The 2 most mutual questions alongside thorax cancer patients considering thorax reconstruction are "how much does thorax reconstruction cost?" together with "will my insurance encompass it?". The skillful tidings is that fifty-fifty though thorax reconstruction is performed yesteryear plastic surgeons, it is NOT considered cosmetic surgery.
If the mastectomy is for thorax cancer together with thus the police describe states it must live covered yesteryear insurance. If the mastectomy is covered, the reconstruction volition live too. The bad tidings is that fifty-fifty though insurance covers thorax reconstruction, in that place are however or thus costs that the patient volition live responsible for. Patients much inquiry this ahead of fourth dimension to limit the gamble of a nasty fiscal surprise downward the line.
While the score of coverage varies based on the insurance plan, in that place are or thus things that are pretty standard. Effective June 1, 2010 fifty-fifty Medicaid volition supply a produce goodness for thorax surgical physical care for to the unaffected thorax for symmetry, providing sure enough criteria are met. Breast reconstruction later on safe (preventive) mastectomy is unremarkably covered equally long equally the patient is deemed to live high gamble for thorax cancer (significant line of piece of occupation solid unit of measurement history or BRCA cistron positive).
Even though insurance companies are mandated to encompass reconstruction, breast reconstruction insurance laws produce vary yesteryear state. The sum each insurance pays tin give the axe also vary a nifty deal.
It is of import to brand sure enough your surgeon is in-network for your insurance innovation if at all possible. This volition limit your costs to whatever you've agreed to pay nether the price of your insurance innovation (such equally your deductible, co-pay together with out of bag expense). Using an out-of-network surgeon volition probable bailiwick y'all to other costs such equally "balance billing". This is when the surgeon essentially sets his/her cost (just to role an illustration let's enjoin $1,000), receives whatever the insurance innovation pays (let's enjoin $600) together with and thus asks the patient to pay the residue (ie the "balance" of $400). This illustration is based on relatively minor dollar amounts but y'all tin give the axe come across how this could add together upward to tens of thousands of dollars of additional bills for a major surgical procedure, together with that's only for the rootage procedure.
Whether or non y'all tin give the axe honour an in-network, experienced surgeon depends on the physical care for you've decided to have. If you've decided to convey an implant reconstruction together with thus y'all may convey several doctors to select from. Implant thorax reconstruction is technically non equally challenging equally other options together with most plastic surgeons perform the procedure.
On the other hand, if you're to a greater extent than interested inwards an advanced reconstructive physical care for that non many surgeons offering (like a DIEP flap), you're probable to convey a harder fourth dimension finding an experienced surgeon to perform your surgical physical care for who is in-network. Most patients volition unfortunately convey to move for their surgical physical care for because of this. Even though this may forthwith add together the cost of airfare together with hotel stays, these costs are typically significantly less than a "balance bill" from an out-of-network surgeon.
Some thorax centers fifty-fifty offering special arrangements to traveling patients such equally significantly discounted hotel charges to assist ease the fiscal burden.
Find answers to often asked breast reconstruction insurance questions here.
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Dr Chrysopoulo is a board certified plastic surgeon specializing inwards advanced thorax reconstruction surgery. He together with his partners are in-network for most USA insurance plans. Learn to a greater extent than virtually your breast reconstruction options together with connect with other thorax reconstruction patients here. You tin give the axe also follow Dr C on Twitter!
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Showing posts with label DIEP flap. Show all posts
Showing posts with label DIEP flap. Show all posts
Healty | Are you lot a DIEP Flap candidate?
The DIEP flap physical care for has apace buy the farm the "gold standard" inwards pectus reconstruction today. While non every adult woman is a candidate for DIEP flap surgery, many are turned away when inwards fact they needn't be. The most mutual areas of confusion include:
1) Previous Abdominal Surgery
While to a greater extent than or less types of previous abdominal surgical physical care for tin brand the DIEP flap physical care for impossible to perform, most of the fourth dimension previous abdominal surgical physical care for actually isn't an issue.
Many women these days bring had a previous c-section or hysterectomy. It is possible for these procedures to drive impairment to the blood vessels needed for DIEP flap surgery, simply this is rare. Influenza A virus subtype H5N1 previous c-section, hysterectomy, or tubal ligation is non a contra-indication to having the procedure.
If your surgeon is worried well-nigh potential impairment from previous surgical physical care for in addition to thence for sure tests tin live performed to examine the anatomy to a greater extent than closely. This tin include a elementary doppler ultrasound assay inwards the component subdivision or a to a greater extent than involved assay similar a CT angiogram.
So which previous surgeries DO drive a problem? Women that bring had a previous TRAM flap, tummy tuck or really extensive abdominal wall surgeries (like complex repairs of huge hernias) cannot bring a DIEP or SIEA flap reconstruction because the lower stomach tissue that is needed has already been removed, disconnected or moved around.
