General Practitioners

• Emergency Care
  Affiliated with the Center for Restorative Breast Surgery, St. Charles Surgical Hospital was founded to support the specialized care our patients require. As the only hospital of it’s kind in the world, St. Charles Surgical Hospital welcomes women from all over the continental U.S. and abroad. By combining high level care planning and seamless delivery under one roof, we are able to focus on the details of providing world class service and a team approach to each woman’s individual needs. No emergency room, no distractions, an entire hospital just for you.

Internists

• Cancer Care
  I cannot overstate the importance of this discovery. So I’m gonna leave you with three takeaway points that I hope will help you are that you’ll share with someone who might benefit from this breakthrough. First, long incisions across the chest no longer have a place in modern breast cancer care, and many if not most women are candidates for nipple sparing mastectomy, whether it be for preventive reasons or to treat active breast cancer. Secondly, implants are not always the best choice to rebuild a breast loss to cancer, particularly if you want to have a nipple sparing mastectomy. In the United States, implant reconstructions are performed on more than five times the number of women who have reconstruction with their own living tissue. This is largely because we don’t do a good enough job explaining the benefits that living tissue can bring to a reconstructed breast and the magical impact it has for a woman seeking nipple sparing mastectomy. Third and last is the good news that women with sagging or drooping breast shapes are a large size are now to be included as candidates for nipple sparing mastectomy. It’s been a pleasure sharing this information with you today. For more detail, look for us on the web at www.breastcenter.com. I’m Dr. Frank Dellacroce, and in the spirit of health, wellbeing and progress, I wish you well.

Psychiatrists

• Depression
• Anxiety

Radiologist

• Ultrasound
  When you’ve had six sisters with breast cancer, a exam is just not an exam. It’s almost like a diagnosis. There was times when I would get mammograms twice a year, six months, and then at some point you need a ultrasound at one o’clock, two o’clock, you need a spine compression over here. You need to get MRIs, you need to get assist biopsy. It was something all the time. The time came for and another exam, the radiologist saw something, of course on a mammogram. So he said, I gotta do a biopsy because of your family history. Did a biopsy benign. He came back in and he said, Have you ever considered removing your breasts? I couldn’t take it no more. I was tired of crying. I was tired of praying, I was tired of waiting and I needed something now. And I looked at this man and I said, How much is it gonna cost me to put these titties in a bucket? And he looked at me and he said, I have never been asked that question before. And I said, Well, today is the first. I’m under a black cloud and I can’t live the rest of my life like this.
• MRI
  SM, SGAP, or TDAP breast reconstructionprocedures. If an implant does rupture, it is replaced surgically with a new one at a time convenient for the patient. Saline implants show volume loss in the breast if the fluid leaks out. The liquid content is salt water and is absorbed harmlessly by the body. Silicone implant leaks can be harder to detect and MRI screening for “silent rupture” is recommended by the FDA as noted above.
• Radiology
  A complimentary abstract of your physician office file will be provided at no charge and includes the following documents: H&P, Office notes, Pathology report, Operative report, Radiology & Lab report(s).
• Radiation Therapy
  The “lymphatic system” is a collection of tiny tubes found in the skin and soft tissue of our arms/legs and torso that drain naturally occurring excess fluid from those areas as we go through ordinary activities of daily living. These “tubes” drain into “nodes” which are small lumpy filters that clear the fluid of bacteria and other impurities as it drains back into the circulatory system. Lymphedema is what occurs when the fluid no longer drains properly through this system. It results from damage to the “tubes” and “nodes” and causes the areas that were once drained properly to swell. Lymphedema is most frequently seen after breast cancer treatments such as arm pit lymph node dissection surgery and/or radiation therapy, which can damage the lymphatic system of the arm. Chronic swelling, discomfort, and skin infections are among the symptoms that may be improved with proper therapy, including massage, compression, and in some cases, microsurgical repair as part of your overall lymphedema treatment program.

