October 8th, 2011 by RamonaBatesMD in Opinion, Research
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A study on this topic was presented at the recent American Society of Plastic Surgeons (ASPS) annual conference in Denver. The article is also in the October issue of the Plastic and Reconstructive Surgery journal (reference #2 below).
The article notes that more than 220,000 bariatric procedures are done annually in the United States. This number (IMHO) is likely to increase as these procedures have become an major tool in the treatment of obesity which now affects a third of adults in this country.
Massive weight loss, regardless of whether by bariatric procedure or by diet/exercise, will often leave the individual with excess skin. This excess skin can be both a cosmetic and functional issue for the individual.
Jason Spector, MD and colleagues designed their study to “explore demographic features and patient education regarding body contouring procedures in the bariatric surgery population.”
Their study consisted of Read more »
*This blog post was originally published at Suture for a Living*
October 1st, 2011 by RamonaBatesMD in News, Opinion
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When Wanda Skyes, 47, had a bilateral breast reduction in February, the pathology returned with DCIS present in the left breast specimen. Recently the comedian appeared on “The Ellen DeGeneres Show” and during the interview revealed her breast cancer diagnosis and her decision to have a double mastectomy.
Sykes continued, “It wasn’t until after the reduction that in the lab work, the pathology, that they found that I had DCIS [ductal carcinoma in situ] in my left breast. I was very, very lucky because DCIS is basically stage-zero cancer. So I was very lucky.”
But, she added, “Cancer is still cancer. I had the choice of, ‘You can go back every three months and get it checked. Have a mammogram, MRI every three months just to see what it’s doing.’ But, I’m not good at keeping on top of stuff. I’m sure I’m overdue for an oil change and a teeth cleaning already.”
Because she has a history of breast cancer on her mother’s side of the family, Sykes explained she opted to have a bilateral mastectomy.
“I had both breasts removed, because now I have zero chance of having breast cancer,” she said. “It sounds scary up front, but what do you want? Do you want to wait and not be as fortunate when it comes back and it’s too late?”
The American Cancer Society Read more »
*This blog post was originally published at Suture for a Living*
September 25th, 2011 by RamonaBatesMD in Health Tips, Opinion
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Don’t simply look for a surgeon who is board certified. Make sure they are trained to do the procedure you are having. Yes, board certification is important, but the training is more so (in my humble opinion).
If you are having a breast augmentation, you don’t want a board certified maxillofacial surgeon or Ob-Gyn or neurosurgeon. You want someone trained in plastic surgery. It is a bonus if they are board certified. By the same token, if you need brain surgery you don’t want a board certified plastic surgeon you want someone trained in neurosurgery.
This rant was prompted by Read more »
*This blog post was originally published at Suture for a Living*
September 20th, 2011 by RamonaBatesMD in Research
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Somewhere along the line I learned to encourage women with a family history of breast cancer to begin getting mammograms at an age 10 years prior to when their mother was diagnosed and to encourage their daughters to begin getting mammograms at an age 10 years prior to when they themselves were ever diagnosed.
I learned this prior to the discovery of BRCA genes. It was a trend that had been noted among women with strong family histories. The new study (see full reference below) in the journal Cancer verifies that genetic breast cancers show up earlier in the next generation – on average by 8 years.
The study from MD Anderson looked at 2 generations of families with the BRCA gene to assess the age at diagnosis. Using the pool of 132 BRCA-positive women with breast cancer who participated in the high-risk protocol at The University of Texas MD Anderson Cancer Center (Gen 2), 106 women could be paired with a family member in the previous generation (Gen 1) who was diagnosed with a BRCA-related cancer (either breast cancer or ovarian cancer).
The median age of cancer diagnosis was Read more »
*This blog post was originally published at Suture for a Living*
September 13th, 2011 by RamonaBatesMD in Opinion, Research
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Many women with large breast and weight issues seek breast reduction. I was taught to encourage them to lose weight first. Now there is a very small study that backs this up (full reference below).
The American Society of Plastic Surgeons issued a press release entitled “Breast Reduction and Bariatric Surgery—Which Should Be Done First?” and provided the answer “Final Results May Be Better When Weight Loss Comes First.” I agree, but find it odd that such a small study was published. There should have been more patients included.
Jeffrey A. Gusenoff, MD, and colleagues reviewed two groups of patients who sought consultation for body contouring surgery August of 2008 and February of 2010 after massive weight loss (defined as a weight loss of greater than 50 pounds).
Group I (n=15) included Read more »
*This blog post was originally published at Suture for a Living*