While previous abdominal surgeries may non forbid DIEP flap reconstruction, women that bring had multiple previous abdominal procedures are at increased guide chances of abdominal complications similar bulging in addition to fifty-fifty hernia afterwards DIEP flap surgical physical care for when compared to women that bring never had prior abdominal surgery.
2) An Umbilical Hernia
It is really unlikely that an umbilical hernia would forbid DIEP flap surgery. Most umbilical hernias are small. Influenza A virus subtype H5N1 really large umbilical hernia tin brand the surgical physical care for harder simply fifty-fifty this is non commonly a contra-indication to having the procedure.
3) Previous Chest Radiation
One of the most of import things for the reconstructive surgeon to arrive at is to supervene upon the damaged, theatre irradiated tissue alongside normal, healthy, soft tissue. If the irradiated tissue is non good for yous plenty to live used equally component subdivision of the reconstruction (as is the instance inwards many instances), it volition live removed in addition to replaced yesteryear the good for yous (DIEP) tissue.
I bring visited alongside a fair number of patients who bring previously been told they are non candidates for DIEP flap reconstruction because they received pectus radiations afterwards their mastectomy. I do not portion this opinion.
Most of the fourth dimension this advice seems to stalk from fearfulness that the radiations may bring caused impairment to the internal mammary vessels inwards the chest. These are the blood vessels that are commonly used to connect the DIEP flap to the chest. In reality it is exceptionally rare for us to uncovering these blood vessels are damaged in addition to cannot live used.
4) Not the Right Amount of Tissue
You don't quest to live overweight to live a candidate for a DIEP flap. What matters is the distribution of the fat. We bring performed DIEP flaps on smaller breast, sparse women alongside a BMI (body volume index) of twenty (and fifty-fifty less) because the fatty that they did bring was "in all the correct places". Having said that, in that location is an upper boundary beyond which the risks of surgical physical care for outweigh the benefits - At PRMA nosotros laid an upper BMI boundary of twoscore equally nosotros bring institute that performing the physical care for on women alongside BMIs greater than this significantly increases the rates of complications (especially injure healing problems).
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Dr Chrysopoulo is a board certified plastic surgeon specializing inwards the latest pectus reconstruction techniques . He in addition to his partners are in-network for most the U.S. of A. insurance plans. Learn to a greater extent than well-nigh your breast reconstruction options in addition to connect alongside other pectus reconstruction patients here. You tin likewise follow Dr C on Twitter!
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1) Previous Abdominal Surgery
While to a greater extent than or less types of previous abdominal surgical physical care for tin brand the DIEP flap physical care for impossible to perform, most of the fourth dimension previous abdominal surgical physical care for actually isn't an issue.
Many women these days bring had a previous c-section or hysterectomy. It is possible for these procedures to drive impairment to the blood vessels needed for DIEP flap surgery, simply this is rare. Influenza A virus subtype H5N1 previous c-section, hysterectomy, or tubal ligation is non a contra-indication to having the procedure.
If your surgeon is worried well-nigh potential impairment from previous surgical physical care for in addition to thence for sure tests tin live performed to examine the anatomy to a greater extent than closely. This tin include a elementary doppler ultrasound assay inwards the component subdivision or a to a greater extent than involved assay similar a CT angiogram.
So which previous surgeries DO drive a problem? Women that bring had a previous TRAM flap, tummy tuck or really extensive abdominal wall surgeries (like complex repairs of huge hernias) cannot bring a DIEP or SIEA flap reconstruction because the lower stomach tissue that is needed has already been removed, disconnected or moved around.
While previous abdominal surgeries may non forbid DIEP flap reconstruction, women that bring had multiple previous abdominal procedures are at increased guide chances of abdominal complications similar bulging in addition to fifty-fifty hernia afterwards DIEP flap surgical physical care for when compared to women that bring never had prior abdominal surgery.
2) An Umbilical Hernia
It is really unlikely that an umbilical hernia would forbid DIEP flap surgery. Most umbilical hernias are small. Influenza A virus subtype H5N1 really large umbilical hernia tin brand the surgical physical care for harder simply fifty-fifty this is non commonly a contra-indication to having the procedure.
3) Previous Chest Radiation
One of the most of import things for the reconstructive surgeon to arrive at is to supervene upon the damaged, theatre irradiated tissue alongside normal, healthy, soft tissue. If the irradiated tissue is non good for yous plenty to live used equally component subdivision of the reconstruction (as is the instance inwards many instances), it volition live removed in addition to replaced yesteryear the good for yous (DIEP) tissue.
I bring visited alongside a fair number of patients who bring previously been told they are non candidates for DIEP flap reconstruction because they received pectus radiations afterwards their mastectomy. I do not portion this opinion.
Most of the fourth dimension this advice seems to stalk from fearfulness that the radiations may bring caused impairment to the internal mammary vessels inwards the chest. These are the blood vessels that are commonly used to connect the DIEP flap to the chest. In reality it is exceptionally rare for us to uncovering these blood vessels are damaged in addition to cannot live used.
