https://www.mybreane.ca/you daily 0.75 2021-12-08 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/1624677986021-108QZVOG2W4QJCBE2MNH/2b.jpg YOU https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/1636062556238-SCPB3JXF703WLLDJ7B6A/3b.jpg YOU https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/1636087565313-Q04N1XYZV1THSO4FIG8M/1b.jpg YOU https://www.mybreane.ca/i-am-thinking-about-reconstruction daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694583486-2PQT0LQ193RL7MCB6DX4/20140228_Trade+151_0046.jpg I am thinking about reconstruction. https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618497259178-6XJGK9GR6YAVBQL5L519/20140301_Trade-151_012-2.jpg I am thinking about reconstruction. https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694644871-IC85FNH781UNZSZEGHDR/Aro+Ha_0428.jpg I am thinking about reconstruction. https://www.mybreane.ca/about-breane daily 0.75 2021-11-04 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/1624677495249-C2VAJCWSWO9UN15EFMG9/women.jpg BREANE - Breast Reconstruction Education And Network (BREANE) A diagnosis of breast cancer or genetic predisposition for breast cancer comes with a flood of emotions, as well as many urgent and important decisions. First and foremost in this process is making sure you have the best options to be cancer-free. In the meantime, BREANE is here to help by providing an educational platform about the different options available for reconstruction after breast cancer. https://www.mybreane.ca/home daily 1.0 2022-02-01 https://www.mybreane.ca/mastectomy-alone daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/b5a1340e-880e-484c-825d-4331392f3746/gabriel-aguirre-0vWY47Mh_V4-unsplash.jpg Mastectomy Alone - Know the facts about scars! Mastectomy scars vary in size and character. Mastectomy scars typically are oriented horizontally across your chest. Scars take almost a full year to mature to their final form. Usually, scars become more red in the first few months, and eventually become more pale, and flat. In addition to the linear mastectomy scar , you may have a “contour deformity” where the breast tissue was resected, meaning that you may have an indentation or tight/adherent area of scarring. This may be more pronounced if you have had radiation to that breast. (See RADIATION information) Things that have been shown to improve scarring include: Firm scar massage along the direct of the scar Silicone sheet scar therapy Avoid sun tanning or sun exposure to scar for one year. Some patients may develop Hypertrophic (scar that are raised, wide and red), or Keloid (Scar that have a raised shape that extends beyond the borders of the initial scar). See SCAR MANAGEMENT for more. https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/6363bf50-02b4-4195-a651-f22f8ec8793d/SCAR_Tree_+christopher-paul.jpg Mastectomy Alone - FAT GRAFTING Fat grafting provides a surgical option help with chest contour deformities or a scar that is tight or tethered to the chest wall after surgery. This involves liposuction or removal of fast cells from one area of your body (usually your belly, flanks or thighs), and injecting it under the scarred tissue. Often multiple repeat treatments are needed to get sufficient contour change. See FAT GRAFTING for more information. https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/c398f183-3318-42c6-9040-d0d06cb8341f/Breane+Mastectomy+graphic.png Mastectomy Alone - Don’t want surgery but also don’t want to remain flat? Some women elect to wear breast prostheses or synthetic bra implants to provide form and contour under their clothes. https://www.mybreane.ca/partial-breast-defect daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/a9ee5278-20ff-402a-b38a-2e28ca57389c/Woman+on+computer.jpg Partial Breast Defect - Fat Grafting This a surgical process where fat is transferred from one body area (e.g. abdomen, thighs, flanks) to the breast in order to improve its contour and balance the chest appearance Fat grafting typically involves liposuction of the abdomen, flank or thighs, and then injection of the fat to areas in the breast that are scarred or require volume. This may be in areas of scar from the mastectomy, from a lumpectomy, or even due to irregular contour after implant or tissue based reconstruction. Not all the fat that in transferred will remain long term - an estimated 50% will remain, although the exact amount is difficult to tell. Fat grafting often requires a few procedures depending on contour and the amount of fat graft “take.” Most often, this is done in the main operating room under a general anesthetic. Sometimes, if only small volumes need to be