopoulo specialize in all aspects of cosmetic surgery and breast cancer reconstruction following mastectomy, with a special emphasis on advanced microsurgical breast reconstruction techniques using the patient’s own tissue. Their preferred reconstructive technique is the DIEP flap (Deep Inferior Epigastric Perforator flap), which uses the patient’s lower abdominal tissue (like a tummy tuck) and spares the abdominal muscle.
The DIEP procedure is the new “gold standard” in breast reconstruction surgery and is associated with less postoperative pain and a shorter hospital stay and recovery than the conventional TRAM flap procedure. Another major benefit of the DIEP flap procedure is that it prevents the loss of abdominal muscle strength usually associated with TRAM flap reconstruction. Experience is an essential factor for this technically demanding surgery; PRMA performs over 300 DIEP flap breast reconstructions per year.
The “Life is a Carnival” calendar is available from the FORCE website.
*****
Dr Chrysopoulo is board certified in Plastic and Reconstructive Surgery and specializes in breast reconstruction surgery after mastectomy for breast cancer. He and his partners perform hundreds of microsurgical breast reconstructions with perforator flaps each year. PRMA Plastic Surgery, San Antonio, Texas. Toll Free: (800) 692-5565. Keep up to date with the latest breast reconstruction news by following Dr Chrysopoulo's Breast Reconstruction Blog.
*****
Wednesday, August 29, 2007
The Hype Around DIEP Flap Breast Reconstruction And How To Find A DIEP Flap Surgeon
If you are a woman facing mastectomy you have a decision to make: do I want breast reconstruction? If the answer is “yes”, plastic surgery holds the key. Although reconstruction cannot replace the breast(s) you were born with or allow you to breastfeed, it can restore your natural silhouette and make you feel “whole” again following mastectomy.
Depending on your health, breast reconstruction can be performed immediately after your mastectomy surgery so you can wake up with new breasts already in place. While the cosmetic results with immediate reconstruction are generally superior, breast reconstruction can also be performed at a later time once the cancer treatment has been completed.
The DIEP flap breast procedure is today’s gold standard in breast reconstruction. Advances in breast reconstruction have made it possible to use excess skin and fat from the abdomen (rather like the tissue removed during a tummy tuck) to construct a new breast without the need for implants or the sacrifice of abdominal muscle. This procedure, known as the Deep Inferior Epigastric Perforator (DIEP) flap, is a sophisticated modification of an existing procedure known as the TRAM (Transverse Rectus Abdominus Myocutaneous) flap.
TRAM flap surgery is a common breast reconstruction technique that requires the rectus abdominus (sit-up) muscle to be sacrificed and relocated to the upper abdomen. Unfortunately, this technique can be associated with significant post-operative pain, prolonged recovery, loss of abdominal muscle strength (up to 20%), abdominal bulging (or “pooching”), and even abdominal hernia.
DIEP flap breast reconstruction is similar to TRAM flap surgery but spares the rectus abdominus muscle. SKIN AND FAT ONLY are removed from the abdomen, transplanted to the chest and connected using microsurgery to create the new breast. NO MUSCLE is sacrificed. As the sit-up muscle is left behind in its natural place many of the above complications are avoided and the patient essentially receives a tummy tuck at the same time as the breast reconstruction. There also tends to be far less pain following the DIEP procedure, and a quicker recovery time.
Knowing the significant advantages of the DIEP flap it is easy to understand the reason for all the hype, especially for active individuals who don’t want to sacrifice the strength of their abdomen. A breast that has been reconstructed with fat and skin will also look and feel more natural than an implant reconstruction and will last longer. Unlike an implant, the reconstructed breast also ages like a natural breast.
As with all types of breast reconstruction however, 2 or 3 procedures performed a few months apart are often required to complete the reconstruction process and to obtain the best cosmetic result. Unfortunately, due to the complexity of the DIEP procedure very few centers in the US perform DIEP flap surgery so many patients will have to travel for the procedure. The good news is that many of these DIEP flap centers will accommodate out-of-state and even international patients.
To learn if a breast center or plastic surgeon near you offers DIEP flap breast reconstruction, please check the following websites:
www.breastrecon.com and www.diepsisters.com
The lists on these websites seem fairly thorough but there are plastic surgeons out there who perform DIEP breast reconstruction that have not made the lists (for whatever reason). Having said that, currently there are only about 40 plastic surgeons in the US that routinely perform the DIEP flap procedure. Before choosing a plastic surgeon ensure that he/she is certified by the American Board of Plastic Surgery and has extensive experience with the DIEP flap procedure. Ask about the success rate of the procedure in their hands (most DIEP flap specialists boast a flap survival rate of at least 97%) and how many DIEP flaps they have performed.
