Bolitho MD

{name}{address}{city}{zipcode}{state}{country}{phone}
9834 Genesee Ave Ste 311 La Jolla San Diego, California
Phone: (858) 458-5100

BLOG

27Oct, 2016

New study reveals breast reconstruction psychosocial effects

By: | Tags: , , , , , ,

New study reveals breast reconstruction psychosocial effects

While the month of October marked Breast Cancer Awareness Month, this month’s issue of “Plastic and Reconstructive Surgery,” a medical journal published by the American Society of Plastic Surgeons, highlighted a study regarding women who underwent a mastectomy. The premise of the study was to see if there was a difference in psychosocial issues between those who had immediate breast reconstruction (IBR) to those who had delayed breast reconstruction (DBR).

It’s important to note that it’s a woman’s personal choice as to whether or not she wants to undergo breast reconstruction. While some may not want to pursue it, others do. With that said, it’s imperative for those diagnosed with breast cancer to know of the reconstruction options available to her when a single or bilateral mastectomy is surgically recommended.

According to Science Daily, the study was conducted at the University of Toronto. It was also cited that when compared to the USA, breast cancer medical centers based in Canada tend to perform more DBR than IBR procedures.

It was correctly noted that sometimes not all patients are candidates for immediate breast reconstruction due to a treatment protocol. It’s indeed individualized.

Participants from the study consisted of 106 patients who underwent an autologous breast reconstruction. From this group of patients, 30 patients had IBR following their mastectomy while 76 patients had their DBR roughly three years later.

Science Daily reported, “Before and at six, 12, and 18 months after mastectomy, the two groups completed questionnaires assessing a range of psychological factors. Scores were compared to assess differences in the psychosocial impact of and recovery from mastectomy with IBR versus DBR.” The news source added, “In both groups, anxiety decreased after breast reconstruction.”

In terms of “health-related quality of life,” women who underwent IBR were able to rebound back into this category earlier than those undergoing DBR. However, roughly six months following their reconstruction surgery, DBR patients had a restored sense of “health-related quality of life.”

Science Daily went on to note, “Lessening the psychosocial impact of breast cancer and its treatment is an important goal of breast reconstruction. While the study is not the first to show psychological benefits of IBR, it provides new information on the course of recovery, compared to DBR.” The article continued, “The results suggest that, when appropriate, IBR can avoid a period of psychosocial distress associated with mastectomy.”

While this study offers insight between the differences of IBR and DBR, it’s important to underscore the support a woman should have following her breast cancer diagnosis. In addition to her medical team, including a board certified plastic surgeon if she so chooses, other areas of support also include family and friends. And support such as this will help carry a patient to that finish line called hope.

14Nov, 2015

Antidepressants: Study Examines Meds Before Cosmetic Surgery

By: | Tags: , , ,

Antidepressants: Study Examines Meds Before Cosmetic Surgery

A recent study published in Plastic and Reconstructive Surgery, a medical journal by the American Society of Plastic Surgeons, outlined a study indicating that there was no strong evidence suggesting that continuing antidepressants before cosmetic surgery would increase a patient’s risk intraoperatively or postoperatively. The study was conducted by Dr. Isabel Teo of Ninewells Hospital in Dundee along with Christopher Tam Song, a medical student at University of Edinburgh.

According to Science Daily which used Wolters Kluwer Health as its source, “Antidepressant use has increased in recent years, with one study reporting that 1 out of 10 U.S. adults and adolescents use these medications. Rates of antidepressant use may be even higher among patients undergoing cosmetic plastic surgery, or patients with breast cancer undergoing breast reconstruction.” It continued, “While plastic surgeons are alert for use of medications that might increase complications, such as blood thinners, they are typically not concerned about antidepressants.”

Antidepressants help adjust certain brain chemicals which alleviate a person’s mood disorder or specific behavior(s). This prescription drug can help with an array of conditions such as anxiety, depression, obsessive compulsive disorder, PTSD, ADHD, and more.

Additionally, antidepressants have been known to treat symptoms such as hot flashes, fibromyalgia, premenstrual symptoms, and neuropathy.

Antidepressants have benefited many individuals in a variety of ways, so a study such as this one is incredibly useful to both doctors and their patients.

The research article went on to say that Dr. Teo and Song crafted a comprehensive study which included various statistics and data regarding the relationship between cosmetic surgery risks and antidepressants. A total of 26 studies were part of the research. Different levels of study included:

  • Bleeding
  • Risk of breast cancer
  • Breast cancer outcome
  • Enlargement of the breasts

The study focused particularly on antidepressants categorized as SSRI, also known as selective serotonin reuptake inhibitors.

