Bvlgari Still Supports Italy

Italian jeweler Bvlgari keeps supporting front line the fight against Covid-19. After the donation of hundredths of thousands of sanitizing gels bottles last Spring, Bvlgari continues supporting the scientific and medical community by renewing its donation of hand-sanitizing gel to the Italian Hospitals. The gels will be supplied to all medical facilities through the Protezione Civile (Italian Civil Protection Department).

Aware of the difficult situation we are experiencing again with the second wave, we believe it is our duty to contribute once again with our know-how and production facilities.

Jean-Christophe Babin, CEO of Bvlgari.

Roberto Speranza, Italian Health Ministry commented “I would like to thank Bvlgari which again demonstrates its amazing civic sense and responsibility, proposing again a generous donation pf tens of thousands bottles of sanitizing gels for our hospitals, thus helping to better protect our front line medical staff mobilized in intensive care units fighting bravely Covid-19”.

Come into the beautiful world of Bvlgari.

Can the color purple whiten your teeth?

miBrite, the brand that sparks confidence and smiles, is proud and excited to announce miBrite ClearPaste. Being the latest paradigm-shifting oral care technology developed by R&D powerhouse Smash Labs, LLC., miBrite ClearPaste instantly whitens teeth without the use of peroxide or bleach. Instead, miBrite ClearPaste uses the advanced color theory used by Hollywood makeup artists for decades.

The mechanism miBrite ClearPaste utilizes to whiten teeth involves specific deep purple pigments. The particular shade of purple used in ClearPaste makes teeth whiter because it is the opposite of the yellow color typically found on stained teeth. When you brush your teeth with miBrite ClearPaste, the advanced bioadhesive hydrogel disperses and coats your teeth – making them appear to be whiter (or less yellow).

What’s most exciting about miBrite ClearPaste is that this technology enables an entirely new demographic to whiten their teeth safely – those who have restorations such as crowns, veneers, or implants. Until now, the only whitening option for people with artificial teeth was to remove and replace their restoration. Replacing existing dental work is a very invasive and expensive solution for people who want to quickly and safely whiten their teeth.

Having worked on teeth whitening products since the late 1990’s, Dr. Martin Giniger, Ph.D., DMD, Chief Scientist at Smash Labs, made it his mission to develop a teeth whitening product that was safe and effective on crowns and veneers.

It is commonly known that teeth whitening products that contain hydrogen peroxide or carbamide peroxide are not recommended for composites, crowns, or veneers. Peroxides only work to whiten organic stains on natural teeth and do not change the colors of restorations, and our R&D team thought if we can’t change the color of the restoration, then why don’t we remove the yellow color wavelength of light that is reflected off the teeth? This is exactly what miBrite ClearPaste does.

Dr. Martin Giniger

miBrite ClearPaste will become the go-to teeth whitening product that the world has been searching for as it checks all the boxes of a tooth whitening product that is so desperately needed. Sold in beautiful, airless pump packaging that dispenses the correct amount, miBrite ClearPaste can safely be used in the morning to assure day long white teeth with no tooth sensitivity. It can be used alone or as a booster when combined with regular toothpaste.

For more information come into the beautiful world of miBrite.

Why Do My Breasts Hurt? Understanding Causes of Breast Pain

Most women suffer some form of breast pain at some point in their lives. It may be mild or severe, constant or intermittent. It may be in the form of soreness, sharp burning pangs, or tightness. “Breast pain, or mastalgia, is usually straightforward to diagnose and treat”, says plastic surgeon and breast specialist Dr. Constance M. Chen. “While it is seldom a sign of something serious, pain that doesn’t go away after one or two menstrual cycles or that persists in women after menopause should be evaluated by a doctor”.

Most breast pain is cyclical – linked to hormonal fluctuation associated with the reproductive cycle. Women describe cyclical breast pain as the breasts feeling heavy, tender, swollen, and achy. It is caused by increases in estrogen and progesterone that occur before the menstrual period and cause the breasts to swell. Cyclical breast pain generally affects both breasts, intensifies in the week or two leading up to the menstrual period, then recedes. It most often affects women during their childbearing years and as they are approaching menopause. Breast tenderness can be eased with over-the-counter pain relievers and by reducing salt, fats, and caffeine in the diet. Birth control pills – or switching to a different formulation – can also help.

The breasts may remain tender during the first trimester of pregnancy in response to increased hormone levels and that continuing breast soreness often accompanies a missed menstrual period as an early sign of pregnancy.

