Implant-Based Breast Reconstruction and Recurrent Cancer
Many women are fearful, for obvious reasons, that implants may contribute to cancer recurrence or may hinder detection of any recurrent cancer. Implant-based reconstruction is the most common type of breast reconstruction, even today. Recurrence of cancer is always a concern, and thus, studies were performed to evaluate if implants hindered or lengthened the time … Continue reading Implant-Based Breast Reconstruction and Recurrent Cancer
Continue ReadingRecent Mammography Recommendations
Recently, the United States Preventive Services Task Force (USPSTF) has recently released recommendations for screening mammography for women. Their recommendations state that such mammograms should be every other year beginning at age 50yo, instead of the current guidelines of beginning at age 40yo (35yo for high-risk women). Mammography has unquestionably saved many lives, especially in … Continue reading Recent Mammography Recommendations
Continue ReadingAcellular dermal matrix – breast reconstruction applications
The use of the acellular dermal matrix has grown in its applications and use in plastic & reconstructive procedures, and growing. It has truly been a remarkable addition for breast reconstruction. The acellular dermal matrix is a tissue that is specially-prepared, which comes from cadaveric skin. It has been processed in such a way that … Continue reading Acellular dermal matrix – breast reconstruction applications
Continue ReadingPerforator flaps/Microsurgery
Flap reconstruction offers an autologous (your own tissue) reconstruction, and gives many of the benefits described in earlier posts, such as a soft and “natural” breast mound. Such flaps also are much better for those with a history of radiation, or those who will ultimately require postoperative radiation therapy following mastectomy. Autologous tissue flaps for … Continue reading Perforator flaps/Microsurgery
Continue ReadingPart IV: Flap-based reconstruction – DIEP flap
DIEP flap The use of microsurgery and perforator flaps, such as the DIEP flap, is the newest and state of the art technique for plastic & reconstructive surgery today, including breast reconstruction. Very few plastic surgeons perform this technique due to its complexity, time, and skill involved, but such reconstruction arguably provides the best aesthetic … Continue reading Part IV: Flap-based reconstruction – DIEP flap
Continue ReadingOctober
Proud of the support and awareness of October as Breast Cancer Awareness Month!
Continue ReadingPart III: Flap-based reconstruction – TRAM
TRAM flap (Transverse Rectus Abdominis Myocutaneous) flap The excess skin, fat, and the rectus abdominis muscle are harvested from the lower abdominal wall. There are two (2) such muscles at the midline of your abdominal wall – one of them will be utilized for the reconstruction. This flap is then raised and tunneled under the … Continue reading Part III: Flap-based reconstruction – TRAM
Continue ReadingPart II: Flap-based reconstruction – latissimus dorsi
The excess skin, fat, and the latissimus dorsi muscle are harvested from the upper back. This flap is then tunneled under your axilla (armpit) to its new location at the breast area, with its blood vessels attached. The flap is then trimmed, shaped, and secured into place, once we have created a pleasing breast form, … Continue reading Part II: Flap-based reconstruction – latissimus dorsi
Continue ReadingInsurance Coverage – State Laws
Insurance Coverage is Required for Post-Mastectomy Breast Reconstruction if Mastectomy is Covered. Alaska: enacted in 2000; conforms state law to the federal standards. The bill directly refers to the specific federal requirement: (A health care insurer that offers, issues for delivery, delivers, or renews in this state a health care insurance plan providing medical and … Continue reading Insurance Coverage – State Laws
Continue Reading1998 Federal Breast Reconstruction Law
Following is the 1998 Federal Breast Reconstruction Law: Signed into Law on October 21, 1998 – ASPS is working with federal regulators as they draft guidance on implementation of the new law. SEC. 713. REQUIRED COVERAGE FOR RECONSTRUCTIVE SURGERY FOLLOWING MASTECTOMIES. (a) IN GENERAL.-A group health plan, and a health insurance issuer providing health insurance … Continue reading 1998 Federal Breast Reconstruction Law
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