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November-2003 It is with great pleasure I present the first issue of our newsletter. I feel the Doctor-Patient relationship is one that is special. I hope this newsletter will enable our relationship to progress through the years to come. I have selected a few articles I hope may interest you as a patient. I think you will find them interesting as well as informative. October is National Breast Cancer Awareness Month. Included is an article provided by the American Society of Plastic Surgeons addressing reconstruction. Awareness is key in fighting the disease. Sincerely, Joe Danyo BREAST CANCER CARE ARLINGTON HEIGHTS, Ill. (ASPS) - There is encouraging news about the progress being made in breast cancer care. Working hand in hand with cancer surgeons, plastic surgeons are giving breast cancer patients the most natural-looking breast possible, often making a diagnosis of breast cancer easier to bear. The skin-sparing mastectomy with immediate reconstruction has become one treatment option that is changing breast cancer care. The procedure requires the patient’s surgical team to work in tandem. The plastic surgeon consults with the cancer surgeon to mark where the incisions should be made for an optimal cosmetic outcome. After the cancer surgeon removes the cancerous breast tissue, leaving most of the overlying skin, the plastic surgeon takes tissue from another area of the patients’ body, commonly the abdomen or back and replaces it in the area where breast tissue was removed. This skin-sparing mastectomy serves as an alternative to a mastectomy where the breast tissue and the skin are removed. "We’ve come a long way in breast cancer treatment," explains the President of the American Society of Plastic Surgeons (ASPS) James H. Wells, MD. "A mastectomy began as surgery where everything in the breast area was surgically removed. Later more muscle was left, now more skin is left so that patients have more choices." Because the skin-sparing mastectomy has become an accepted breast cancer treatment, new innovations in the technique are continually being studied. In a recent study in Plastic and Reconstructive Surgery, the official medical journal of the ASPS, a new skin-sparing approach was introduced for slim, small-breasted patients who often don’t have extra tissue necessary for the traditional skin-sparring reconstruction. This technique gives smaller women, who opt for reconstruction with an implant a technique that will leave an unnoticeable scar and a great cosmetic result," reports the study’s co-author Bryant Toth, MD, San Francisco. Dr. Wells reminds breast cancer patients interested in breast reconstruction to research all of their options. "If your cancer surgeon does not regularly work with a plastic surgeon they may not have the resources to provide all reconstructive information to you," says Dr. Wells. "When discussing reconstruction techniques with your surgical team, if a skin-sparing mastectomy is not discussed, make sure to ask about it." SKIN CARE CORNER 
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