by Terri Coutee
Breast Reconstruction options after mastectomy, healthy lifestyle factors after breast cancer, survivorship, shared decision-making, and supporting SDG3.
Language
🇺🇲
Publishing Since
12/20/2020
Email Addresses
1 available
Phone Numbers
0 available
April 16, 2025
<p class="MsoNormal">Do most people who have nipple reconstruction have breast reconstruction? Not necessarily. Do you think about nipple reconstruction if you’ve had breast cancer and are in a consultation for breast reconstruction? We are going to answer these questions and others on this episode of the <a href= "https://diepcjourney.com/category/podcast/" target="_blank" rel= "noopener">DiepCJourney Podcast</a>.</p> <p class="MsoNormal">My guest is <a href= "https://prma-enhance.com/about-us/breast-reconstruction-surgeons-texas/dr-carpenter/" target="_blank" rel="noopener">Dr. Courtney Carpenter</a> of <a href="https://prma-enhance.com/" target="_blank" rel= "noopener">PRMA</a> in San Antonio, Texas.</p> <p class="MsoNormal">Dr. Carpenter is passionate about utilizing her extensive expertise and experience to help transform lives through reconstructive plastic surgery. I want to point out that PRMA uses the co-surgeon model in breast reconstruction, meaning there are two board-certified microsurgeons with the patient in the OR at the time of autologous breast reconstruction surgery. PRMA is part of the <a href="https://www.advancedreconstruction.com/" target="_blank" rel="noopener">IFAR (Institute for Advanced Reconstruction)</a> network of surgeons.</p> <p class="MsoNormal">We discuss these topics:</p> <p class="MsoListParagraphCxSpFirst" style= "text-indent: -.25in; mso-list: l0 level1 lfo1;"> <!-- [if !supportLists]--><span style= "font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt 'Times New Roman';"> </span></span></span> <!--[endif]-->At what phase of the reconstructive process does nipple reconstruction happen?</p> <p class="MsoListParagraphCxSpMiddle" style= "text-indent: -.25in; mso-list: l0 level1 lfo1;"> <!-- [if !supportLists]--><span style= "font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt 'Times New Roman';"> </span></span></span> <!--[endif]-->Methods of nipple reconstruction.</p> <p class="MsoListParagraphCxSpMiddle" style= "text-indent: -.25in; mso-list: l0 level1 lfo1;"> <!-- [if !supportLists]--><span style= "font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt 'Times New Roman';"> </span></span></span> <!--[endif]-->Recovery and dressings used after surgery.</p> <p class="MsoListParagraphCxSpLast" style= "text-indent: -.25in; mso-list: l0 level1 lfo1;"> <!-- [if !supportLists]--><span style= "font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt 'Times New Roman';"> </span></span></span> <!--[endif]-->3-D Medical tattooing of the NAC (nipple areola complex) for those who do not have nipple reconstruction.</p> <p class="MsoNormal">This is what Dr. Carpenter tells us as she summarizes her thoughts at the end of the podcast.</p> <p class="MsoNormal">“Nipple recon is something people don’t think about. They hear their diagnosis. They are thinking about breasts. They are not necessarily thinking about the nipples or the thought that their nipples might be removed isn’t something that even crosses their mind, even though it might be on my mind or their breast surgeon’s mind.</p> <p class="MsoNormal">I think that people should be encouraged to ask more questions. Especially if they are a candidate for preserving their nipples or not preserving their nipples. Questions are always great! I love questions, it means you’re thinking about it! You’re trying to get as much data as you want or as you need in order to make your decision.”</p> <p class="MsoNormal">I am grateful for her time and expertise to help prepare our listeners for their consulation for breast reconstruction surgery and to know what questions to ask about nipple reconstruction. </p> <p class="MsoNormal">Connect with Dr. Carpenter on the following platforms:</p> <p class="MsoNormal">Instagram: <a href= "https://www.instagram.com/prmaplasticsurgery/" target="_blank" rel="noopener">https://www.instagram.com/prmaplasticsurgery/</a></p> <p class="MsoNormal">Facebook: <a href= "https://www.facebook.com/PRMAplasticsurgery" target="_blank" rel= "noopener">https://www.facebook.com/PRMAplasticsurgery</a></p> <p class="MsoNormal">YouTube: <a href= "https://www.youtube.com/@PRMAPlasticSurgery" target="_blank" rel= "noopener">https://www.youtube.com/@PRMAPlasticSurgery</a></p>
April 2, 2025