Dr. Constance M. Chen

Fibrocystic breast disease, also triggered by hormones, is characterized by dense, lumpy breast tissue that may become painful in response to the monthly cycle. The lumps are fluid-filled cysts and can be clearly differentiated from more dangerous lumps composed of a solid mass of cells that may signify a benign or malignant tumor. Cysts may resolve on their own but any lump in the breast must be evaluated by a doctor via mammogram, ultrasound, or aspiration – drawing fluid from the cyst.

Non-cyclical breast pain — unrelated to reproductive hormones – most often occurs in one breast and in a localized area though the pain may spread throughout the breast. There are several causes:
Mastitis is most common in breast-feeding women (lactation mastitis) but can occur at any time. It is characterized by inflammation of the breast tissue that causes swelling, redness, pain, and warmth and sometimes fever and chills. During lactation, mastitis is usually caused by a blocked milk duct or by bacteria entering the breast through an opening in the skin or a cracked nipple. It is generally treated with antibiotics.

Injury to the breast can be from a previous surgery, from an accident, or from sports. There may be a sharp pain at the time of the trauma followed by tenderness for days or weeks. A doctor should be seen if pain doesn’t subside or if there is redness and warmth, which could indicate the presence of infection, if there is severe swelling, or if there is a bruise that doesn’t go away.

Support issues are most often experienced by women with large, heavy breasts but poor support can cause the ligaments to stretch and cause pain in breasts of any size, particularly after exercise. Pain may also affect the neck, back, and shoulders. A properly fitted, supportive bra should be worn at all times and a sports bra when exercising.

Medications can cause breast pain as a side effect. Hormonal therapies used in infertility treatment, birth control pills, and hormonal replacement after menopause can cause breast tenderness. Some psychiatric medications and those used for coronary disease can also have this effect.

Many women worry that breast pain might be a sign of breast cancer. While this is unusual, it’s not impossible. Inflammatory breast cancer, which accounts for 1%-5% of breast cancers does cause pain as well as redness, swelling, and thickened or dimpled skin. The important thing for women to know is that while most breast pain isn’t dangerous, any condition that doesn’t resolve over the course of the menstrual cycle or a week or two should be evaluated by a doctor. In the vast majority of cases, treatment will be rapid and effective.

About Dr. Constance M. Chen

Constance M. Chen, MD, is a board-certified plastic surgeon in New York City with special expertise in the use of innovative natural techniques to optimize medical and cosmetic outcomes for women undergoing breast reconstruction. She is Clinical Assistant Professor of Surgery (Plastic Surgery) at Weill Cornell Medical College and Clinical Assistant Professor of Surgery (Plastic Surgery) at Tulane University School of Medicine.

Dr. Chen is frequently invited to lecture nationally and internationally on new advancements in breast reconstruction and the surgical treatment of lymphedema. She is the author of three books, five book chapters, and fifty journal articles. She has also won numerous awards for her work in plastic and reconstructive surgery at the local, regional, and national levels.

Dr. Chen has developed a reputation in the community for the personalized attention that she devotes to her patients. She is committed to aesthetic restoration of the breast and body, and enjoys helping her patients achieve overall well-being. At the end of the day, there is nothing more important to her than the joy she hopes to bring to her patients’ lives. Come into the beautiful world of Dr. Constance M. Chen.

Breastfeeding Won’t Cause Your Breasts to Sag and Nine other Surprising Facts about Breasts

More than any other organ in the human body, the breast occupies a place in our social and cultural landscape well beyond its physiological function to nourish our offspring. “The soft tissue that we think of as a breast is actually a mammary gland, a complex system of fat cells and ducts that produce milk and deliver it to a baby via the nipple”, says plastic surgeon and breast specialist Dr. Constance M. Chen. 

As much attention as we pay to the size, shape and appearance of a woman’s breasts, there are many fascinating facts – both important and trivial – that most people don’t know about breasts. Here are just a few of them.

