Study finds more women receiving breast reconstruction after mastectomy

A new study finds that the majority of women who undergo mastectomy for breast cancer go on to get breast reconstruction, a practice that has increased dramatically over time.
Researchers found that 46 percent of patients received reconstruction in 1998 but that figure rose to 63 percent by 2007.
“Breast reconstruction has a big impact on quality of life for breast cancer survivors. As we are seeing more women survive breast cancer, we need to focus on long term survivorship issues and ensuring that women have access to this important part of treatment,” says study first author Reshma Jagsi, M.D., D.Phil., associate professor of radiation oncology at the University of Michigan Comprehensive Cancer Center.
The researchers, from academic medical centers and private practice, looked at insurance claims data from a large nationwide employment-based database of medical claims. They identified a total of 20,506 women who had been treated with mastectomy for breast cancer between 1998 and 2007. Results appear in the Journal of Clinical Oncology.
While overall rates of reconstruction increased, women who received radiation therapy were less likely to get reconstruction. This is especially concerning because radiation therapy is increasingly being used after mastectomy as a way to further reduce the risk of the cancer returning in women with more aggressive or advanced disease.
The researchers note that reconstruction is more challenging after radiation, which limits the reconstruction options available for these patients. And often the results are not as good.
The study also revealed dramatic variation in reconstruction based on geographic region, from a low of 18 percent in North Dakota, to a high of 80 percent in Washington, D.C. This was largely associated with the number of plastic surgeons working in each state.
Other findings reported show that the rate of bilateral mastectomy increased six-fold between 1998 and 2007, and that three-quarters of women receiving bilateral mastectomy also have breast reconstruction.
The researchers also note that more women are receiving implants rather than recreating breasts using tissue from other parts of their body, called autologous reconstruction. Autologous techniques tend to deliver better cosmetic results and higher satisfaction, but it’s a time-consuming, demanding operation that requires a longer hospital stay and recovery time. The researchers raise concern that current medical reimbursement discourages surgeons from offering autologous reconstruction.
“Overall, our finding of substantial increases in breast reconstruction over time is good news for women with breast cancer and reflects positively on cancer care in the United States. However, we need to keep working to ensure that all women have access to quality breast cancer care,” Smith says.

