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Since 2002, The Breast Reconstruction Guidebook has been the best resource on this topic for women who have had a mastectomy. Equal parts science and support, it is filled with stories that illustrate the emotional and physical components of breast reconstruction. Kathy Steligo, a gifted writer and breast cancer survivor who has twice had breast reconstruction, compassionately answers women's questions about how they will respond emotionally and physically to losing a breast, whether to treat or prevent breast cancer. Steligo provides detailed descriptions of the various surgical options for mastectomy and reconstruction, as well as information on choosing and paying for a surgeon, preparing for and recovering from surgery, and handling the many practical details and difficult decisions women will face along the way. A road map of the mastectomy and reconstruction journey, this book gives women the comprehensive, unbiased details they need to make their own informed decisions about whether reconstruction-and which reconstructive option-is right for them.Readers learn how breasts can be recreated using implants or their own tissue and the advantages and disadvantages of each option. Surgery timelines, recovery, and potential problems (and how they can be resolved) are also explained. A new foreword by Dr. Minas Chrysopoulo, MD, of the PRMA Plastic Surgery Center for Advanced Breast Reconstruction, highlights the book's strengths and offers a medical perspective on breast cancer and reconstructive surgery. The extensively updated text includes new discussions of* innovative reconstructive procedures* contralateral mastectomy* the benefits and limitations of nipple- and areola-sparing mastectomies* nipple delay procedure* patient-controlled tissue expansion* cohesive gel silicone implants* microsurgical advances that improve tissue flap procedures* fat grafting* nipple reconstruction* nipple and areola tattooing* reconstruction with the BRAVA system* pregnancy after TRAM* male mastectomy and reconstruction* decision making and solving cosmetic and medical post-op problems* surgical procedures that reduce the risk of cancer* the latest research data on mastectomy and reconstruction* and much more
Kathy Steligo is the editor-at-large for Facing Our Risk of Cancer Empowered (FORCE). She is the coauthor of Confronting Hereditary Breast and Ovarian Cancer: Identify Your Risk, Understand Your Options, Change Your Destiny and Confronting Chronic Pain: A Pain Doctor's Guide to Relief.
Foreword, by Minas Chrysopoulo, MDAcknowledgmentsIntroductionPART ONE DECISION: MASTECTOMY1. Why Mastectomy?Inside the BreastSurgical TreatmentsMale MastectomyDo You Really Need a Mastectomy?2. Mastectomy without ReconstructionWhat to ExpectThe Prosthesis AlternativePaying for Mastectomy and Prostheses3. Breast Reconstruction BasicsSorting through the OptionsTiming Your ReconstructionHealth MattersCoordinating Reconstruction with Treatment4. How Mastectomy Affects ReconstructionMastectomy Cause and EffectSkin-Sparing ProceduresSaving Your Nipple and Areola5. Considering Prophylactic MastectomyShould You Have Genetic Testing?How Real Is Your Risk?Preventive Surgeries That Reduce Your RiskPaying for Preventive High-Risk ServicesPART TWO RECONSTRUCTIVE PROCEDURES6. Breast ImplantsImplants Inside and OutAre They Safe?Tissue Expander-to-Implant ReconstructionDirect-to-Implant ReconstructionRecoveryPotential Problems7. The Expander ExperienceGetting Your FillMinimizing Your DiscomfortLiving in LimboExchange SurgeryPotential Problems8. Tummy Tuck FlapsTissue Flap BasicsBorrowing from the AbdomenTRAM Flap ProceduresDIEP and SIEA FlapsPotential Problems9. Other Flap MethodsFlaps from the BackFlaps from the ButtocksFlaps from the HipsFlaps from the Thighs10. Fixes with FatHow It's DoneIs It Safe?BRAVA+AFT11. Altering Your Opposite BreastBreast AugmentationBreast ReductionBreast Lift12. Final Touches: Creating Your Nipple and AreolaIcing on the CakeBuilding the NippleA Colorful FinishProblems and SolutionsNon-surgical AlternativesPART THREE PREP, POST-OP, RECOVERY, AND BEYOND13. Preparing for Your SurgeryCountdown: Four Weeks to SurgeryTwo Weeks before SurgeryOne Week to GoThe Day before SurgeryIt's Reconstruction Day14. What to Expect in the HospitalAdmitting and Pre-opShowtime in the ORA Peek into Post-opYour First Day after SurgeryThe Rest of Your Hospital Stay15. Back HomeA Timetable for HealingManaging MedicationDealing with DrainsTips for an Easier RecoverySeeing Your New Breasts for the First Time16. Dealing with ProblemsInherent Surgical RisksLingering PainLymphedemaCosmetic Do-OversImproving Scars17. Life after ReconstructionAdjusting to the New YouBack to WorkDating, Intimacy, and SexSurveillance after MastectomyPART FOUR FINDING ANSWERS, MAKING DECISIONS18. Searching for Dr. RightShopping for a SurgeonFive Characteristics of an Ideal Plastic SurgeonYour Pre-appointment FootworkMaking the Most of Your ConsultationThe Value of a Second (or Third) OpinionTips for Travelers19. Paying for Your ReconstructionAre You Covered?Appealing When the Answer Is NoWhen All Else FailsOther Types of Insurance20. Making Difficult DecisionsTen Steps in the Right DirectionOther Sources of Information and Inspiration21. Information for Family and FriendsHints for Family MembersFood for Thought for Partners and SpousesIssues for CaregiversDos and Don'ts for FriendsNotesGlossaryResourcesIndex
This book is a must for a patient taking the steps to have a mastectomy due to cancer or for prophylactic purposes. It is also relevant to all healthcare staff who are caring for the patient through this journey and their families and loved ones.—Jane Brown, Quality Governance Manager, Specialised Clinical Services Division, Worcestershire Acute NHS Trust, Nursing Times