1.   Breast size is hereditary. Genetics do play a role in determining breast size but not necessarily as you’d expect and they don’t tell the whole story. We inherit half our genes from each parent, so your breasts may not resemble your mother’s, her mother’s, or her sister’s. Your father’s genes have a say. “Environmental factors also play a role”, says Dr. Chen, “especially weight. Breasts are partly made up of fatty tissue so as you gain and lose weight, your breast size will change”.
2.   Humans are the only primates with permanent breasts. All mammals have breasts and produce milk for their young but we are the only ones who develop breasts at puberty and keep them throughout our lives. Others are temporary, growing when needed to nurse then receding until needed again.
3.   The ancient Egyptians knew about breast cancer as far back as 1600 B.C. Writings on papyrus describe tumors consistent with modern descriptions of the disease. Over the following centuries, many causes were suggested – from imbalances of bodily fluids to compression from tight clothing – and treatments ranged from cauterization to opium to arsenic.
4.   You cannot exercise your way to bigger breasts. “Breasts are made of tissue, not muscle”. says Dr. Chen. “They may change in size with hormonal and weight changes. But even exercising the underlying chest muscles won’t increase the size of your breasts any more than creams or lotions will”.
5.   Some animals get breast cancer. It is more common in dogs – and in some breeds – than in cats but tends to be more aggressive in cats. Spaying female dogs before their first heat dramatically reduces their risk of developing a malignant mammary tumor.
6.   Breastfeeding won’t cause your breasts to sag. Droopy breasts are a natural consequence of aging as skin loses elasticity and as dense breast tissue is replaced by fat, which is more prone to sagging. Smoking and multiple pregnancies are contributing factors but breastfeeding has no effect on elasticity and will not cause breasts to sag. Only corrective surgery can lift sagging breasts.
7.   The left breast is usually slightly larger than the right one. Very few women have perfectly symmetrical breasts. Differences in size up to 20% are normal. No one knows why the left breast is usually the larger one.
8.   Larger breasts don’t produce more milk. Milk production does not depend on the size of the breasts. Large breasts are often large because they contain more fat cells, not more milk-producing cells.
9.   Breasts are growing. The average bra size was 34B twenty years ago. Today, it is 34DD. Some of the change is due to companies inflating the sizes on their labels but increasing obesity, the number of women taking birth control pills, and exposure to environmental pollution are contributing factors.
10.   Breast implants won’t last a lifetime. Breast augmentation is the most commonly performed cosmetic surgery in the U.S. But women who get implants in their 20s should not expect to still have them thirty years later. “Most implants have a ten-year warranty”, says Dr. Chen, “but many develop problems well before then and have to be removed or replaced”.

About Dr. Constance M. Chen

Constance M. Chen, MD, is a board-certified plastic surgeon in New York City with special expertise in the use of innovative natural techniques to optimize medical and cosmetic outcomes for women undergoing breast reconstruction. She is Clinical Assistant Professor of Surgery (Plastic Surgery) at Weill Cornell Medical College and Clinical Assistant Professor of Surgery (Plastic Surgery) at Tulane University School of Medicine.

Dr. Chen is frequently invited to lecture nationally and internationally on new advancements in breast reconstruction and the surgical treatment of lymphedema. She is the author of three books, five book chapters, and fifty journal articles. She has also won numerous awards for her work in plastic and reconstructive surgery at the local, regional, and national levels.

Dr. Chen has developed a reputation in the community for the personalized attention that she devotes to her patients. She is committed to aesthetic restoration of the breast and body, and enjoys helping her patients achieve overall well-being. At the end of the day, there is nothing more important to her than the joy she hopes to bring to her patients’ lives. Come into the beautiful world of Dr. Constance M. Chen.

Plastic Surgery Rumors About Dolly Parton Underscore the Highly Individual Nature of Procedures, says Dr. J Plastic Surgery

An October 20 article on Gossip Cop looks at published rumors that beloved singer-songwriter Dolly Parton is in the process of gifting herself with $2 million worth of procedures and other beauty work to celebrate her 75th birthday. While the country music legend has long been unusually straightforward about her many procedures and has often joked about them, the article stresses that how much – if any – truth is behind the reports is not known. Beverly Hills plastic surgeon Payam Jarrah-Nejad, M.D., F.I.C.S., F.A.C.S., known to his patients as Dr. J, says that whatever procedures celebrities are getting or not getting, the decision about whether or not to have work done at any age is a highly personal matter that will be different for every prospective patient.

Dr. J notes that Dolly Parton’s good friend, Oscar winner Jane Fonda, has told the press that, at age 74 and after a fairly large number of procedures, she has decided that her plastic surgery days are behind her. He says, however, that the number of older people who may be getting their first-ever procedures continues to increase. He adds that, while a relatively young person in the performing arts may be incentivized to get procedures to add to their beauty or to correct the earliest signs of aging, people whose appearance is less tied to their livelihoods may feel most motivated to get a procedure when the person they look at in the mirror seems a great deal older than the way they feel.