4) Not the Right Amount of Tissue
You don't quest to live overweight to live a candidate for a DIEP flap. What matters is the distribution of the fat. We bring performed DIEP flaps on smaller breast, sparse women alongside a BMI (body volume index) of twenty (and fifty-fifty less) because the fatty that they did bring was "in all the correct places". Having said that, in that location is an upper boundary beyond which the risks of surgical physical care for outweigh the benefits - At PRMA nosotros laid an upper BMI boundary of twoscore equally nosotros bring institute that performing the physical care for on women alongside BMIs greater than this significantly increases the rates of complications (especially injure healing problems).
*****
Dr Chrysopoulo is a board certified plastic surgeon specializing inwards the latest pectus reconstruction techniques . He in addition to his partners are in-network for most the U.S. of A. insurance plans. Learn to a greater extent than well-nigh your breast reconstruction options in addition to connect alongside other pectus reconstruction patients here. You tin likewise follow Dr C on Twitter!
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Healty | TRAM Flap vs DIEP Flap: What's the Difference?
Up until a few years ago, the TRAM flap was the golden measure inwards pectus reconstruction afterward mastectomy. The TRAM has straight off been surpassed past times the DIEP flap for that honor. For patient's researching their reconstructive options afterward mastectomy, it is of import to sympathize the concept of TRAM surgery as well as how it has evolved into today's cutting border DIEP procedure.
There are 3 primary forms of the TRAM flap operation ordinarily performed past times plastic surgeons:
1) The Pedicled TRAM flap: this was the showtime functioning to depict purpose of ane of the rectus abdominus muscles (sit-up muscle) for pectus reconstruction. The surgery begins alongside an incision from hip to hip. Then, the lower abdominal tissue below the belly push (skin, fatty as well as ane of the abdominal muscles) is tunneled nether the upper abdominal peel to the pectus to practice a novel breast.
Recovery from the surgery tin live hard as well as painful. Long-term, the patient has to adjust to the loss of some abdominal forcefulness (up to 20%). As alongside whatsoever surgical physical care for at that topographic point is the possibility of complications. These include delayed healing, fatty necrosis (part of the tissue turns hard due to pitiable blood supply), abdominal complications such equally bulging and/or hernia, as well as loss of the reconstruction altogether (rare).
2) The Free TRAM flap: this physical care for uses the same abdominal tissue equally the pedicled TRAM except that the tissue ("flap") is disconnected from the patient's body, transplanted to the chest, as well as reconnected to the trunk using microsurgery. Advantages over the pedicled TRAM include: improved blood provide (and thence less opportunity of healing problems as well as fatty necrosis), as well as less musculus sacrifice (so the abdominal recovery is a fiddling easier, potentially to a greater extent than forcefulness is maintained long-term, as well as the opportunity of bulging as well as hernia formation is lower).
Since the tissue is disconnected as well as transplanted to the chest, at that topographic point is likewise no tunneling nether the peel equally at that topographic point is alongside the pedicled physical care for as well as no subsequent upper abdominal bulge or as well as so the ribcage expanse (which is typically seen alongside tunneling).
3) The Muscle-Sparing Free TRAM flap: this functioning is associated alongside all the benefits of the gratuitous TRAM but has significantly fewer abdominal complications as well as side-effects (pain, bulging, hernia, forcefulness loss) because the vast bulk of the abdominal musculus is spared as well as left behind. The sum of musculus taken is typically real pocket-sized (postage-stamp size). We volition opt for this version of the TRAM entirely inwards the rare lawsuit that the patient's anatomy does non let for a DIEP or SIEA flap.
4) The DIEP flap: This is the most advanced flat of pectus reconstruction surgery available today. Like the muscle-sparing gratuitous TRAM, the DIEP uses the patient's ain abdominal peel as well as fatty to reconstruct a natural, soft pectus afterward mastectomy. Unlike the TRAM however, all the abdominal musculus is preserved. Only abdominal peel as well as fatty are removed similar to a "tummy tuck". Patients thence sense less hurting afterward surgery, savour a faster recovery as well as keep their abdominal forcefulness long-term. Since the abdominal muscles are saved, the opportunity of complications similar abdominal bulging as well as hernia are likewise significantly lower. Please view our gallery to persuasion DIEP flap earlier as well as afterward photos.
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Dr Chrysopoulo is a board certified plastic surgeon specializing inwards the latest pectus reconstruction techniques including DIEP flap surgery. He as well as his partners perform over 500 DIEP flap procedures per twelvemonth as well as are In-Network for most the U.S. insurance plans. Learn to a greater extent than near your breast reconstruction options as well as connect alongside other pectus reconstruction patients here. You tin likewise follow Dr C on Twitter!