Surgeons

• General Surgery
  We also provide a variety of highly specialized surgical services for our patients, including the most advanced breast reconstructive techniques available. Many groundbreaking surgical advances were pioneered here, including the APEX Flap
• Reconstructive Surgery
  But breast cancer isn’t just a disease of women with well shaped breast and proper proportions. Women with breasts that drew are our oversize historically have been excluded from the benefits of nipple sparing mastectomy. That is up until now. Today we’re very excited to present our discovery recently published in the Journal of Plastic and Reconstructive Surgery. In it, we describe a technique that allows us to include these women, and it further describes why implant reconstruction is not always the best method for someone who’s seeking the benefits of a nipple sparing mastectomy. So let’s look at these women who are excluded in the first place and find out what we did to include them. It starts with the fact that mastectomy not only removes breast tissue, but it also removes the blood supply that that breast tissue brings to the overlying skin and nipple. And so without that blood supply, surgeons have had no way to reposition the nipple without losing the last remaining source of blood flow from the surrounding skin.

Plastic Surgeons

• Liposuction
• Breast Augmentation
  Hybrid Breast Reconstruction, sometimes referred to as “Composite Breast Reconstruction”, provides a solution for rebuilding the breasts with natural living fat combined in a single stage with supplemental breast implants. The Hybrid Breast Reconstruction technique gives added size and projection to the new breasts when a single donor site tissue transplant is not enough. In women with less body fat, adding a small breast implant beneath the living fat transfer can provide the surgical equivalent of a breast augmentation after mastectomy.
• Breast Reduction
  This progress allows for a full breast lift or breast reduction after nipple sparing mastectomy. The technology that makes this possible means that women who were previously denied preservation of their nipple at the time of mastectomy no longer have to be excluded due to pre-existing poor nipple position or breast size. This advancement has the capacity to produce results that were previously unachievable leaving better breast appearance after mastectomy than before. An important point to note for women seeking NSM with associated breast droop is that this modification of NSM is only possible when combined with a natural living tissue reconstruction. This represents a significant potential advantage of flap-based breast reconstruction over implant reconstruction in women who may benefit from a breast lift or breast reduction, and who also desire Nipple Sparing Mastectomy.
• Breast Lift
  Before & After Implant Removal and Poland Syndrome DIEP Flap Reconstruction Right Breast with Left Breast Lift for Symmetry
• Breast Reconstruction
  The “BRCA gene” is a well-known genetic abnormality that can lead to a very high risk of breast cancer in affected families. The modern era of detection afforded by simple blood tests, including those offered by services such as “23 and Me”, Myriad Genetics and others, has led to increasing public awareness in this area. Several other genetic “markers” (“CHEK2”, “PALB2”, etc.)can also put women (and men) at high risk for breast cancer. Modern preventive or “prophylactic” mastectomy can reduce this risk substantially. When combined with superior breast reconstruction techniques, the breast can emerge with a near scarless impact and the associated long-term health profile allows those considering intervention a measure of control over their inherited risk of breast cancer
• Plastic Surgery
  With respect to the available reconstructive methods that modern, sophisticated, plastic surgery has at its disposal, the news is good......with one critical qualifier. White coats don’t guarantee proficiency and diplomas don’t guarantee expertise. We often seem to spend more time making sure the Yelp reviews and Zagat write-ups, of a restaurant we’re considering, meet our desired level of quality than we do researching the doctors who give us medicines and apply scalpels to our bodies. It is essential that you do your own homework regarding the doctor you choose to correct your impact from Poland Syndrome. Now, with that out of the way, let’s review some of the basic surgical approaches for the restoration of breast volume and shape.
• Abdominoplasty
  The SGAP technique is used to recreate a soft, natural breast composed entirely of living fat. It is used when the tummy tissue is too thin or when a previous abdominoplasty prevents DIEP breast reconstruction. This “second” donor site typically provides adequate tissue even in the most athletic body types.
• Body Lift
  Other options for the thin woman who prefers a breast made up entirely of natural tissue without implants are the Body Lift Flap
• Breast Surgery
  The Thoracodorsal Artery Perforator ( TDAP ) procedure is an advanced method of reconstruction used to rebuild the breast lost to mastectomy. Living fat is transplanted to the chest from the back where unwanted excess in the “bra line” can be found. This procedure allows for volume and shape in the reconstructed breast while smoothing excess back tissue and lifting the waist. The Center for Restorative Breast Surgery has extensive experience with this technique.

Physical Therapists

• Physical Therapy