corrected, this can be done using local anesthetic (freezing). Interesting fact: If you gain weight, the fat cells that have been transferred from your abdomen to your chest will also increase in size! https://www.mybreane.ca/mastectomy-reconstruction daily 0.75 2022-02-01 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/1636122461627-497WGLJL4PL4Q10NV15U/Alberta+mountains+lake+Amir+Hanna.jpg Mastectomy Reconstruction https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/1636122512397-A9771EL8BWVRNE102K4I/Woman+looking+at+sunset.jpg Mastectomy Reconstruction https://www.mybreane.ca/immediate-reconstruction daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694583486-2PQT0LQ193RL7MCB6DX4/20140228_Trade+151_0046.jpg Immediate Reconstruction https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694644871-IC85FNH781UNZSZEGHDR/Aro+Ha_0428.jpg Immediate Reconstruction https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618497259178-6XJGK9GR6YAVBQL5L519/20140301_Trade-151_012-2.jpg Immediate Reconstruction https://www.mybreane.ca/delayed-reconstruction daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694644871-IC85FNH781UNZSZEGHDR/Aro+Ha_0428.jpg Delayed Reconstruction https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694583486-2PQT0LQ193RL7MCB6DX4/20140228_Trade+151_0046.jpg Delayed Reconstruction https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618497259178-6XJGK9GR6YAVBQL5L519/20140301_Trade-151_012-2.jpg Delayed Reconstruction https://www.mybreane.ca/implant-based-reconstruction daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/b5eb7dd5-c859-4d3d-aca3-4caaef821dc4/BREANE+Implant-based-reconstruction+graphic.png Implant-based Reconstruction - One-Stage Implant Reconstruction: Refers to the immediate placement of an implant at the time of mastectomy. This implant is usually placed behind your Pectoralis Major Muscle (chest muscle). This type of reconstruction is possible if there is sufficient skin remaining after your mastectomy to cover the implant, and this skin has sufficient blood supply. This approach preserves your natural anatomic landmarks, so may be more aesthetically pleasing than delayed reconstruction This option is usually best in patients who have small breasts, and are unlikely to require post-operative radiation. https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/2ff6af11-7f56-40da-9f76-f8e86729b287/Inukshuk+James+Kody-vertical.jpg Implant-based Reconstruction - Two-Stage Implant Reconstruction: Involves the placement of “tissue expanders” at the time of mastectomy that stretch out the skin and muscle to make room for the placement of an implant at a later date. At the time of placement, tissue expanders will have some fluid (saline) injected, and approximately 2 weeks following surgery, more fluid will be added through a needle into a port of the tissue expanders. Usually, the expanders are then filled weekly. This process gradually stretches the overlying skin and muscle in order to create a pocket for the future implant. The size of the final implant will be determined by patient preference, and how the skin and muscle respond to the stretch. https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694583486-2PQT0LQ193RL7MCB6DX4/20140228_Trade+151_0046.jpg Implant-based Reconstruction https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618497259178-6XJGK9GR6YAVBQL5L519/20140301_Trade-151_012-2.jpg Implant-based Reconstruction https://www.mybreane.ca/tissue-based-reconstruction daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/024fa2b1-735a-4d62-afde-13e2139e9f6b/Surgical+Team+circle_NIH.jpg Tissue-based Reconstruction - Flap Surgery Autologous or Tissue-based Breast reconstruction is often referred as “Flap Reconstruction.” A Flap is simply tissue taken from one part of your body to another. The most common Flap surgery performed for breast reconstruction uses tissue from your lower abdomen. This usually involves a large surgical team with plastic surgeons trained in microsurgery. Read below for more information about Tissue-based reconstruction. https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/4e7779be-8728-428b-8f13-90f8f487f8bf/Alberta+mountain+sky_vertical.jpg Tissue-based Reconstruction - Abdominal Tissue Flap: Many women elect to have reconstruction using tissue from their own abdomen. Tissue that is moved from one part of your body to another is called a “Flap.” This is often referred to as a T.R.A.M. (Transverse Rectus Abdominis Muscle) Flap or a D.I.E.P. (Deep Inferior Epigastric Perforator) Flap. The only major difference between these two flaps is that the TRAM includes a small