Insurance companies are federally mandated to pay for the cost of breast reconstruction. Unfortunately, some patients will still face difficulties in gaining access to a DIEP flap surgeon and the procedure. Here again it pays to seek out plastic surgeons who specialize in the DIEP procedure as typically insurance specialists are available to help patients with insurance issues.
Learn more about the DIEP flap procedure and other breast reconstruction options here.
******
Dr Chrysopoulo is board certified in Plastic and Reconstructive Surgery and specializes in breast reconstruction surgery after mastectomy for breast cancer. He and his partners perform hundreds of microsurgical breast reconstructions with perforator flaps each year. PRMA Plastic Surgery, San Antonio, Texas. Toll Free: (800) 692-5565. Keep up to date with the latest breast reconstruction news by following Dr Chrysopoulo's Breast Reconstruction Blog.
*****
Depending on your health, breast reconstruction can be performed immediately after your mastectomy surgery so you can wake up with new breasts already in place. While the cosmetic results with immediate reconstruction are generally superior, breast reconstruction can also be performed at a later time once the cancer treatment has been completed.
The DIEP flap breast procedure is today’s gold standard in breast reconstruction. Advances in breast reconstruction have made it possible to use excess skin and fat from the abdomen (rather like the tissue removed during a tummy tuck) to construct a new breast without the need for implants or the sacrifice of abdominal muscle. This procedure, known as the Deep Inferior Epigastric Perforator (DIEP) flap, is a sophisticated modification of an existing procedure known as the TRAM (Transverse Rectus Abdominus Myocutaneous) flap.
TRAM flap surgery is a common breast reconstruction technique that requires the rectus abdominus (sit-up) muscle to be sacrificed and relocated to the upper abdomen. Unfortunately, this technique can be associated with significant post-operative pain, prolonged recovery, loss of abdominal muscle strength (up to 20%), abdominal bulging (or “pooching”), and even abdominal hernia.
DIEP flap breast reconstruction is similar to TRAM flap surgery but spares the rectus abdominus muscle. SKIN AND FAT ONLY are removed from the abdomen, transplanted to the chest and connected using microsurgery to create the new breast. NO MUSCLE is sacrificed. As the sit-up muscle is left behind in its natural place many of the above complications are avoided and the patient essentially receives a tummy tuck at the same time as the breast reconstruction. There also tends to be far less pain following the DIEP procedure, and a quicker recovery time.
Knowing the significant advantages of the DIEP flap it is easy to understand the reason for all the hype, especially for active individuals who don’t want to sacrifice the strength of their abdomen. A breast that has been reconstructed with fat and skin will also look and feel more natural than an implant reconstruction and will last longer. Unlike an implant, the reconstructed breast also ages like a natural breast.
As with all types of breast reconstruction however, 2 or 3 procedures performed a few months apart are often required to complete the reconstruction process and to obtain the best cosmetic result. Unfortunately, due to the complexity of the DIEP procedure very few centers in the US perform DIEP flap surgery so many patients will have to travel for the procedure. The good news is that many of these DIEP flap centers will accommodate out-of-state and even international patients.
To learn if a breast center or plastic surgeon near you offers DIEP flap breast reconstruction, please check the following websites:
www.breastrecon.com and www.diepsisters.com
The lists on these websites seem fairly thorough but there are plastic surgeons out there who perform DIEP breast reconstruction that have not made the lists (for whatever reason). Having said that, currently there are only about 40 plastic surgeons in the US that routinely perform the DIEP flap procedure. Before choosing a plastic surgeon ensure that he/she is certified by the American Board of Plastic Surgery and has extensive experience with the DIEP flap procedure. Ask about the success rate of the procedure in their hands (most DIEP flap specialists boast a flap survival rate of at least 97%) and how many DIEP flaps they have performed.
Insurance companies are federally mandated to pay for the cost of breast reconstruction. Unfortunately, some patients will still face difficulties in gaining access to a DIEP flap surgeon and the procedure. Here again it pays to seek out plastic surgeons who specialize in the DIEP procedure as typically insurance specialists are available to help patients with insurance issues.
Learn more about the DIEP flap procedure and other breast reconstruction options here.
******
Dr Chrysopoulo is board certified in Plastic and Reconstructive Surgery and specializes in breast reconstruction surgery after mastectomy for breast cancer. He and his partners perform hundreds of microsurgical breast reconstructions with perforator flaps each year. PRMA Plastic Surgery, San Antonio, Texas. Toll Free: (800) 692-5565. Keep up to date with the latest breast reconstruction news by following Dr Chrysopoulo's Breast Reconstruction Blog.
*****
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