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Dr Chrysopoulo is a board certified plastic surgeon specializing inwards the latest pectus reconstruction techniques including DIEP flap surgery. He as well as his partners perform over 500 DIEP flap procedures per twelvemonth as well as are In-Network for most the U.S. insurance plans. Learn to a greater extent than near your breast reconstruction options as well as connect alongside other pectus reconstruction patients here. You tin likewise follow Dr C on Twitter!
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Healty | Breast Reconstruction With Tummy Tissue (Abdominal Flaps)
DIEP flap? TRAM flap? SIEA flap? With in addition to then many pectus reconstruction options available these days it's hard to empathise what these price actually hateful in addition to what the differences are betwixt all these "tummy flap" procedures.
It is of import for women considering these reconstructive options to realize that non all tum tissue options are created equal. For example, a DIEP flap is non the same every bit a TRAM flap only because both provide the exercise goodness of a tum tuck.
Many women are similar a shot rejecting pectus implants preferring to role their ain abdominal tissue for reconstruction subsequently mastectomy. Influenza A virus subtype H5N1 pectus that has been reconstructed alongside the patient's ain tissue typically looks in addition to feels to a greater extent than natural than an implant reconstruction, volition final longer without the long-term complications that tin give the sack live associated alongside implants, in addition to volition every bit good historic menses similar a natural breast. Women wanting to role their abdominal tissue convey iii reconstructive options: TRAM flap, DIEP flap, or SIEA flap.
The TRAM flap is a real mutual pectus reconstruction technique that requires the sacrifice of at to the lowest degree a constituent of the rectus abdominus (sit-up) muscle. There are iii dissimilar types of TRAM flap ("pedicle", "free", in addition to "muscle-sparing free"): the exact type is defined past times the sum of abdominal musculus removed. Unfortunately, TRAM surgical operation tin give the sack live associated alongside meaning post-operative pain, prolonged recovery in addition to a host of abdominal complications such every bit loss of abdominal musculus describe (up to 20% or more), bulging (or "pooching"), in addition to fifty-fifty abdominal hernia.
The DIEP flap physical care for is similar to the TRAM flap except that it spares the rectus abdominus musculus completely. Only pare in addition to obese are removed from the abdomen. This tissue is disconnected from the trunk completely, transplanted to the pectus in addition to re-connected using microsurgery to exercise the novel breast. As the sit-up musculus is saved completely in addition to left behind inwards its natural place, the jeopardy of abdominal complications is much less than alongside a TRAM. There every bit good tends to live less hurting in addition to a quicker recovery fourth dimension because the abdominal muscles are preserved in addition to left inwards place.
Like the DIEP flap, the SIEA (Superficial Inferior Epigastric Artery) flap completely preserves the abdominal muscles. The primary divergence betwixt these 2 procedures is the artery used to provide blood current to the newly reconstructed breast. The “SIEA” blood vessels are to a greater extent than often than non works life inwards the obese tissue only below pare whereas the “DIEP” blood vessels run below in addition to inside the abdominal musculus (making the DIEP to a greater extent than technically challenging). Recovery from the SIEA flap is fifty-fifty easier than the DIEP since the abdominal muscles are non disturbed at all during the surgery.
Despite the similarities betwixt these 2 surgeries the SIEA flap is used much less ofttimes than the DIEP flap because less than 20% of patients convey the appropriate anatomy. Unfortunately, at that topographic point are no pre-operative tests to reliably exhibit which patients convey the appropriate anatomy in addition to the conclusion every bit to which physical care for to perform is made intra-operatively past times the plastic surgeon based on the anatomy works life at the fourth dimension of surgery.
Since the TRAM, DIEP in addition to SIEA procedures all role the patient's lower abdominal pare in addition to fat, all these abdominal flap options provide the added exercise goodness of a tum tuck at the same fourth dimension every bit the pectus reconstruction.
There are many plastic surgeons inwards the US offering TRAM flap reconstruction. Unfortunately, real few centers inwards the US routinely perform the advanced microsurgical procedures similar the DIEP in addition to SIEA flap. Many patients volition hence convey to move for these procedures.
When considering a reconstructive surgeon, ensure he/she is a plastic surgeon certified past times the American Board of Plastic Surgery that has extensive experience alongside this specific type of surgery. Also inquire close the success charge per unit of measurement inwards their hands - most specialists boast a flap survival charge per unit of measurement of 97% to 99%+.
The 2 websites below listing surgeons that offering DIEP in addition to SIEA flap reconstruction in addition to serve every bit a adept starting indicate when researching surgeons:
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Dr Chrysopoulo is a board certified plastic surgeon at PRMA Plastic Surgery. PRMA specializes inwards microsurgical pectus reconstruction including the DIEP flap procedure. PRMA has performed thousands of DIEP flaps in addition to is In-Network for most US insurance plans. On Facebook?.... Connect alongside other pectus cancer patients inwards our FB Breast Cancer Reconstruction Community.
