Dr. Constance Chen was quoted in Reuters Health on Nipple-sparing Mastectomy

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Nipple-sparing Mastectomy Safe for Women With BRCA Mutations

By Marilynn Larkin, September 20, 2017

NEW YORK (Reuters Health) – Prophylactic nipple-sparing mastectomies (NSMs) are “highly preventive” against breast cancer, even in women with BRCA mutations, and should be offered as a risk-reducing option to appropriate patients, researchers suggest.

“NSM is gaining widespread acceptance because of the superior cosmetic results,” Dr. James Jakub of Mayo Clinic in Rochester, Minnesota, told Reuters Health by email. However, patients and physicians may hesitate to opt for the procedure when women have BRCA mutations.

To investigate the safety and efficacy of the intervention, Dr. Jakub and colleagues reviewed outcomes, from 1968 to 2013, of prophylactic NSM in patients with BRCA mutations from nine institutions.

Women who underwent contralateral risk-reducing mastectomy were included, but only the prophylactic breast was considered in the analysis.

As reported in JAMA Surgery, online September 13, the team analyzed outcomes of 548 risk-reducing NSMs in 346 patients (median age, 41), including 202 (58.4%) who underwent bilateral prophylactic NSMs and 144 (41.6%) who had a unilateral risk-reducing NSM secondary to cancer in the contralateral breast.

In all, 201 patients had BRCA1 mutations and 145 had BRCA2 mutations. By a median and mean follow-up of 34 and 56 months, respectively, no breast cancers had developed in the ipsilateral nipple-areolar complex, skin flaps, subcutaneous tissue, mastectomy scar, chest wall, or regional lymph nodes on the side of the risk-reducing procedure, nor did breast cancer develop in any patients who underwent bilateral risk-reducing NSM.

Using risk models for BRCA1/2 mutation carriers, the team calculated that an estimated 22 new primary breast cancers were expected to have occurred without prophylactic NSM. The procedure resulted in a significant reduction in breast cancer events, according to the authors, “suggesting that NSM is an oncologically effective approach, even in this high-risk population.”

Dr. Jakub observed, “It is worth noting that one quarter of the patients had more than five years of follow-up, six had over 30 years of follow-up, and the longest follow-up after surgery was 36 years.”

However, he added, “unfortunately, the breast mound, including the nipple areolar complex, will be without sensation, stimulation or arousal (after NSM). Like all operations, NSM with reconstruction does have risks, including not being successful and loss of the nipple areolar complex.”

“Prophylactic mastectomy is not the only option for patients with a genetic mutation, and is not 100% protective, but for those considering preventive mastectomies NSM should be discussed as an option,” he concluded.

Three experts not involved in the study provided their views in emails to Reuters Health.

Dr. Jan Wong of East Carolina University in Greenville, North Carolina, coauthor of an accompanying editorial, said, “Because there is some technical variation in how NSM is performed and because these are germline mutations, any residual breast tissue remains at risk for undergoing malignant degeneration. I believe these women warrant continued surveillance.”

Dr. Kazuaki Takabe, Clinical Chief of Breast Surgery at Roswell Park Cancer Institute in Buffalo, New York, noted, “Obligatory caveats are that this is a retrospective study with selection bias from world-leading institutions, and the median follow-up period is only three years, which is too short to evaluate the oncological outcome of breast cancer.”

“That said, the paper tells us that when NSM is done right to the right patients, there will be no immediate local recurrence from the nipple. This is in agreement with what we see in our clinics,” he concludes.

Dr. Constance Chen of New York Eye and Ear Infirmary of Mount Sinai in New York City said, “The caveats are that reasonable criteria need to be established for patients to be appropriate candidates for NSM. For example, a patient with bloody nipple discharge indicating that there is potential disease in the nipple itself should not undergo NSM.”

“I have extensive experience with BRCA patients who elect to undergo prophylactic NSM and immediate breast reconstruction,” she added. “My experience is that (the procedure) is safe, and this article confirms my experience.”