Dr. J notes that he has performed many different types of facial rejuvenation and other procedures on people in their later years and the results are typically outstanding. Of course, as we age more health issues tend to arise, so it’s especially important to thoroughly explore an older patient’s medical history to ensure that a procedure will be safe while providing good results. Dr. J says that whether patients are interested in obtaining a surgical facelift, blepharoplasty (eyelid lift), or other procedures, it’s of critical importance that they have a clear and realistic idea of the most likely outcomes. Dr. J adds that he prides himself on his ability to relate to patients and explain their procedures in a way they can understand so that patients of all ages can make a truly informed decision.

About Dr. Payam Jarrah-Nejad, Dr. J

Payam Jarrah-Nejad, MD, FICS, FACS is a double board certified Beverly Hills Plastic Surgeon. Nicknamed Dr. J by his patients and staff, he holds certifications from both the American Board of Plastic Surgery and the American Board of Surgery. Dr. J is also an active member of the American Society of Plastic Surgeons and a Fellow of The American College of Surgeons.

Dr. J first started his medical career during an internship he held in NYU. It was during this time that he also began working with hospitals around the New York area. It was in New Jersey that he completed his training and served as Chief Resident at Morristown Memorial Hospital.

Newly certified by the American Board of Surgery and the American Board of Plastic Surgery, Dr. Jarrah-Nejad received a fellowship at Beth Israel Medical Center in New York City to specialize in hand surgery. The fellowship was under the guidance of Dr. Charles P. Melone which was a big influence on the young doctor. It was during his training at Wayne State University, Detroit Medical Center in Michigan that Dr. J found his true calling working with many well-known plastic surgeons.

Years later, practicing as a board-certified plastic surgeon, Dr. J still uses the same techniques he learned in his training in his frequent operation on the face and body. He is greatly admired by his staff and patients who happily contribute positive testimonials to his website.

Dr. J is known throughout the Los Angeles Area medical community as well as beyond it, for his record of outstanding outcomes and his engaging, patient-friendly personality. He has published a wide range of papers in many prestigious scientific and medical journals and has presented his research to local, regional and national symposia.

Finally, Dr. J has performed pro-bono surgery in several countries as part of humanitarian efforts helping children with congenital anomalies. He works side by side with charitable organizations devoted to providing needy children around the world with free plastic surgeries to repair such issues as cleft lips and palates.

Come into the beautiful world of Dr. J.

CB Supplements Multi Collagen Earns NSF International’s Certified for Sport® Certification

CB Supplements Multi Collagen Protein Powder recently earned certification from NSF International’s Certified for Sport® program. NSF International is a global public health organization that tests and certifies products to help protect athletes and consumers from potentially harmful ingredients and athletic banned substances in dietary supplements.

CB Supplements was founded in 2018 with a goal of providing the highest quality multi collagen powder. In late 2019, New York Times Bestseller and globally recognized nutrition expert, Dr. Cate Shanahan, started endorsing CB Supplements and their mission.

CB supplements multi collagen is formulated to concentrate the nutrients in bone broth, naturally supporting the health of your joints, skin, hair, nails, gut and more.

Dr. Cate Shanahan

After Dr. Cate’s endorsement, CB Supplements continued their quest for quality in early 2020 by starting the process to get their staple product, unflavored multi collagen powder, NSF Certified for Sport®. They are the first multi collagen powder on the market to achieve this certification and now allows them to sell directly to professional sport teams and athletes requiring NSF Certified for Sport®.

Products earning Certified for Sport® certification are tested for over 272 athletic banned substances as well as potentially harmful levels of specific contaminants like lead and arsenic. Product formulation, label claims and Good Manufacturing Practice (GMP) compliance are also verified as part of this rigorous supplement certification program.

We believe in collagen so much that we feel anybody and everybody can and should take it. Having this certification provides us a platform for our product to reach a wide range of people including the working professional, moms and dads, seniors, workout enthusiasts, and the best athletes in the entire world. It’s always been about quality and our hope to impact the health of millions of people. Charlie Bailes, Founder.

NSF International’s Certified for Sport® program helps athletes and consumers make more knowledgeable decisions when choosing supplements. MLB, NHL and CFL clubs provide and recommend products that are Certified for Sport® and players are urged to use only these certified products. The Certified for Sport® certification is also recommended by the NFL, PGA, LPGA, CCES, CPSDA and Taylor Hooton Foundation as well as many other sports organizations.