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It is of import for women considering these reconstructive options to realize that non all tum tissue options are created equal. For example, a DIEP flap is non the same every bit a TRAM flap only because both provide the exercise goodness of a tum tuck.
Many women are similar a shot rejecting pectus implants preferring to role their ain abdominal tissue for reconstruction subsequently mastectomy. Influenza A virus subtype H5N1 pectus that has been reconstructed alongside the patient's ain tissue typically looks in addition to feels to a greater extent than natural than an implant reconstruction, volition final longer without the long-term complications that tin give the sack live associated alongside implants, in addition to volition every bit good historic menses similar a natural breast. Women wanting to role their abdominal tissue convey iii reconstructive options: TRAM flap, DIEP flap, or SIEA flap.
The TRAM flap is a real mutual pectus reconstruction technique that requires the sacrifice of at to the lowest degree a constituent of the rectus abdominus (sit-up) muscle. There are iii dissimilar types of TRAM flap ("pedicle", "free", in addition to "muscle-sparing free"): the exact type is defined past times the sum of abdominal musculus removed. Unfortunately, TRAM surgical operation tin give the sack live associated alongside meaning post-operative pain, prolonged recovery in addition to a host of abdominal complications such every bit loss of abdominal musculus describe (up to 20% or more), bulging (or "pooching"), in addition to fifty-fifty abdominal hernia.
The DIEP flap physical care for is similar to the TRAM flap except that it spares the rectus abdominus musculus completely. Only pare in addition to obese are removed from the abdomen. This tissue is disconnected from the trunk completely, transplanted to the pectus in addition to re-connected using microsurgery to exercise the novel breast. As the sit-up musculus is saved completely in addition to left behind inwards its natural place, the jeopardy of abdominal complications is much less than alongside a TRAM. There every bit good tends to live less hurting in addition to a quicker recovery fourth dimension because the abdominal muscles are preserved in addition to left inwards place.
Like the DIEP flap, the SIEA (Superficial Inferior Epigastric Artery) flap completely preserves the abdominal muscles. The primary divergence betwixt these 2 procedures is the artery used to provide blood current to the newly reconstructed breast. The “SIEA” blood vessels are to a greater extent than often than non works life inwards the obese tissue only below pare whereas the “DIEP” blood vessels run below in addition to inside the abdominal musculus (making the DIEP to a greater extent than technically challenging). Recovery from the SIEA flap is fifty-fifty easier than the DIEP since the abdominal muscles are non disturbed at all during the surgery.
Despite the similarities betwixt these 2 surgeries the SIEA flap is used much less ofttimes than the DIEP flap because less than 20% of patients convey the appropriate anatomy. Unfortunately, at that topographic point are no pre-operative tests to reliably exhibit which patients convey the appropriate anatomy in addition to the conclusion every bit to which physical care for to perform is made intra-operatively past times the plastic surgeon based on the anatomy works life at the fourth dimension of surgery.
Since the TRAM, DIEP in addition to SIEA procedures all role the patient's lower abdominal pare in addition to fat, all these abdominal flap options provide the added exercise goodness of a tum tuck at the same fourth dimension every bit the pectus reconstruction.
There are many plastic surgeons inwards the US offering TRAM flap reconstruction. Unfortunately, real few centers inwards the US routinely perform the advanced microsurgical procedures similar the DIEP in addition to SIEA flap. Many patients volition hence convey to move for these procedures.
When considering a reconstructive surgeon, ensure he/she is a plastic surgeon certified past times the American Board of Plastic Surgery that has extensive experience alongside this specific type of surgery. Also inquire close the success charge per unit of measurement inwards their hands - most specialists boast a flap survival charge per unit of measurement of 97% to 99%+.
The 2 websites below listing surgeons that offering DIEP in addition to SIEA flap reconstruction in addition to serve every bit a adept starting indicate when researching surgeons:
www.diepbreastreconstruction.org in addition to www.breastrecon.com
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Dr Chrysopoulo is a board certified plastic surgeon at PRMA Plastic Surgery. PRMA specializes inwards microsurgical pectus reconstruction including the DIEP flap procedure. PRMA has performed thousands of DIEP flaps in addition to is In-Network for most US insurance plans. On Facebook?.... Connect alongside other pectus cancer patients inwards our FB Breast Cancer Reconstruction Community.
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Healty | Texas Bill Mandates Breast Reconstruction Discussion Before Breast Cancer Surgery
Currently alone 30% of pectus cancer patients are informed of their pectus reconstruction options earlier mastectomy or lumpectomy.
New legislation is beingness proposed inward Texas that aims to significantly improve that abysmal statistic for pectus cancer patients. Texas House Bill 669 would mandate that doctors inform all pectus cancer patients almost their pectus reconstruction options BEFORE having surgical physical care for for pectus cancer. The pecker was drafted based on similar legislation inward the patch of New York.