piece of muscle, whereas the DIEP is only skin and fat; otherwise they are essentially the same. Surgeons will try to avoid muscle resection, but the decision to move small sections of muscle will be made during the surgery. In both scenarios, the blood vessels from the abdominal tissue are found and attached to blood vessels at the chest under a microscope. https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/1225933d-883f-447b-9e57-7c0998f8314a/Plan+for+Lat+Dorsi+Flap.png Tissue-based Reconstruction - Latissimus Dorsi Reconstruction In some patients, the latissimus dorsi muscle (large muscle on your back), may be moved to your chest. Very often, an implant or tissue expander can be placed below this muscle. This flap requires lifting the muscle, fat and skin from an area on your back and tunnelling it under your armpit to reconstruct your breast. https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/f8c53262-d6d5-4857-b96e-7ae823be1f43/Emerald+Lake+Joris+Beugels.jpg Tissue-based Reconstruction - Other “Autologous Reconstruction” options There are many “flaps” that can be used for breast reconstruction. As discussed above, the DIEP or TRAM flap is the most common, and the Latissimus dorsi follows. However, if you are not a candidate, for example due to prior abdominoplasty (“Tummy Tuck”), there are often other areas of the body that may be used for flap reconstruction. https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694583486-2PQT0LQ193RL7MCB6DX4/20140228_Trade+151_0046.jpg Tissue-based Reconstruction https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618497259178-6XJGK9GR6YAVBQL5L519/20140301_Trade-151_012-2.jpg Tissue-based Reconstruction https://www.mybreane.ca/i-am-scheduled-to-have-reconstruction daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/1636124040708-K3XT4OBX9W5DLSZ8T34Y/Mom+and+ipad_alexander-dummer.jpg I am scheduled to have reconstruction. https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/1636124095942-Q8DP2T8CU5XNF8N82WHP/Alberta+Sunrise.jpg I am scheduled to have reconstruction. https://www.mybreane.ca/before-surgery daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/126dbd25-c0ff-47f0-aecd-ce532d294768/Women+breathing+by+lake_priscilla-du-preez.jpg Before Surgery - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/15f3ee78-5ed0-4704-b6bf-5f06e22b1a6f/Admitting+Desk_martha-dominguez-de-gouveia.jpg Before Surgery - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/f5dbec47-d75d-43bc-ac08-ba3f0557b130/IV+pole+samuel-ramos.jpg Before Surgery - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.mybreane.ca/after-surgery daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/f39df9f4-c046-45c2-a5a8-d201d2b1b90b/jair-lazaro-0lrJo37r6Nk-unsplash.jpg After Surgery - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/5b7daffa-9f3a-4074-8eaa-29e94cd8a927/Woman+post+op+Oxygen_sharon-mccutcheon.jpg After Surgery - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.mybreane.ca/i-have-had-reconstruction daily 0.75 2022-10-12 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618497259178-6XJGK9GR6YAVBQL5L519/20140301_Trade-151_012-2.jpg I have had reconstruction. https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694583486-2PQT0LQ193RL7MCB6DX4/20140228_Trade+151_0046.jpg I have had reconstruction. https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694644871-IC85FNH781UNZSZEGHDR/Aro+Ha_0428.jpg I have had reconstruction. https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618497259178-6XJGK9GR6YAVBQL5L519/20140301_Trade-151_012-2.jpg I have had reconstruction. https://www.mybreane.ca/tips-articles daily 0.75 2021-11-04 https://www.mybreane.ca/questionnaire daily 0.75 2022-09-18 https://www.mybreane.ca/photos daily 0.75 2021-11-05 https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/6b992533-989a-4ad1-9e2d-456ab6d984da/Slide16.PNG PHOTOS https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/1369ad17-6379-4d83-9577-844215f9a32e/Implant-based-reconstruction.png PHOTOS IMPLANT-BASED RECONSTRUCTION https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/6def9a8b-53a0-4622-a641-e57a15f0a3d9/Slide5.PNG PHOTOS https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/0469c6e6-597b-490a-a4e0-e43315096a23/Slide23.PNG PHOTOS 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https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/405d5777-79fb-4fc7-8711-6966bebe8ec2/Slide3.PNG PHOTOS https://images.squarespace-cdn.com/content/v1/60d39fd43cf34028181feac0/4ade3691-d671-475f-abbc-941d83ed033e/Slide2.PNG PHOTOS ADD DESCRIPTION HERE https://www.mybreane.ca/survey-control-group daily 0.75 2022-09-18