 

Dr. Mustafa Ahmed was published in HealthNewsDigest on Gastric Sleeve Surgery

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Obesity Issues
Weights Lifted: Gastric Sleeve Surgery Helps Patients Shed More Than Pounds

(HealthNewsDigest.com) – Las Vegas, NV, September 19, 2017 – A diamond, so the saying goes, is forever. Unfortunately, apparently so are fat cells – whose numbers seem only to increase. And sticking around creates growing problems. “It’s not fair,” observes Dr. Mustafa Ahmed, MD and founder of Southern Nevada Bariatrics, “but – like snowballs rolling downhill – as pounds get added, they create bigger and bigger obstacles to being healthy, which requires not just losing weight but being able to keep that weight off.” (more…)

Interventional pain management specialist Dr. Kaliq Chang was quoted in The Saturday Evening Post about Weight Lifting Safely

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September/October  2017

Lift This Way: Is wearing a back-support belt a good idea when starting a strength-training program? Bruce Bailey, Houston, Texas

First of all, congratulations on starting a strength-training routine. Studies show progressive strength training, when done properly, helps stabilize the spine, boost muscular endurance, and even improve brain function. As for those back-support belts used by heavy lifters? There’s not much proof they do any good. “Right now, we lack scientific evidence that back supports or abdominal belts provide the necessary protections,” says interventional pain management specialist Dr. Kaliq Chang of Atlantic Spine Center. To spare yourself back injury when lifting weights for exercise or simply lifting heavy objects, technique is more important. Chang offers the following tips: Don’t overdo it. Increase repetitions as strength increases, rather than opting for heavier weights. Bend from the knees. Don’t just reach down to pick up weights. Squat down and lean forward with chest slightly in front of hips before lifting. Keep back straight. Don’t arch or hunch, which can twist the back and cause injury. Hold weights close. The farther out you extend your arms, the more force you place on your back and joints.

Dr. Kecia Gaither was featured in TheBump on What The Shape Of Your Bump Can (and Can’t) Tell You

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Holly Pevzner, Contributing Writer, September 2017

What The Shape Of Your Bump Can (and Can’t) Tell You

HIGH MEANS IT’S A BOY, AND CARRYING LOW POINTS TO A GIRL—RIGHT? NOT EXACTLY. HERE’S WHAT THE SHAPE OF YOUR BUMP REALLY MEANS.

We’ve all heard the tummy forecasts: A high, tight bump means it’s a boy; low and wide means it’s a girl. And if you’ve got an extra-large bulge? Well then you have an extra-large baby on the way. But do any of these old wives’ tales hold true? Not really, according to experts. In fact, baby bumps can tell you far more about mom than the baby. Read on to see what exactly your bump can—and can’t—tell you.

Your Bump Can Reveal: Your Fitness Level

“The manner in which a woman carries has everything to do with the tone of her abdominal musculature,” says Kecia Gaither, MD, MPH, director of perinatal services at Lincoln Medical and Mental Health Center in New York City. (more…)

Dr. Kecia Gaither on HealthiNation: Can You Use Breastfeeding for Birth Control?

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https://www.healthination.com/health/breastfeeding-as-birth-control

Can You Use Breastfeeding for Birth Control? An Ob-Gyn Explains

It sounds too good to be true, but here’s how it actually works.

Sept. 14, 2017

Breastfeeding could keep you from getting pregnant? This one sure sounds like a hoax, but breastfeeding can help prevent pregnancy under very specific circumstances. It’s a form of birth control known as the lactational amenorrhea method (LAM).

But—and this is a biggie—you do have to follow specific guidelines to ensure you do not accidentally get pregnant while breastfeeding, according to og-gyn Kecia Gaither, MD. (more…)

Plastic Surgeon Dr. Stephen Warren was quoted in MD Alert about Mohs Surgery

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Few downsides to delaying Mohs reconstructive surgery

SEPTEMBER 13, 2017

By Marilynn Larkin

NEW YORK (Reuters Health) – Timing of Mohs reconstructive surgery is not associated with increased risk of infection or flap failure, though some postoperative complications may occur, depending on patient- and surgery-specific variables, researchers say. (more…)

Dr. Constance M Chen was quoted in US News & World Report on Post-Mastectomy Tattoos

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Why Don’t Post-Mastectomy Tattoos Cause Lymphedema?

