The Breast Reconstruction Guidebook: Issues and Answers from Research to Recovery [NOOK Book]

Overview

For a decade 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. Readers will find advice about choosing a doctor and a procedure, insurance and payment issues, how to prepare for surgery, and what to expect during recovery.

Expert commentary by physicians and insights from ...

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The Breast Reconstruction Guidebook: Issues and Answers from Research to Recovery

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NOOK Book (eBook - third edition)
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Overview

For a decade 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. Readers will find advice about choosing a doctor and a procedure, insurance and payment issues, how to prepare for surgery, and what to expect during recovery.

Expert commentary by physicians and insights from patients inform this book, as does the exhaustive research by the author, a two-time breast cancer survivor who has twice had reconstructive surgery.

New in this edition are discussions of• the pros and cons of saline and silicone implants • solutions for post-lumpectomy cosmetic problems• new immediate-delayed reconstruction when post-mastectomy radiation may be required• the benefits and limitations of nipple-sparing mastectomy• considerations for direct-to-implant reconstruction• newly developed tissue flap procedures • who can best apply nipple and areola tattoos and why tattoos may not last• enriching fat with stem cells so it stays in the breast• patient-controlled tissue expansion • how insurance and health care reform affect reconstruction

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Editorial Reviews

Claudia Pratt
The Breast Reconstruction Guidebook acts as a well-informed friend. It answers many of the big (and little) questions women have as they cope with the physical and emotional turmoil of breast cancer.
RN, MA, BSN, Nurse Coordinator, Seton Breast Health Center
Brenda Gill
If you are a woman who has been diagnosed with breast cancer, treated with a mastectomy, and reconstruction is an option, The Breast Reconstruction Guidebook is the book to read. It is a comprehensive and practical guidebook that addresses not only reconstruction issues but also how to solve problems related to them. The book is a worthwhile guide to wholeness and satisfaction.
Hotline Peer Counselor, Y-ME National Breast Cancer Organization
Library Journal
Breast cancer survivor and freelance author Steligo presents the ins and outs of breast reconstruction following a mastectomy. Her information is up to the minute--she discusses the sentinel node procedure and the latest flap technique, deep inferior epigastric perforator (DIEP)--and thorough, ranging from preparation to postoperative expectations. Unfortunately, the design of this book is not especially inviting. The text is unremittingly dense despite numerous sidebars, lists, and headnotes. All paragraphs are flush left, with a single space in between, and all the artwork is in black-and-white. Seeing women's unclothed torsos in color for the purposes of making an informed decision about surgery is appropriate. Still, the comprehensiveness of the text and the low price make up for the presentation. Recommended for patient health collections. Copyright 2003 Reed Business Information.
MAMM Magazine

A comprehensive guide to the ins and outs of breast reconstruction when mastectomy is unavoidable, The Breast Reconstruction Guidebook walks the reader through the entire decision-making process step-by-step, from sorting through options and dealing with the insurance company to planning for post-operative recovery.

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Product Details

  • ISBN-13: 9781421407838
  • Publisher: Johns Hopkins University Press
  • Publication date: 12/5/2012
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition description: third edition
  • Edition number: 3
  • Pages: 272
  • Sales rank: 271,167
  • File size: 4 MB

Meet the Author

Kathy Steligo is a freelance writer specializing in business and health topics and is coauthor of Confronting Hereditary Breast and Ovarian Cancer, also published by Johns Hopkins.

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Table of Contents

Foreword Debbie Horwitz xi

Acknowledgments xiii

Introduction 1

Part 1 Decision: Mastectomy

Chapter 1 Why Mastectomy? 7

Inside the Breast 8

Surgical Treatments 10

Do You Really Need a Mastectomy? 13

Chapter 2 Mastectomy without Reconstruction 15

What to Expect 15

The Prosthesis Alternative 17

Paying for Mastectomy and Prostheses 19

Chapter 3 Breast Reconstruction Basics 22

Sorting through the Options 23

Timing Your Reconstruction 26

Health Matters 29

Coordinating Reconstruction with Treatment 31

Chapter 4 How Mastectomy Affects Reconstruction 37

Mastectomy: Cause and Effect 37

Skin-Sparing Procedures 40

Saving Your Nipple and Areola 41

Chapter 5 Considering Prophylactic Mastectomy 47

Should You Have Genetic Testing? 48

How Real Is Your Risk? 49

Removing Your Breasts to Reduce Your Risk 50

Paying for Preventive High-Risk Services 53

Part 2 Reconstructive Procedures

Chapter 6 Breast Implants 57

Defining Your New Breasts 57

Are They Safe? 61

Tissue Expander-to-Implant Reconstruction 63

Direct-to-Implant Reconstruction 64

Recovery 67

Potential Problems 68

Chapter 7 The Expander Experience 75

Getting Your Fill 75

Minimizing Your Discomfort 76

Living in Limbo 78

Exchange Surgery 79

Potential Problems 81

Chapter 8 Tummy Tuck Flaps 82

Tissue Flap Basics 82

Borrowing from the Abdomen 85

TRAM Flap Procedures 86

DIEP and SIEA Flaps 90

Potential Problems 94

Chapter 9 Other Flap Methods 96

The Latissimus Dorsi Flap 96

GAP Flaps 100

Using Fat from the Thighs 103

Using Fat from the Hips 106

Chapter 10 Altering the Opposite Breast 107

Breast Augmentation 108

Breast Reduction 110

Breast Lift 112

Chapter 11 Final Touches: Creating Your Nipple and Areola 115

Icing on the Cake 115

Building the Nipple 117

A Colorful Finish 119

Problems and Solutions 121

Non-surgical Alternatives 123

Part 3 Prep, Post-Op, Recovery, and Beyond

Chapter 12 Preparing for Your Surgery 127

Countdown: Four Weeks to Surgery 127

Two Weeks before Surgery 129

One Week to Go 132

The Day before Surgery 135

It's Reconstruction Day 137

Chapter 13 What to Expect in the Hospital 139

Admitting and Pre-op 139

Showtime in the OR 141

A Peek into Post-op 142

Your First Day after Surgery 143

The Rest of Your Hospital Stay 145

Chapter 14 Back Home 147

A Timetable for Healing 147

Managing Medication 153

Dealing with Drains 154

Tips for an Easier Recovery 156

Seeing Your New Breasts for the First Time 160

Chapter 15 Dealing with Problems 162

Inherent Surgical Risks 162

Lingering Pain 166

Lymphedema 167

Cosmetic Do-Overs 168

Fixes with Fat 170

Improving Scars 172

Chapter 16 Life after Reconstruction 175

Adjusting to the New You 175

Back to Work 179

Dating, Intimacy, and Sex 179

Surveillance after Mastectomy 182

Part 4 Finding Answers, Making Decisions

Chapter 17 Searching for Dr. Right 187

Shopping for a Surgeon 187

Five Characteristics of an Ideal Plastic Surgeon 188

Your Pre-appointment Footwork 190

Making the Most of Your Consultation 191

The Value of a Second (or Third) Opinion 194

Tips for Travelers 195

Chapter 18 Paying for Your Reconstruction 197

Are You Covered? 198

Appealing When the Answer Is No 201

When All Else Fails 205

Other Types of Insurance 207

Chapter 19 Making Difficult Decisions 208

Ten Steps in the Right Direction 208

Other Sources of Information and Inspiration 212

Chapter 20 Information for Family and Friends 215

Hints for Family Members 215

Food for Thought for Partners and Spouses 216

Issues for Caregivers 218

Dos and Don'ts for Friends 219

Closing Thoughts 222

Notes 225

Glossary 231

Resources 239

Index 243

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