In reference to bleeding, Dr. Teo and Song assessed two groups of patients: over 34,000 breast reconstruction patients following breast cancer surgery and more than 2,500 cosmetic surgery patients. The results for bleeding were deemed inconsistent.

The report also indicated, “So while the evidence doesn’t rule out an increase in bleeding risk, stopping antidepressants before surgery–especially the widely used selective serotonin reuptake inhibitors (SSRIs)–might worsen depression symptoms…” They added, “Therefore, routine discontinuation of antidepressants before surgery in the absence of a careful evaluation should be avoided.”

In the breast cancer risk category, the results were again determined as conflicting for antidepressant users. While there was some moderate increase, others indicated no correlation.

For breast cancer outcomes, the study gleaned information about those taking tamoxifen to help reduce the recurrence of breast cancer. Researchers found no indication that antidepressants triggered a “drug combination” reaction.

Enlargement of the breasts was another area of the study. Any correlation of increased size was attributed to weight gain, a side effect of SSRI.

The report findings also cited, “While acknowledging the limitations of the available data, Dr. Teo and Mr. Song note their review finds no consistent evidence of increased complications related to antidepressants.” It added, “The risks of stopping prescribed antidepressant therapy in ‘psychologically vulnerable’ patients likely outweigh any increase in complications.

15Jul, 2013

3-D Nipple Tattoos For Breast Cancer Reconstruction Patients

By: | Tags: , , , , , , ,

FreeDigitalPhotos.net

FreeDigitalPhotos.net


Breast reconstruction is all about having options.

One of our breast reconstruction patients decided to take a different path when it came time for nipple reconstruction.

Dr. Bolitho is the type of person who you feel absolutely comfortable with; and, when it came time to decide on nipple reconstruction I did a lot of research regarding what would be best for me,” Christina said. “After a lot of consideration, I approached Dr. Bolitho about 3-D nipple tattoos that were performed by a top-notch artist who currently works at the Center for Restorative Breast Surgery in New Orleans and Dr. Bolitho gave me the green light.”

Christina, 47, who had a bilateral mastectomy in 2011, completed her breast reconstruction journey in 2013 with with her 3-D nipple tattoos. She had silicone gel-filled implants as part of her reconstruction procedure.

And she is thrilled with the reconstruction results and her 3-D nipple tattoos.

“Many people ask me whether or not it was painful. I had never had a tattoo before so I really didn’t know what to expect,” she said. Christina added, “My left side was virtually painless, but the right side, had a bit of discomfort.”

Meyers told Christina that not many women felt much pain because the reconstruction area often feels numb. In under an hour, the tattoos were completed.

Below is a CNN clip of Vinnie Meyers who lives in Maryland but frequently travels to New Orleans to help women at the Center for Restorative Breast Surgery.

3Jun, 2013

The Dr. Bolitho Team Garners Positive Feedback

By: | Tags: , , , , , , , , ,

Dr. Bolitho
Dr. Bolitho frequently hears kind patient feedback when it comes to his front and back office staff.

When he chose his team, Dr. Bolitho shared, a great deal of it had to do with instinct coupled with their training.

“I always like to think that someone can be trained up to a level of clinical proficiency provided that they have the empathic nature to do a job,” Bolitho said. He added, “I would rather have that type of team member, than someone let’s say, who is highly trained but lacks that type of character who cannot relate well to patients.”

For Dr. Bolitho, it has always been more important to him to bring a team member onboard who conveyed special human characteristics when interacting with patients.

While Dr. Bolitho is well known for an array of different cosmetic surgical procedures, he also performs many breast reconstruction surgeries for women who have lost a breast either from a mastectomy or other condition. So having a compassionate medical team at his practice was imperative.

For Dr. Bolitho’s office, every day is a new day to treat their patients with the genuine medical care they deserve.

To reach Dr. Bolitho’s office, please call (866) 738-9360 or e-mail them at info@bolithomd.com.

29Oct, 2012

A party in honor of Breast Cancer Awareness Month

By: | Tags: , , , , ,

Dr. Bolitho’s staff members gave guests a warm welcome during the Oct. 26 soiree.

Dr. Bolitho and his staff recently hosted a thoughtful soiree in honor of National Breast Cancer Awareness Month. Their patients, undergoing or who had undergone breast cancer reconstruction, enjoyed an evening of pampering, great conversation, live music, savories and more.

As the women arrived, many signed up for complimentary massages and manicures. When the activity began to settle down, the energy peaked once again for the opportunity drawings portion of the party.

Many guests walked away with prizes. A handful of “must-haves” included beauty products, beauty services, Botox and Juvederm treatments, a Latisse giveaway, restaurant gift certificates, and water sport adventures.

The evening was a memorable one and the ladies thanked Dr. Bolitho and his kind staff for such a generous gesture.