reconstructive surgeon

March 30, 2012

What Are My Breast Reconstruction Options after Breast Cancer: Immediate or Delayed Reconstruction?

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Breast cancer is never an easy diagnosis and the journey toward healing is just as tough. However, breast reconstruction offers many breast cancer survivors the chance to return to some sense of normalcy after a long transition. Breast reconstruction surgery helps restore one or both breast(s) that may have been removed fully or partially after a mastectomy or lumpectomy. Studies have shown that breast reconstruction helps restore patients’ self-esteem which is beneficial in the overall breast cancer recovery process.

However, there is more than one type of breast reconstruction surgery . For almost 30 years, Dr. Franklyn Elliott has been researching, developing, and performing breast reconstruction to help women achieve a proportional and feminine silhouette after breast cancer surgery. As a contributing developer of the TRAM flap method of breast reconstruction and an educator at heart, Dr. Elliott explains the differences between immediate and delayed breast reconstruction surgeries below.

The first element in breast reconstruction is whether to reconstruct the breast immediately after the mastectomy has taken place or to wait until later. Whether you can or should undergo immediate breast reconstruction depends on many factors including whether radiation would be required after breast cancer surgery and the fact that the entire surgical procedure would be long and require a longer recovery as opposed to mastectomy alone.

Immediate reconstruction offers many advantages including more natural-looking cosmetic results because the skin surrounding the breast tissue can often be used to cover an inserted implant. It can also help decrease the risk of social and emotional difficulties. With the delayed procedure, patients need to heal before reconstruction is performed, leaving them without breasts for weeks to months. Some patients may have a harder time handling the effects of breast cancer without reconstruction.

Delayed reconstruction can also be advantageous depending on the patient’s individual situation. For those who may require additional cancer therapy after a mastectomy, the reconstruction site is most often left unharmed. Many patients choose delayed reconstruction to give them more time to research and deliberate their breast reconstruction options. Though cosmetic results are often not as good as with immediate reconstruction and delaying your procedures means another surgery and more recovery time, this option can benefit certain patients.

Breast reconstruction results vary by case, but studies have shown that women who choose to undergo breast reconstruction after breast cancer surgery have an easier time adjusting to life after cancer. For more information on breast reconstruction make sure to stay tuned for our upcoming blogs. You can also contact our office to schedule a consultation. For the latest in breast cancer and reconstruction news, follow us on Facebook, Twitter, and Google+.

March 23, 2012

Prophylactic Nipple-Sparing Mastectomy and Methods of Reconstruction

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Though once popular in the 70s and 80s, the prophylactic mastectomy fell out of favor with doctors and patients in the 90s. However, the advances of mammography in the 90s and beyond have lessened the number of women who are choosing to have one or both of their breasts removed to prevent the advent or spread of breast cancer.

Fewer people are as supportive of preventative mastectomies nowadays because of the potential complications and reports of low patient satisfaction. Thinner skin used over implants can cause capsular contracture or hardening of the tissue lining surrounding the implant.

In a chapter written for the textbook Surgery of the Breast, Dr. Franklyn Elliott writes regarding patient satisfaction:

Patients did not believe they were properly prepared for some of the results of these major surgical procedures, and because they did not have frank breast cancer, were not in the mind-set to deal properly with major surgical extirpation and reconstruction.

However, in a recent study only 5% of patients regretted undergoing prophylactic mastectomy and reconstruction surgery. Many felt that were inadequately prepared for the pain and incapacitation of the recovery period.

For this reason, it’s important that a plastic surgeon is one of the many consulting surgeons who advise a potential mastectomy and breast reconstruction patient.

Many women who are at a high risk for potential breast cancer and those who’ve had one breast removed because of cancer seek preventative mastectomies. There are many factors that oncologists, general surgeons, and plastic surgeons should consider before suggesting a prophylactic mastectomy for a patient including heredity, the breast cancer gene (BRCA1 and BRCA2), previous diagnoses, and more. It must also be explained to patients that advances in mammography techniques have made it easier to track potential cancers without removing the entire breast.

Choosing a preventative unilateral or bilateral mastectomy is a difficult choice for any woman. According to the chapter written by Dr. Elliott, the “plastic surgeon must limit his or her role to the very accurate description of the patient’s options after mastectomy and, equally important, a full and complete discussion of the recovery phase and the expected result.”

Oftentimes, prophylactic mastectomy patients are shown before and after pictures of women who have had breast cancer and undergone mastectomy and breast reconstruction surgery. It’s important that patients are given information specific to their particular procedure, regardless of the similarities between their procedures and another patient’s.

It’s rare that women with no risk factors are interested in prophylactic mastectomies with reconstructions. Some patients are motivated by fear. However a lack of risk factors in patients seeking prophylactic mastectomies probably means that they should not be considered for surgery.

Though controversial among some doctors and patients, there are benefits to preventative mastectomy and breast reconstruction. In the chapter, Dr. Elliott concludes, “With the variety of techniques available for breast reconstruction, intelligent management of the overlying skin, and gradual formation of the breast mass itself, patients can be increasingly assured of complete or near complete breast tissue removal and safe, predictable, uncomplicated breast reconstruction.”

To read the chapter, click here (link to PDF). Other articles written and used by Dr. Franklyn Elliott can be found on his articles page. You can also connect with him on Facebook and Twitter for the latest in plastic and reconstructive surgery news.

November 9, 2011

Dr. L. Franklyn Elliott Named 2011 US News Top Doctor

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You probably already read about Dr. L. Franklyn Elliott being named to Atlanta Magazine’s Top Docs list in the Atlanta Plastic Surgery practice-wide blog, but did you hear he was also named top doctor by US News? During the summer, US News released the list, which was compiled by Castle Connolly Ltd., a healthcare company that surveys reputable healthcare providers across the country to find the most talented healthcare providers in the nation. Considerations for physician inclusion on the list are patient care, quality of work, and contributions to the field.

With his contributions to the TRAM flap breast reconstruction technique, close attention to patients’ requests, and love of teaching, it’s no surprise Dr. Elliott’s name made the list. During his 27 years as a plastic surgeon, he has spent time writing plastic surgery articles to educate other plastic surgeons on techniques and also to teach patients more about the plastic and reconstructive surgery options available. Due to his contributions to breast reconstruction, Dr. Elliott served as the Program Chairman and Director of the Atlanta Breast Surgery Symposium for many years and is presently the organization’s Co-Director.

Dr. Elliott performs a wide range of plastic surgery procedures besides breast reconstruction. He uses his extensive knowledge of plastic surgery techniques and advanced surgical technology to ensure that his patients continually have the best surgery results possible. For example, he uses the Quill™ Knotless Suturing Device to speed incision-closure times and minimize uneven pressure that’s sometimes placed on wounds by traditional sutures.

Dr. Elliott performs cosmetic procedures like facelift, breast augmentation, liposuction, and a variety of cosmetic procedures. View his website to learn more about the procedures he performs, or take a look at his plastic surgery before and after galleries to see the results of a Top Doc. You can also connect with Dr. Elliott on Facebook and Twitter.

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