PRMA Plastic Surgery is proud to denote that a sometime patient, Tammy Carrington, is the squad leader behind this Bill. She proactively sought out her patch representative, James White, to start out drafting proposals. The Bill was drafted in addition to submitted Jan 14, 2011. If approved, this statute volition accept resultant the next year.
Tammy Carrington knows firsthand what it’s similar to live diagnosed alongside pectus cancer in addition to have express handling options. After beingness diagnosed inward June of 2009, Tammy was given 2 options: a lumpectomy alongside radiations or a unilateral mastectomy. Tammy didn’t desire either.
Tammy wanted to decrease the gamble of pectus cancer inward the futurity inward the other pectus too. After intensely researching her options on her ain she learned she could stimulate got bilateral mastectomies in addition to immediate reconstruction. Ultimately she traveled to PRMA inward San Antonio in addition to underwent bilateral mastectomies alongside immediate DIEP flap pectus reconstruction using her ain abdominal tissue. All the procedures were covered past times her wellness insurance.
Not surprisingly, Tammy feels really strongly almost this Bill since she then easily could stimulate got chosen something she feels would stimulate got been the incorrect selection for her.
"My nature is to interrogation things completely then that I tin give the sack brand informed decisions. I am the mom to a severely encephalon injured lilliputian boy… I’ve spent lots of fourth dimension over the years looking for data on how to aid him boot the bucket better… After getting over the stupor of hearing the 'C' word,... I went into interrogation mode”, Tammy recalls.
“HB 669 isn’t mandating whatever detail treatment. It's non mandating whatever surgery. It's simply mandating education. Women stimulate got the correct to live told almost their options then they tin give the sack brand really informed decisions almost their ain health. Unfortunately, correct directly alone 30% are fifty-fifty told pectus reconstruction is an option”, she says.
PRMA Plastic Surgery is proud to back upward HB 669 in addition to is calling on pectus cancer patients, physicians, in addition to all those touched past times pectus cancer throughout the patch of Texas to offering their back upward past times calling their representatives.
Please telephone phone your State Legislator in addition to urge them to co-author HB 669. Your patch representative’s contact data tin give the sack live works life HERE.
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PRMA Plastic Surgery inward San Antonio, Texas, specializes inward advanced breast reconstruction using the patient's ain tissue. Procedures offered include the DIEP flap, SIEA flap, GAP flap, in addition to TUG flap. We are In-Network for most USA insurance plans. Patients are routinely welcomed from across Texas, out-of-state, every bit good every bit from exterior the USA. Connect alongside other pectus cancer reconstruction patients at www.facebook.com/PRMAplasticsurgery
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New legislation is beingness proposed inward Texas that aims to significantly improve that abysmal statistic for pectus cancer patients. Texas House Bill 669 would mandate that doctors inform all pectus cancer patients almost their pectus reconstruction options BEFORE having surgical physical care for for pectus cancer. The pecker was drafted based on similar legislation inward the patch of New York.
PRMA Plastic Surgery is proud to denote that a sometime patient, Tammy Carrington, is the squad leader behind this Bill. She proactively sought out her patch representative, James White, to start out drafting proposals. The Bill was drafted in addition to submitted Jan 14, 2011. If approved, this statute volition accept resultant the next year.
Tammy Carrington knows firsthand what it’s similar to live diagnosed alongside pectus cancer in addition to have express handling options. After beingness diagnosed inward June of 2009, Tammy was given 2 options: a lumpectomy alongside radiations or a unilateral mastectomy. Tammy didn’t desire either.
Tammy wanted to decrease the gamble of pectus cancer inward the futurity inward the other pectus too. After intensely researching her options on her ain she learned she could stimulate got bilateral mastectomies in addition to immediate reconstruction. Ultimately she traveled to PRMA inward San Antonio in addition to underwent bilateral mastectomies alongside immediate DIEP flap pectus reconstruction using her ain abdominal tissue. All the procedures were covered past times her wellness insurance.
Not surprisingly, Tammy feels really strongly almost this Bill since she then easily could stimulate got chosen something she feels would stimulate got been the incorrect selection for her.
"My nature is to interrogation things completely then that I tin give the sack brand informed decisions. I am the mom to a severely encephalon injured lilliputian boy… I’ve spent lots of fourth dimension over the years looking for data on how to aid him boot the bucket better… After getting over the stupor of hearing the 'C' word,... I went into interrogation mode”, Tammy recalls.
“HB 669 isn’t mandating whatever detail treatment. It's non mandating whatever surgery. It's simply mandating education. Women stimulate got the correct to live told almost their options then they tin give the sack brand really informed decisions almost their ain health. Unfortunately, correct directly alone 30% are fifty-fifty told pectus reconstruction is an option”, she says.
PRMA Plastic Surgery is proud to back upward HB 669 in addition to is calling on pectus cancer patients, physicians, in addition to all those touched past times pectus cancer throughout the patch of Texas to offering their back upward past times calling their representatives.