With certification, CB Supplements is included in NSF’s online listing of certified products and on the Certified for Sport® app. The app features enhanced search capabilities, side-by-side product comparisons and a UPC barcode scanner to find Certified for Sport® supplements.

About NSF International

NSF International (nsf.org) is a global public health organization that facilitates standard development, and tests and certifies products for the health sciences, food, water and consumer goods industries to minimize adverse health effects and protect the environment. Founded in 1944, NSF is committed to protecting human health and safety worldwide. Operating in more than 175 countries, NSF International is a Pan American Health Organization/World Health Organization (WHO) Collaborating Center on Food Safety, Water Quality and Indoor Environment.

Learn more about CB Supplements NSF Certified Multi Collagen Protein Powder.

Cosmetic Procedure Increase Among Men Underscores the Potential Benefits of a Female Plastic Surgeon, says Dr. Sepideh Saber

Board-certified plastic surgeon Dr. Sepideh Saber comments on a recent article that a female plastic surgeon may offer a more understanding approach to the competitive struggles faced by maturing men.

An August 15 article on Robb Report reports on the increase in the number of men receiving cosmetic procedures and plastic surgeries. The article discusses the pressure many maturing men feel to present themselves as a competitive candidate in the “battle for corporate survival” against younger men. The article adds that, although men are likely to be less vocal about their procedures, many believe that, to stay competitive professionally or even more so in the dating scene, appearance matters.

A female plastic surgeon may be able to better ease male patients’ discomfort due to their unique perspective and, often, more sensitive approach.

It also reports that the use of fillers among men has increased over 100 percent and that men also currently account for 20 to 35 percent of all cosmetic treatments. Board-certified plastic surgeon Dr. Sepideh Saber says that men should never feel embarrassed or ashamed for receiving cosmetic procedures or such plastic surgeries as a facelift. Moreover, for those feeling unsure or nervous, a female plastic surgeon may be able to better ease male patients’ discomfort due to their unique perspective and, often, more sensitive approach.

The Glendale plastic surgeon says that many female plastic surgeons may offer a different approach that can be helpful to individuals of all genders and orientations. Dr. Saber says that in a largely male-dominated field, female plastic surgeons understand the pressures that come with being an underdog in their industry and the perseverance required to achieve as much as their male counterparts. Female plastic surgeons with board certification not only demonstrate dedication and competitiveness, but also excellence in the field that patients are sure to take note of.

Dr. Sepideh Saber adds that when it comes to appearance issues, some men may put more trust into the opinion of a female surgeon as opposed to the more clinical approach taken by many male surgeons. She notes that, while an empathetic and sensitive approach is not exclusive to female plastic surgeons, many patients tend to find that this technique offers a more inclusive and understanding atmosphere that feels less like a sales pitch and more like a collaborative improvement plan.

The Los Angeles-based plastic surgeon says that, while cosmetic treatments and plastic surgery may not be spoken about much among men due to stigma, societal standards of masculinity, or other personal reasons, a good plastic surgeon will lend an understanding and sympathetic ear while working with the patient to help them achieve appearance goals.

Come into the beautiful world of Dr. Sepideh Saber.

Uniqlo’s AIRism Mask Is Finally Releasing in the U.K. and Europe

Following on from releases in Japan and the U.S. last month, Uniqlo has now announced plans for the U.K. and European release of its AIRism fmask. The mask was developed to help combat the spread of Coronavirus, and has proved a popular and affordable option as more and more countries make mask-wearing mandatory.

The mask itself is produced from Uniqlo’s AIRism fabric, focusing on a combination of comfort and protection. The three-layer structure features anti-microbial, moisture-wicking self-deodorizing properties, as well as releasing heat an absorbing sweat.

Additionally, the AIRism mask is machine washable with regular household detergent. According to studies, the filter contained within the mask retains 95% of its efficacy even after it has been washed 20 times.

The AIRism mask will release in packs of three from all Uniqlo stores in the U.K. and Europe, including the brand’s web store. A three-pack will cost £9.90 GBP (approximately $12.70 USD), and the mask is available in either small, medium or large and color options of gray, black or white. Uniqlo has also donated 4,000 AIRism masks to the Tate Modern.