Post-surgical tattoos for breast cancer survivors are generally considered safe for most patients.

By Elaine K. Howley, Contributor |Sept. 12, 2017Why Don’t Post-Mastectomy Tattoos Cause Lymphedema?

Although surgeons have been using tattoos to help create the look of nipples and areola on breast cancer survivors for years, more elaborate post-surgical tattooing is a growing trend. Using graceful line work and flowers or other decorative imagery to cover the scars of a lumpectomymastectomy or breast reconstruction surgery can help some women feel more whole in their changed bodies and divert attention from scars that would otherwise remind them of difficult times. (more…)

Dr. Kecia Gaither on HealthiNation: Can Your Birth Control Cause Blood Clots?

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https://www.healthination.com/health/birth-control-blood-clots

Can Your Birth Control Cause Blood Clots? An Ob-Gyn Explains

It’s a serious concern, so let’s look at the facts.

Sept. 12, 2017

Birth control has many benefits beyond preventing pregnancy (hello, fewer menstrual cramps) but like any medication, it comes with side effects. Most are pretty minor (mood swings, anyone?), so it’s no surprise that this one gets the most attention: Can birth control give you blood clots?

This one is complicated, according to ob-gyn and maternal-fetal medicine specialist Kecia Gaither, MD. (more…)

Dr. Kally Papantoniou provided commentary for Bustle about skin cancer symptoms you can’t see

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7 Skin Cancer Symptoms You Can’t See That You Should Know About

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ByCARINA WOLFF, September 11, 2017

When most of us think of skin cancer, we think of unusual moles or other weird growths on our body. However, there are a number of skin cancer symptoms that you can’t actually see, and although they are not as common as visible signs of skin cancer, they’re still worth knowing. The more you know about potential signs of skin cancer, the better you’ll able to detect anything that seems amiss, which means the more likely you are to get treatment early and prevent anything more serious.

“Skin cancers can be challenging to identify because the average person has had very little education in what features to look out for,” says Dr. Kally Papantoniou, MD, FAAD with Advanced Dermatology P.C. over email. “Most of the time the lesion that brought the patient in ends up being benign, and the lesion of concern actually went unnoticed by the patient.” (more…)

Dr. Kecia Gaither in FamilyShare on The truth about how birth control affects your health

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The truth about how birth control affects your health, A double-board certified OB/GYN weighs in on the questions we all have about our bodies on birth control.

McKenna Park, 9/11/17

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When I started taking the pill, I was pretty confused. Were my mood swings being caused by the pill, or was I just having a hard day? Or was I giving myself mood swings because I’d heard the pill could do that and expected it?

I know I’m not the only one — many women have a lot of questions about their birth control and the way it affects them. FamilyShare interviewed Dr. Kecia Gaither, double board-certified physician in OB/GYN and Maternal Fetal Medicine, in hopes of finding some answers. (more…)

Dr. Kecia Gaither was featured on HealthiNation in a series on birth control

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September 2017

Dr. Kecia Gaither was featured in 3 new videos on HealthiNation for their series on birth control. The new videos are titled; Forgot to Take Your Birth Control Pill? Here’s What to Do,  Can Antibiotics Mess Up Your Birth Control? An Ob-Gyn Explains and Does Birth Control Actually Clear Up Acne? An Ob-Gyn Explains.

Click below to watch.

https://www.healthination.com/health/forgot-to-take-birth-control

https://www.healthination.com/health/birth-control-antibiotics

https://www.healthination.com/health/birth-control-acne

 

 

Dr. Kecia Gaither provided commentary to GLAMOUR about breast feeding

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These Moms Talk About What to Do When Breastfeeding Really F*cking Hurts

BY SUZANNAH WEISS, SEPTEMBER 6, 2017

breastfeeding-painful-ledePHOTO: YUKO HIRAO

An Instagram photo of a mom named Angela Burzo crying as she breastfeeds recently went viral. “It has been an emotional and painful struggle,” she wrote. Other moms applauded Burzo for reminding us it’s normal not to always love breastfeeding—or any aspect of motherhood, for that matter. But should moms really have to cry their way through nursing, or can pain be avoided? And when does it require medical attention?