Please telephone phone your State Legislator in addition to urge them to co-author HB 669. Your patch representative’s contact data tin give the sack live works life HERE.
****
PRMA Plastic Surgery inward San Antonio, Texas, specializes inward advanced breast reconstruction using the patient's ain tissue. Procedures offered include the DIEP flap, SIEA flap, GAP flap, in addition to TUG flap. We are In-Network for most USA insurance plans. Patients are routinely welcomed from across Texas, out-of-state, every bit good every bit from exterior the USA. Connect alongside other pectus cancer reconstruction patients at www.facebook.com/PRMAplasticsurgery
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Healty | Finding the Best DIEP Flap Surgeon for You
If y'all are considering DIEP flap thorax reconstruction, finding the correct surgical squad is key. Before deciding which surgeon is the best DIEP flap surgeon for you, consider bespeak the next questions:
Dr C
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- Are y'all certified past times the American Board of Plastic Surgery? Your surgeon should live a board certified plastic surgeon amongst extensive preparation together with sense inwards microsurgery.
- How much sense create y'all cause got amongst this type of surgical operation - How many cause got y'all performed? It is preferable that your surgeon has successfully performed over 100 DIEP flap reconstructions.
- What's your success rate? Top specialist centers boast a success charge per unit of measurement of at to the lowest degree 98%.
- How long does the surgical operation take? This volition vary betwixt institutions based on experience. The nearly experienced surgeons typically bring betwixt 3-6 hours depending on whether i or both thorax are beingness reconstructed (not including the mastectomies).
- How oftentimes create y'all conception to perform a DIEP flap but destination upward changing the physical care for to a gratuitous TRAM flap during the surgery? The "conversion rate" to a gratuitous TRAM flap should live rattling low.
- How many microsurgeons volition live performing the surgery? Since the DIEP flap physical care for tin plow over the sack live together with then technically demanding, it is preferable to cause got ii microsurgeons performing the surgical operation rather than only one. Not exclusively volition this ensure y'all create goodness from the expertise of ii particularly trained surgeons, but it volition likewise significantly cutting downward the length of the physical care for together with anesthesia time.
- Do y'all cause got residents or fellows? Will they live performing whatever of my surgery? Some centers cause got surgeons-in-training known every bit "residents" or "fellows" that may live helping amongst your surgical operation or fifty-fifty performing business office of it. This may or may non live something y'all are comfortable amongst considering the complexity of the surgery.
- Do y'all "balance bill"? Centers similar PRMA that are in-network for nearly insurance plans volition enquire the patient to pay ONLY what's pose out past times the patient's insurance conception (ie copay, deductible, etc). Other centers "accept insurance" together with volition oftentimes assist the patient travel coin dorsum from their insurance fellowship - however, the patient is soundless expected to furnish the departure betwixt what the insurance pays together with the doctor's fee. This is known every bit "balance billing". Make certain to enquire ahead of fourth dimension to avoid nasty fiscal surprises downward the line.
- Do y'all cause got Insurance Specialists on staff? Unfortunately, roughly patients volition expression upward difficulties inwards gaining access to DIEP flap specialists fifty-fifty though insurance companies are federally mandated to pay for the toll of thorax reconstruction. Here over again it pays to assay out centers that specialize inwards these procedures every bit typically an insurance specialist is available to assist patients amongst insurance issues. Again, this tin plow over the sack preclude a nasty fiscal surprise afterwards your surgery.
Dr C
*****
PRMA Plastic Surgery has successfully performed several one thousand microsurgical thorax reconstructions, together with typically performs over 500 DIEP flaps per year. We specialize inwards advanced breast reconstruction procedures that role the patient's ain tissue. Procedures offered include the DIEP flap, SIEA flap, GAP flap, together with TUG flap. We are In-Network for nearly the States insurance plans. Patients are routinely welcomed from across together with exterior the USA. Connect amongst other thorax cancer reconstruction patients at www.facebook.com/PRMAplasticsurgery.
*****
Healty | Breast Reconstruction Makes Breast Cancer Patients Whole Again After Mastectomy
Alarmingly, 70% of American women facing surgical operation for pectus cancer are non told virtually the selection of pectus reconstruction.
Perhaps i of the best things virtually pectus reconstruction is that it tin dismiss live performed at whatever time…. you tin dismiss never “miss the boat” so to speak. Regardless of the timing of the procedure, pectus reconstruction enables women to experience whole again, non simply physically but likewise emotionally.
There are several reconstructive options ranging from pectus implants to using the patient’s ain tissue. Tissue (or “flap”) procedures recreate a “natural”, warm, soft pectus in addition to are associated amongst fewer complications than pectus implants.