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En Espanol
ESTUDIO REVELA QUE MÁS MUJERES QUE RECIBEN LA RECONSTRUCCIÓN DE MAMA después de la mastectomía
Un nuevo estudio revela que la mayoría de las mujeres que se someten a una mastectomía para el cáncer de mama va a conseguir la reconstrucción mamaria, una práctica que ha aumentado drásticamente con el tiempo.
Los investigadores encontraron que el 46 por ciento de los pacientes recibieron la reconstrucción en 1998, pero esa cifra se elevó a 63 por ciento en 2007.
“La reconstrucción mamaria tiene un gran impacto en la calidad de vida de los sobrevivientes de cáncer de mama. Como estamos viendo más mujeres sobreviven al cáncer de mama, hay que centrarse en las cuestiones de supervivencia a largo plazo y asegurar que las mujeres tengan acceso a esta parte importante del tratamiento,” dice primer autor del estudio Reshma Jagsi, MD, D. Phil., profesor asociado de oncología de radiación en la Universidad de Michigan Comprehensive Cancer Center.
Los investigadores, de los centros médicos académicos y la práctica privada, analizaron los datos de reclamaciones de seguros de una gran base de datos a nivel nacional basada en el empleo de las reclamaciones médicas. Se identificaron un total de 20.506 mujeres que habían sido tratadas con mastectomía por cáncer de mama entre 1998 y 2007. Los resultados aparecen en la revista Journal of Clinical Oncology.
Mientras que las tasas globales de reconstrucción aumentaron, las mujeres que recibieron radioterapia tenían menos probabilidades de conseguir la reconstrucción. Esto es especialmente preocupante porque la radioterapia se utiliza cada vez después de la mastectomía como una manera de reducir aún más el riesgo de reaparición del cáncer en mujeres con enfermedad más agresiva o avanzado.
Los investigadores señalan que la reconstrucción es más difícil después de la radiación, lo que limita las opciones de reconstrucción disponibles para estos pacientes. Y muchas veces los resultados no son tan buenos.
El estudio también reveló dramática variación en la reconstrucción según la región geográfica, entre un mínimo de 18 por ciento en Dakota del Norte, y una máxima de 80 por ciento en Washington, DC Esto se asoció en gran medida con el número de cirujanos plásticos que trabajan en cada estado.
Otros hallazgos reportados muestran que la tasa de mastectomía bilateral multiplicado por seis entre 1998 y 2007, y que las tres cuartas partes de las mujeres que recibieron mastectomía bilateral también una reconstrucción del seno.
Los investigadores también señalan que más mujeres están recibiendo los implantes en lugar de recrear senos utilizando tejido de otras partes de su cuerpo, llamados reconstrucción autóloga. Técnicas autólogas tienden a obtener mejores resultados estéticos y una mayor satisfacción, pero es una operación exigente que consume tiempo y requiere hospitalización y el tiempo de recuperación más largo. Los investigadores plantean la preocupación de que el reembolso médico actual desincentiva a los cirujanos de ofrecer la reconstrucción autóloga.
“En general, nuestro hallazgo de un aumento sustancial de la reconstrucción del pecho a través del tiempo es una buena noticia para las mujeres con cáncer de mama y se refleja positivamente en la atención del cáncer en los Estados Unidos. Sin embargo, tenemos que seguir trabajando para garantizar que todas las mujeres tengan acceso a cáncer de mama calidad cuidado “, dice Smith.
Esta información es traído a usted por cortesía del Dr. Bishara y La Cirugía Plástica y Paragon Med personal del spa.
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Lots of people are availing and undergoing cosmetic surgery nowadays. It is much more widely available nowadays and its cost is also very affordable. Hence, this is no longer a thing of the rich people. Aside from that, it is also really popular because of the advantages of the procedures.
There are at least three (3) common and most popular advantages of undergoing cosmetic surgery. These are related to the physical enhancement, fast procedure as well as long-lasting effects and results.
Cosmetic surgery Enhances Physical Looks
On the one hand, the primary advantage and benefit of cosmetic surgery is that it is being done in order to enhance the physical appearance of your body parts. Unlike the plastic surgery procedures, different cosmetic surgical procedures are commonly intended for vanity and improving physical looks more than functional reasons. According to different reviews and success stories, this is actually considered as the most effective way to get rid of some unwanted marks and scars on your body. For example, if you notice some wrinkles on your forehead already, you can choose to undergo cosmetic surgery in order to resolve it.
Fast Procedures of Cosmetic surgery
On the other hand, another advantage of the cosmetic surgery is that this is actually regarded, not only the best, but also the fastest way to resolve your physical problems. This is because it will only take you several hours in order to complete the procedure and you will enjoy its results already immediately afterwards. This is unlike ordinary beauty products that will take you several weeks and even month in order to notice the results. There are even time when those ordinary products will only let you enjoy the results for couple of day and not permanently.
Long-lasting Effects and Results
Last, but I think not the least important and popular advantage of cosmetic surgery procedures, has something to do with its effects. Well, I am specifically referring to the long-lasting effects of results that you will be able to enjoy with this kind of cosmetic procedure. Unlike the other ordinary products for cosmetic and labeled to enhance the physical looks of your body, this one will let you enjoy almost permanently the effects and results of undergoing it. I have said this because its effects, last a very long period of time, if not permanently. Some procedures are even for a life time.

