Many women would agree—in no instance is it more important to become an informed self-advocate than in the case of a breast cancer diagnosis. First, there’s a confusing array of choices in dealing with the cancer, adding up to a steep learning curve at a time of great distress. Then, when it comes to reconstruction, there’s another set of options to understand. Unfortunately, according to information published by the American Society of Plastic Surgeons (ASPS) just last year, almost 70 percent of women who could be candidates for reconstruction aren’t informed of their choices by their primary physician (American Society of Plastic Surgeons 1).
Is this problem related to health care “silos”? Yes, partially. Hence the ASPS’s urge for a team approach to breast cancer so women can learn about their choices prior to cancer surgery. Is it related to the fact that there are still many more male surgeons than female (Freishlag 1)? Perhaps. Whatever the reasons, immediate reconstruction following a skin-sparing mastectomy is an option that should be discussed more often.
Immediate breast reconstruction—reconstruction performed directly after mastectomy surgery —isn’t new. Traditionally, however, surgical options have primarily been:
• Implant placement, if enough tissue remains to cover the implant
• Tissue expander, if tight skin needs to stretch prior to implant placement
• Tissue flaps relocated from the abdomen, back, buttocks or thighs
(American Cancer Society 1)
A study published by Dr. Christopher Crisera and colleagues from the University of California, Los Angeles in April of this year may help to spread the word. The UCLA researchers studied the results of 35 women who had received a silicone gel implant (or implants) immediately following their cancer surgery. The surgeons rated the aesthetic results as “good to excellent” (American Society of Plastic Surgeons 2).
The key to the procedure is the skin-sparing mastectomy (SSM) technique. According to the Breast Preservation Foundation, the approach uses a small incision near the areola, through which the cancerous tissue is removed.