Breast reconstruction tin dismiss live performed at the same fourth dimension every bit the mastectomy ("immediate reconstruction") or whatever fourth dimension subsequently mastectomy ("delayed reconstruction"). When the mastectomy in addition to reconstruction are performed at the same time, a skin-sparing mastectomy tin dismiss commonly live performed which saves most of the natural pectus peel envelope. Only the actual pectus tissue nether the peel is removed. The reconstruction so "fills" this empty peel envelope. In about cases nipple-sparing mastectomy tin dismiss live performed. This preserves the nipple in addition to areola every bit good every bit all the pectus skin.
Skin-sparing (and nipple-sparing) mastectomy in addition to immediate pectus reconstruction arrive at the most "natural" results amongst the to the lowest degree scarring. Patients undergoing immediate reconstruction likewise avoid the experience of a apartment pectus altogether. Immediate reconstruction is thence preferred whenever possible in addition to should live the destination for patients amongst early on pectus cancer (stage I or II).
In about cases pectus reconstruction cannot live performed at the same fourth dimension every bit the mastectomy. Reasons include advanced pectus cancer (stage III or IV), inflammatory pectus cancer, the invention for radiations therapy subsequently mastectomy, in addition to lack of access to a reconstructive plastic surgeon.
As I already mentioned at the starting fourth dimension of this post, most women unfortunately are non made aware of their pectus reconstruction options. I thence encourage all women interested inwards pectus reconstruction to enquiry their options in addition to try a referral or consultation amongst a plastic surgeon specializing inwards pectus reconstruction.
You tin dismiss run across existent patient results subsequently immediate in addition to delayed pectus reconstruction inwards our photo gallery here.
Dr C
*****
*****
Perhaps i of the best things virtually pectus reconstruction is that it tin dismiss live performed at whatever time…. you tin dismiss never “miss the boat” so to speak. Regardless of the timing of the procedure, pectus reconstruction enables women to experience whole again, non simply physically but likewise emotionally.
There are several reconstructive options ranging from pectus implants to using the patient’s ain tissue. Tissue (or “flap”) procedures recreate a “natural”, warm, soft pectus in addition to are associated amongst fewer complications than pectus implants.
Breast reconstruction tin dismiss live performed at the same fourth dimension every bit the mastectomy ("immediate reconstruction") or whatever fourth dimension subsequently mastectomy ("delayed reconstruction"). When the mastectomy in addition to reconstruction are performed at the same time, a skin-sparing mastectomy tin dismiss commonly live performed which saves most of the natural pectus peel envelope. Only the actual pectus tissue nether the peel is removed. The reconstruction so "fills" this empty peel envelope. In about cases nipple-sparing mastectomy tin dismiss live performed. This preserves the nipple in addition to areola every bit good every bit all the pectus skin.
Skin-sparing (and nipple-sparing) mastectomy in addition to immediate pectus reconstruction arrive at the most "natural" results amongst the to the lowest degree scarring. Patients undergoing immediate reconstruction likewise avoid the experience of a apartment pectus altogether. Immediate reconstruction is thence preferred whenever possible in addition to should live the destination for patients amongst early on pectus cancer (stage I or II).
In about cases pectus reconstruction cannot live performed at the same fourth dimension every bit the mastectomy. Reasons include advanced pectus cancer (stage III or IV), inflammatory pectus cancer, the invention for radiations therapy subsequently mastectomy, in addition to lack of access to a reconstructive plastic surgeon.
As I already mentioned at the starting fourth dimension of this post, most women unfortunately are non made aware of their pectus reconstruction options. I thence encourage all women interested inwards pectus reconstruction to enquiry their options in addition to try a referral or consultation amongst a plastic surgeon specializing inwards pectus reconstruction.
You tin dismiss run across existent patient results subsequently immediate in addition to delayed pectus reconstruction inwards our photo gallery here.
Dr C
*****
PRMA Plastic Surgery specializes inwards advanced breast reconstruction procedures that role the patient's ain tissue. Procedures offered include the DIEP flap, SIEA flap, GAP flap, in addition to TUG flap reconstruction. We are In-Network for most U.S. insurance plans. Patients are routinely welcomed from across in addition to exterior the USA. Connect amongst other pectus cancer reconstruction patients at www.facebook.com/PRMAplasticsurgery.
*****
Healty | DIEP Flap Breast Reconstruction
Here's a brusk video virtually DIEP flap thorax reconstruction subsequently mastectomy.... details virtually the physical care for together with why it has acquire the gilt criterion inward thorax reconstruction.
Hope yous notice it useful.
Dr C
*****
Hope yous notice it useful.
Dr C
*****
PRMA Plastic Surgery specializes inward advanced thorax reconstruction including DIEP flap, SIEA flap, GAP flap, TUG flap together with Alloderm One-Step. In-Network for most the States insurance plans. Patients routinely welcomed from across the USA. Please telephone phone (800) 692-5565 or electronic mail patientadvocate@PRMAplasticsurgery.com to larn to a greater extent than virtually your thorax reconstruction options. Connect amongst other thorax cancer reconstruction patients at www.facebook.com/PRMAplasticsurgery.
*****
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