Breast implants are still overwhelming choice for women, but since 2000 breast lifts are up 70 percent

New statistics released by the American Society of Plastic Surgeons (ASPS) show that breast lift procedures are growing at twice the rate of breast implant surgeries. Since 2000, breast lifts have grown by 70 percent, outpacing implants two-to-one. Breast implants are still by far the most performed cosmetic surgery in women, but lifts are steadily gaining. In 2013, more than 90,000 breast lift procedures were performed by ASPS member surgeons.
“Many women are looking for a youthful breast by using the tissue they already have,” said ASPS President Robert X. Murphy, Jr., MD.
According to the new statistics, women between the ages of 30-54 made up nearly 70 percent of the breast lift procedures performed in 2013.
According to the latest statistics from ASPS, fewer than 53,000 breast lifts were performed in 2000. Last year there were 90,006, an increase of 70 percent since 2000.
Breast augmentation remains the most popular plastic surgery procedure for women. In 2013, there were 290,224 breast augmentation surgeries performed by ASPS member surgeons. That represents a growth of 37% since 2000, just under half the rate of breast lifts.

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Preparation and effort applies to those who want to improve their bodies before summer of 2014. The Paragon Plastic Surgery & Med Spa is here right now to provide the kind of outstanding plastic surgery residents trust for producing the best possible results. Getting great results with liposuctionbreast augmentation, or another procedure takes a little time.  If you’ve watched your diet, worked out intensely, and are already most – but not quite all – of the way to a truly amazing beach body, now is when you should contact us for cosmetic procedures.
While recovery times are growing less lengthy with the highly advanced procedures available, there is still no such thing as an instant liposuction, breast augmentation/reduction, or tummy tuck. This could be the perfect moment to get started and ready for summer. The end of the school season is fast approaching, and beach weather will be here before you know it.
This Paragon Plastic Surgery & Med Spa offers a personalized approach that takes patients through the entire process of obtaining a procedure and provides complete support before, during, and after the procedure. This may also include assistance with financing an operation.
For further information, please call us at (817) 473-2120. You can also visit our website any time on the net at www.MarkBisharaMD.com or through Facebook at Paragon Plastic Surgery and Med Spa. The entire team of friendly and knowledgeable staff look forward to hearing from you.
 

What are they?
Denevervating agents (onabotulinumtoxina), available as Botox and Xeomin work by temporarily reducing muscle activity to inhibit wrinkle formation, specifically between-brow lines that resemble the number 11. By decreasing forehead furrowing, they eliminate wrinkles and fine lines that currently exist and also prevent new ones from forming, making them favorites of patients of all ages.
In addition to cosmetic applications, many of which are considered off-label (see below), Botox is also FDA-approved for hyperhidrosis (excessive sweating). Xeomin is approved to treat abnormal spasms of the eyelids (blepharospasm) in adults who have had prior treatment with Botox. Xeomin is considered a more purified version of botulinum toxin type A than Botox because it does not have any protein additives. Some say this may help lower the risk of allergy to the product, as they believe the allergy risk is associated with these proteins. Xeomin is also the first denervating agent that does not need to be refrigerated before use.
Denervating agents have played a major part in the age of injectables, and doctors continue to find new and novel uses for them, as well as innovative ways to use them in conjunction with fillers.
Uses: 

  • Eliminating wrinkles and lines caused by movement
  • Excessive sweating (hyperhidrosis)
  • Creating wider-looking eyes *
  • Fixing scars *
  • Reducing pore size *
  • Lifting the top of the nose *
  • Lessening a gummy smile *
  • Treating migraines and TMJ *
  • Eliminating neck bands and cleavage wrinkles *
  • Temporarily improving the appearance of frown lines and crow’s-feet
  • Treating chronic migraines, defined as 15 or more headache days a month, each lasting 4 or more hours
(*indicates an off-label use)
Treatments and ResultsJust like injectable fillers, a topical anesthetic may be applied to make treatment more comfortable. Then, over roughly 10 minutes (depending on how many areas are being treated), your doctor will strategically place several injections. 
Although the overall experience is the same as with Botox and Xeomin, the main difference is that Dysport kicks in quicker—the results can usually be seen in a day or two, whereas Botox and Xeomin typically take three to five days. The results of both are believed to last about the same amount of time: on average, three months. However, after a series of injections, Dysport may last up to six months.
Side Effects and RisksYou may be red or bruised at the injection site for up to a few days, and in rare instances, patients have reported mild flu-like symptoms after treatment. 
Please call The Paragon Plastic Surgery and Med Spa for more information on Botox and Xeomin at (817) 473-2120