<p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">How much do you know about robotic surgery for DIEP flap breast reconstruction?</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">What areas in the U.S. are performing these types of robotic surgery for those affected by breast cancer? What if I told you robotic DIEP flaps are being performed in Hawaii?</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">It is important to share with you surgeons I meet to provide access to care for those affected by breast cancer. Thank you for listening to the podcast to find out who these surgeons are. We are going to discuss robotic surgery and DIEP flap being performed in Hawaii with my guests on this edition of the <a href= "https://diepcjourney.com/category/podcast/" target="_blank" rel= "noopener">DiepCJourney podcast</a>. Be sure to watch our conversation on the <a href= "https://www.youtube.com/@DiepCFoundation/featured" target="_blank" rel="noopener">DiepCFoundation YouTube channel</a> when it is published, and you can sit with us and watch our conversation.</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">I first met <a href= "https://www.drmurariu.com/about-dr-murariu/" target="_blank" rel= "noopener">Dr. Daniel Murariu</a> at the <a href= "https://www.plasticsurgery.org/reconstructive-procedures" target= "_blank" rel="noopener">American Society of Plastic Surgeons</a> in San Diego in September of 2024. What impressed me at our first meeting was his interest in the resources breast cancer patients provide. We talked about the resources provided by <a href= "https://www.diepcfoundation.org/" target="_blank" rel= "noopener">DiepCJourney Foundation</a>, but we also discussed the many other breast cancer support groups helping patients navigate their decision through treatment, surgery, and recovery.</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">I was also impressed with the time he spent listening and I thought to myself, if I were a patient of Dr. Murariu, I think I would feel very much a part of my decision process with his thoughtful demeanor. He is a <a href= "https://www.youtube.com/watch?v=hTqESCzcOxs&t=7s" target= "_blank" rel="noopener">TEDx UC Davis speaker</a>, Rotarian, speaks three languages, has published multiple papers, an impressive resume to be sure!!</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">Further, Dr. Murariu practices the co-surgeon model at his private practice office in Honolulu, Hawaii at <a href= "https://www.athenaclinic.com/about/dr-daniel-murariu/" target= "_blank" rel="noopener">Athena Clinic Plastic Surgery</a>. He collaborates with his team member, <a href= "https://www.queens.org/providers/2934/peter-l-deptula/" target= "_blank" rel="noopener">Dr. Peter Deptula</a>. We are going to learn more about the work of Dr. Deptula and his training in the interview.</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">They are both board-certified reconstructive surgeons who perform autologous breast reconstruction, lymphedema surgery, complex abdominal wall reconstruction, and complex microsurgery focusing on head and neck and breast reconstruction.</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">We wrap up our conversations with an announcement by Dr. Murariu. It is exciting to know that he and Dr. Deptula are organizing the <a href= "https://ramsesrobotics.com/" target="_blank" rel="noopener">RAMSES 2027</a> meeting in Honolulu, Hawaii. <a href= "https://www.instagram.com/ramsesmicrosurgery/" target="_blank" rel="noopener">RAMSES</a> stands for The Robotic Assisted & Microsurgical Endoscopic Society, “The group represents the ‘early adaptors’ of robotic technology in the field of microsurgery.” He graciously invites surgeons to visit them to observe their work and learn more about robotics in plastic surgery.</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">Connect with Dr. Murariu and Dr. Deptula across these platforms:</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">Instagram:</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">Dr. Murariu: <a href= "https://www.instagram.com/p/DE9H3QrRhNI/" target="_blank" rel= "noopener">https://www.instagram.com/p/DE9H3QrRhNI/</a></span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">Dr. Deptula: <a href= "https://www.instagram.com/doctor.petey/" target="_blank" rel= "noopener">https://www.instagram.com/doctor.petey/</a></span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">LinkedIn:</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">Dr. Murariu: <a href= "https://www.linkedin.com/in/daniel-murariu-0ba2b7195/" target= "_blank" rel= "noopener">https://www.linkedin.com/in/daniel-murariu-0ba2b7195/</a></span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">Facebook: <a href= "https://www.facebook.com/people/Athena-Clinic-Plastic-Surgery/100087242137827/" target="_blank" rel= "noopener">https://www.facebook.com/people/Athena-Clinic-Plastic-Surgery/100087242137827/</a></span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;"> </span></p>