Discomfort during breastfeeding is normal, but outright pain is not, says ob-gyn and maternal fetal medicine specialist Kecia Gaither, M.D.Developmental and behavioral pediatrician Eboni Hollier, M.D., agrees. “When your baby has a proper latch, mothers often report that they may feel some discomfort for up to one minute after the baby starts to nurse,” she says. “If pain continues for much longer, there may be some other cause.” (more…)

Dr. Kecia Gaither provided opinion for Real Health Magazine on violence against women and girls

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Stand for Something

Jennifer Hudson is more committed than ever to ending violence against women and girls.

September 4, 2017 • By Kate Ferguson-Watson

35221_Jennifer-Hudson-RHWI-16-Well-CoverStory.jpg_481a20b9-c356-47d6-9d45-dda9259ada42_x2Courtesy of March of Dimes/Getty Images

Last year, Grammy- and oscar-winning actress Jennifer Hudson graciously accepted the March of Dimes Grace Kelly Award. Fittingly, Hudson received the honor at the Celebration of Babies Luncheon, the nonprofit’s top special event, which raises funds for the organization as well as awareness about the preterm-birth health crisis and the need to ensure that mothers-to-be and newborns get the care they need to thrive. (more…)

Dr. Kecia Gaither was quoted in USA Today about Duchess Kate Middleton and hyperemesis gravidarum

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What is hyperemesis gravidarum?

Janice Lloyd and Liz Szabo, USA TODAY, Published 12:43 p.m. ET Sept. 4, 2017 | Updated 6:34 p.m. ET Sept. 4, 2017

Kensington Palace released a surprise announcement that Duchess Kate and Prince William are expecting their third child. USA TODAY

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(Photo: Patrik Stollarz, AFP/Getty Images)

Britain’s Prince William and wife Duchess Catherine are expecting their third child, and Kate is suffering from hyperemesis gravidarum as she has with her two previous pregnancies.

The severe vomiting and morning sickness doesn’t typically endanger mother or child, but “it is pretty miserable,” said Kecia Gaither, director of perinatal services at Lincoln Medical and Mental Health Center in the Bronx, part of the NYC Health + Hospitals system. (more…)

Dermatologist Dr. Suzanne Friedler was featured on HealthiNation for their series on treating eczema

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Dr. Suzanne Friedler was featured in 5 new videos on HealthiNation for their series on treating eczema. The new videos cover; home remedies for treating eczema, diet and eczema, tips for treating the itch, showing and eczema and reducing the nighttime eczema itch. Click below to watch.

https://www.healthination.com/health/home-remedies-for-eczema

https://www.healthination.com/health/eczema-diet

https://www.healthination.com/health/natural-tips-eczema-itch

https://www.healthination.com/health/showering-with-eczema

https://www.healthination.com/health/reduce-eczema-itch-at-night

Dr. Constance Chen was quoted in Mental Floss about Surprising Facts About the Breast

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7 Surprising Facts About the Breast

BY JORDAN ROSENFELD, AUGUST 30, 2017

The human body is an amazing thing. For each one of us, it’s the most intimate object we know. And yet most of us don’t know enough about it: its features, functions, quirks, and mysteries. Our series The Body explores human anatomy, part by part. Think of it as a mini digital encyclopedia with a dose of wow.

Of all the organs of the body, the humble breast has come to represent so much more than its essential functions. American culture places undue value on size, shape, and appearance of breasts, which can make it easy to forget the essential function of the breast, from an evolutionary standpoint, which is primarily for feeding our offspring. Mental Floss spoke to a pair of specialists about the breasts. Here are seven things we learned. (more…)

Plastic Surgeon Dr. Constance Chen was featured in the Seriously Natural Blog: Mommy Makeover

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MONDAY, AUGUST 28, 2017

MOMMY MAKEOVER: RESTORING YOUR PRE-PREGNANCY BODY

I have been wanting to write this post for a long time. I have been interested in getting a Mommy Makeover for YEARS and while my youngest is 16, I wondered if it was too late to even try. I was also worried if I was being vain in wanting this elective procedure but as they become more popular, I see more women feeling like this is a viable way to get back in shape after having children.