Male Breast Reduction Treatment for Dwayne ‘the Rock’ Johnson Shows the Widespread Appeal of Plastic Surgery, says Dr. J Plastic Surgery

 

Dr. Payam Jarrah-Nejad_n

A July 30 article on ShowBiz CheatSheet explores the fascinating career of football-player turned pro-wrestler turned superstar actor Dwayne Johnson, aka the Rock. Contrary to what most of us would assume about a bulked up icon of a certain type of male perfection, the famously down-to-earth Mr. Johnson is surprisingly open about admitting to having had male breast reduction to deal with gynecomastia, a common condition that causes enlarged male breasts.

Unlike the vast majority of men dealing with the issue, however, by that point, Mr. Johnson had already been making his living shirtless as a superstar wrestler. He was, however, not too thrilled with his torso’s appearance in efforts such as 2001’s ‘The Mummy Returns’ and found that no amount of exercise was going to reduce the size of his widely seen pectorals.

While Mr. Johnson’s situation is not so typical, the embarrassment he may have felt being seen by millions is probably not all that different from the feelings of a young man at the beach or swimming pool.

Dr. Payam Jarrah-Nejad

Beverly Hills plastic surgeon Dr. Payam Jarrah-Nejad, M.D., F.I.C.S., F.A.C.S., known affectionately to his patients and colleagues as Dr. J, says that, while Mr. Johnson’s situation is not so typical, the embarrassment he may have felt being seen by millions is probably not all that different from the feelings of a young man at the beach or swimming pool terrified that even one person might notice his unusually large breasts.

Dr. J points out that his gynecomastia patients are typically extremely happy with their outcomes. He notes that the surgery, like female breast reduction, ear pinning (aka otoplasty), and many other procedures, fundamentally differ from such widely discussed plastic surgeries as breast augmentations and Brazilian butt lifts. Some plastic surgery patients are already extremely attractive people who want to stand out by looking that much more fabulous, says Dr. J. Other patients are, on the other hand, seeking to attract less of what they find to be the wrong kind of attention, he adds.

Plastic surgery, says Dr. J, is often thought of as a glamorous specialty but it is one of the most challenging of all medical disciplines requiring years of instruction, study, and practice to fully master. He says that, while facelifts and rhinoplasty have very long histories, plastic surgery hit the medical mainstream during the latter days of World War I as injured servicemen often felt forced to wear elaborate masks; new skin grafting procedures were developed to allow former soldiers to live more normal lives. Dr. J concludes by noting that, while the circumstances of plastic surgeries vary drastically, they are all connected by helping patients live the best lives possible.

 

About Dr. Payam Jarrah-Nejad, Dr. J

Payam Jarrah-Nejad, MD, FICS, FACS is a double board certified Beverly Hills Plastic Surgeon. Nicknamed Dr. J by his patients and staff, he holds certifications from both the American Board of Plastic Surgery and the American Board of Surgery. Dr. J is also an active member of the American Society of Plastic Surgeons and a Fellow of The American College of Surgeons.

Dr. J first started his medical career during an internship he held in NYU. It was during this time that he also began working with hospitals around the New York area. It was in New Jersey that he completed his training and served as Chief Resident at Morristown Memorial Hospital.

Newly certified by the American Board of Surgery and the American Board of Plastic Surgery, Dr. Jarrah-Nejad received a fellowship at Beth Israel Medical Center in New York City to specialize in hand surgery. The fellowship was under the guidance of Dr. Charles P. Melone which was a big influence on the young doctor. It was during his training at Wayne State University, Detroit Medical Center in Michigan that Dr. J found his true calling working with many well-known plastic surgeons.

Years later, practicing as a board-certified plastic surgeon, Dr. J still uses the same techniques he learned in his training in his frequent operation on the face and body. He is greatly admired by his staff and patients who happily contribute positive testimonials to his website.

Dr. J is known throughout the Los Angeles Area medical community as well as beyond it, for his record of outstanding outcomes and his engaging, patient-friendly personality. He has published a wide range of papers in many prestigious scientific and medical journals and has presented his research to local, regional and national symposia.

Finally, Dr. J has performed pro-bono surgery in several countries as part of humanitarian efforts helping children with congenital anomalies. He works side by side with charitable organizations devoted to providing needy children around the world with free plastic surgeries to repair such issues as cleft lips and palates.

Come into the beautiful world of Dr. J.