March 24, 2025
<p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">This interview is another resource provided by DiepCFoundation.org specifically providing access to care for those affected by breast cancer. The slide presentation and interview are available on the Foundation educational channel for our listeners and followers who would like to access it at <a href= "https://www.youtube.com/watch?v=JAd5Wa2q9-o&t=320s" target= "_blank" rel="noopener">DiepCFoundation YouTube channel</a>.</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">We are discussing a topic that is often discussed in my community so I reached out to my guest to share her expertise on the repair of diastasis and recognizing what a hernia or bulge might look like after autologous breast reconstruction, specifically DIEP flaps.</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">My guest is <a href= "https://breastreconstructionaz.com/about/practitioners/dr-kelsey-mcclure/" target="_blank" rel="noopener">Dr. Kelsey McClure</a> who practices with a team of other microsurgeons at <a href= "https://breastreconstructionaz.com/" target="_blank" rel= "noopener">Southwest Breast and Aesthetics</a> in Phoenix, AZ. She is a board-certified plastic surgeon and holds certification with The American Board of Plastic Surgery.</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">She is an active member of:</span></p> <ul style="margin-top: 0in;" type="disc"> <li class="MsoNormal" style= "mso-list: l0 level1 lfo1; tab-stops: list .5in;"><span style= "font-size: 12.0pt; line-height: 107%;">The American Society for Reconstructive Microsurgery (ASRM)</span></li> <li class="MsoNormal" style= "mso-list: l0 level1 lfo1; tab-stops: list .5in;"><span style= "font-size: 12.0pt; line-height: 107%;">The American Society of Plastic Surgery (ASPS)</span></li> <li class="MsoNormal" style= "mso-list: l0 level1 lfo1; tab-stops: list .5in;"><span style= "font-size: 12.0pt; line-height: 107%;">Mountain West Society of Plastic Surgeons (MWSPS) AND the</span></li> <li class="MsoNormal" style= "mso-list: l0 level1 lfo1; tab-stops: list .5in;"><span style= "font-size: 12.0pt; line-height: 107%;">Arizona Society of Plastic Surgeons</span></li> </ul> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">She has authored several research publications. Dr. McClure believes that <a href= "https://diepcjourney.libsyn.com/episode-9-shared-decision-making">shared decision- making</a> is necessary to tailor a comprehensive aesthetic and reconstructive plan.</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">We reference a <a href= "https://journals.lww.com/prsgo/pages/default.aspx" target="_blank" rel="noopener">PRS Global Open</a> paper published by <a href= "https://diepcjourney.libsyn.com/ep-73-breast-reconstruction-surgery-at-southwest-breast-aesthetics" target="_blank" rel="noopener">Dr. Arvind Gowda</a> who has been a guest on a previous episode of the <a href= "https://diepcjourney.com/category/podcast/" target="_blank" rel= "noopener">DiepCJourney podcast</a>. The paper can be accessed through this open-source Journal here:</span></p> <p class="MsoNormal"><a href= "https://pmc.ncbi.nlm.nih.gov/articles/PMC11658724/" target= "_blank" rel="noopener"><span style= "font-size: 12.0pt; line-height: 107%;">Approach to DIEP Flap Pedicle</span> <span style= "font-size: 12.0pt; line-height: 107%;">Dissection</span> <span style="font-size: 12.0pt; line-height: 107%;">via a Midline Fascial Incision</span></a></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">Connect with Dr. Kelsey and her team across these platforms:</span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">Instagram: <a href= "https://www.instagram.com/southwestbreast/" target="_blank" rel= "noopener">https://www.instagram.com/southwestbreast/</a></span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;">Facebook: <a href= "https://www.facebook.com/SWBreast" target="_blank" rel= "noopener">https://www.facebook.com/SWBreast</a></span></p> <p class="MsoNormal"><strong><span style= "font-size: 12.0pt; line-height: 107%;"> </span></strong></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;"> </span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;"> </span></p> <p class="MsoNormal"><span style= "font-size: 12.0pt; line-height: 107%;"> </span></p> <p class="MsoNormal"> </p>
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