I wanted to get not just general information on the popular procedure so I enlisted the help of Dr. Constance M. Chen to give thorough details that every women would need if interested in this procedure.  (more…)

Dr. Kecia Gaither on RadioMD about obesity and pregnancy

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OB/GYN Dr. Kecia Gaither was a guest on Radio MD on the topic of obesity and pregnancy. One-third of Americans today are classified as obese and another one-third are overweight. Pregnancy brings weight gain, but it can present complications if you start out your pregnancy obese. Click here to listen.

Plastic Surgeon Constance Chen provided opinion for Zwivel about Breast Revision Surgery

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Breast Revision Surgery: Addressing Implant Rippling and Other Common Concerns

August 28, 2017

There are different scenarios in which a woman may choose to have her breast implants removed or replaced. Here we discuss some of the many potential components of breast revision surgery.

Accordingly to the American Society of Plastic Surgeons, 98% percent of women who have undergone breast augmentation surgery say the results met or exceeded their expectations.

However, due to postoperative factors such as physical activity and scar tissue, these procedures are not entirely predictable. (more…)

Dermatologist Dr. Kally Papantoniou was featured in PopSugar on Sulfur Products for Acne

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This 1 Smelly Product Just Might Be the Key to Curing Your Acne

August 27, 2017 by WENDY GOULD

While the word “sulfur” may not exactly conjure up the most pleasant thoughts, don’t be so quick to write off the ingredient. For one, sulfur has probably snuck into your own skincare routine — Mario Badescu’s cult-favorite Drying Lotion ($17) is a prime example — but lately it’s making some serious waves in the skincare world as a star ingredient.

We reached out to Dr. Kally Papantoniou, a cosmetic dermatologist, who told POPSUGAR that “sulfur is a mineral that plays an important role in how our skin functions” and “has been used in skin care since antiquity.” According to Dr. Papantoniou, “It has natural antibacterial and antifungal properties that make it helpful in the treatment of skin conditions, and it has anti-inflammatory properties.” (more…)

Dermatologist Suzanne Friedler, MD, was quoted in Zwivel about Milia

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How to Safely Get Rid of Milia Spots – Skin Doctors Share Their Tips

August 27, 2017

What Are These White Bumps on My Face?

Have you noticed annoying little white bumps cropping up on your eyelids, forehead, arms or other areas? And what is that hard white gunk that comes out of them when you pick at or pop them?

Chances are, you are experiencing a common skin condition called miliary dermatitis, or milia.

Also referred to by the terms milia cysts, milia bumps, and “milia acne” (it’s not acne), these benign, bead-like cysts can be incredibly bothersome, especially if they keep coming back no matter how clean you keep your skin. (more…)

Dermatologist Judy Hu, MD, provided opinion for The Dermstore Blog on Swollen Eyes

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Why Do I Get Swollen Eyes In The Morning? 6 Causes & Treatments

BY CARINA WOLFF · AUGUST 25, 2017

Seeing the effects of her new eye cream

It’s no fun to wake up in the morning, look in the mirror and discover that your eyes are puffy and swollen. Although you might find yourself freaking out at the way your face looks, thankfully, swollen eyes are usually more of a nuisance than a serious problem. (more…)

OB/GYN Dr. Kecia Gaither provided commentary for DreamingOfBaby about Before Getting Pregnant Chlamydia, Gonorrhea, and Fertility

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Chlamydia, Gonorrhea, and Fertility.

August 25, 2017

Apart from the negative health effects and the social stigma attached to STDs, your fertility may also be taking the brunt of such diseases. The figures quoted by the American Social Health Association are eye-opening. As many as 15% of infertile women can attribute tubal damage caused by pelvic inflammatory disease as a direct cause of an STD.

Whilst not applicable to all STDs, some do affect fertility in both men and women. In a recent conversation with Dr. Kecia Gaither, a woman’s health expert and perinatal consultant, Dreaming of Baby discussed Chlamydia and Gonorrhea and their effects on fertility. (more…)