 

 

 

 

Advances in Post Mastectomy Breast Reconstruction: Nipple Preservation

Dr.-Constance-M-Chen

Mastectomy has changed a great deal over the years. Long gone are the radical mastectomies of your grandmother’s day which removed not only breast tissue but also extensive breast skin, lymph nodes, and underlying chest muscles. By the 1980s, the most common approach was the modified radical mastectomy, which left the chest muscles intact.

Since then, the standard mastectomy is the simple mastectomy in which all of the chest muscles, most if not all of the lymph nodes, and most recently, the nipple and areola complex are all preserved. When combined with an immediate breast reconstruction at the time of the mastectomy, these techniques produce a superior cosmetic result while eliminating diseased tissue.

Nipple-sparing mastectomy has become more widespread as more breast surgeons realize the importance of the nipple-areola complex to patients after surgery. Looking and feeling normal and whole improves self-esteem both for women who are losing a breast to cancer and for those who are considering prophylactic (or preventive) mastectomy because they are at high risk for breast cancer due to family history or because they carry a genetic mutation.

Dr. Constance M. Chen

Women who are considering skin and nipple-sparing surgery must be evaluated for factors such as the size, location, and nature of the cancer to ensure that they are good candidates for the procedure. Imaging and examination are performed to look for tumor in the nipple and to rule out symptoms such as nipple discharge that might indicate the presence of disease in the nipple.

During surgery, all breast tissue is removed and the breast specimen is submitted to pathology to ensure that there are no cancer cells in or near the skin and nipple complex. Nipple preservation is possible with both small and large breasts and can be used when reconstruction is to be either with implants or with a woman’s own tissue (‘autologous reconstruction’).

Many women are candidates for nipple-sparing mastectomy, in which the nipple is preserved during the mastectomy. For women whose nipple has been resected a more traditional type of mastectomy, however, it is possible to surgically reconstruct the nipple to recreate a complete breast.

Dr. Constance M. Chen

The primary benefits of skin and nipple preservation are the superior aesthetic outcome and the resulting psychological boost. The combination of skin and nipple preservation with autologous reconstruction produces a soft, warm, natural breast that may be difficult to distinguish from the woman’s original breast.

The risk of breast cancer is considerably greater for women who inherit a genetic mutation, such as the BRCA1 or BRCA2 gene, that makes a woman more likely to develop breast cancer. As more women become aware of their risk, those who test positive for the harmful mutations face the difficult decision of whether to reduce their risk by undergoing bilateral prophylactic mastectomy – preventive removal of both breasts.

These women may wonder if surgery that conserves the nipple will leave in place breast tissue that might be subject to cancer. The experience of thousands of women and their healthcare providers has been that nipple-sparing mastectomy is safe for women with genetic mutations and a major study in 2017 confirmed that prophylactic surgery essentially eliminates the risk of cancer with or without breast reconstruction.

(‘Oncologic Safety of Prophylactic Nipple-Sparing Mastectomy in a Population With BRCA Mutations’ by Jakub et al, was published in the Journal of the American Medical Association in September 2017.) The report concludes that nipple-sparing mastectomies are ‘highly preventive’ against breast cancer in a BRCA population.

For women with no indication of disease in or near the nipple, including those with BRCA mutations, a nipple-sparing mastectomy essentially eliminates the risk of breast cancer and offers the opportunity for state-of-the-art breast reconstruction that maintains both the woman’s health and her sense of self.

 

About Dr. Constance M. Chen

Constance M. Chen, MD, is a board-certified plastic surgeon in New York City with special expertise in the use of innovative natural techniques to optimize medical and cosmetic outcomes for women undergoing breast reconstruction. She is Clinical Assistant Professor of Surgery (Plastic Surgery) at Weill Cornell Medical College and Clinical Assistant Professor of Surgery (Plastic Surgery) at Tulane University School of Medicine.

Dr. Chen is frequently invited to lecture nationally and internationally on new advancements in breast reconstruction and the surgical treatment of lymphedema. She is the author of three books, five book chapters, and fifty journal articles. She has also won numerous awards for her work in plastic and reconstructive surgery at the local, regional, and national levels.

Dr. Chen has developed a reputation in the community for the personalized attention that she devotes to her patients. She is committed to aesthetic restoration of the breast and body, and enjoys helping her patients achieve overall well-being. At the end of the day, there is nothing more important to her than the joy she hopes to bring to her patients’ lives. Come into the beautiful world of Dr. Constance M. Chen.