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Tag: Dr. Sheina Macadam

Reflections on 2016

I can’t believe how quickly the year flew by! It was a whirlwind full of personal and professional highlights. I am so grateful for my career and all my wonderful patients, colleagues, and friends. Here are a few of my reflections on 2016:

My professional goals are always changing, but I’m proud of all the work I put in this year. My article “Quality of Life and Patient-Reported Outcomes in Breast Cancer Survivors” was published in the Journal of Plastic and Reconstructive Surgery, and in February, I traveled to Ottawa for the Allergan-sponsored 2016 Ottawa Chief Resident Review Course lecturing on breast reconstruction techniques. It was an incredible experience to be around so many talented and inspiring surgeons while passing on our knowledge to the next generation of plastic surgeons.

I am proud that we have continued to provide our patients with the newest in technology so they can make informed decisions on potential procedures. My favourite is the Vectra 3D Imaging machine, which allows patients to visualize the possibilities of their aesthetic procedures during the consultation process.

One of my personal milestones this year was celebrating my 40th birthday. 25 of my closest friends joined me for a birthday spin at Ride Cycle Club. I’m so thankful that I have such supportive and caring people in my life. Growing older is just getting better, and I can’t wait for what the next decade brings.

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I’m an advocate of making sure you keep your mind and body healthy through a worklife balance. Staying active is very important to me, and I spent 2016 conquering local hikes like The Chief and the Grouse Grind while continuing my yoga and spin regimen. I’ve also been working on keeping mindfulness ‘top-of-mind’, taking in moments I once took for granted and learning to appreciate the little things.

In April, I became a proud dog owner to my new best friend Luna, a beautiful silver lab. I also recently moved to Kitsilano, and Luna and I have been enjoying our daily beach walks.

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October was a big month- I became an aunt to my nephew Ethan– one of the most rewarding experiences of my life thus far.

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October was also Breast Cancer Awareness Month, and I hosted the 6th annual Breast Reconstruction Awareness Day on October 19th . It was great to see my former reconstruction patients and provide information on the surgical options for women considering breast reconstruction. For BRA Day awareness, I tested my public speaking abilities on a segment on breast reconstruction on Global with Sophie Lui and Amanda McNally from the Canadian Breast Cancer Foundation (CBCF). I look forward to continuing my work with breast cancer survivors and BRA Day in 2017.

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I’m already enjoying the holiday festivities this month and excited for everything to come in 2017. Every year my goals change and I find myself doing things I never would have imagined. I can’t wait to see what the next year brings!

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Improved Quality of Life with Breast Reduction Surgery

Many women feel that oversize breasts prevent them from living a happy and full life. Breast reduction surgery – reduction mammoplasty – can significantly improve a woman’s health and quality of life while allowing her to feel comfortable and secure in her body.

There are many reasons why women choose to undergo breast reduction surgery, including long term effects of neck, back and shoulder pain caused by disproportionately large breasts. The surgery can also reduce future medical costs associated with these health issues including mental health issues and diseases caused by a sedentary lifestyle.

Breast reduction surgery can also have long-term physical and psychological benefits for the patient. A BREAST-Q© study led by Andrea Pusic, MD. evaluated the benefits of breast reduction surgery for patients and found a significant correlation between breast reduction surgery and higher happiness measures in patients after their surgeries. The study also found that patient’s satisfaction with breast appearance increased from about 20% to 80% after surgery. Beyond satisfaction with the cosmetic outcome, patient’s psychosocial well-being, sexual well-being, and physical well-being increased from around 40% to 80% in all areas, showing that breast reduction can have positive effects on the patient that extend far beyond physical well-being.

After breast reduction surgery, women are able to more fully engage in physical activities and sports while feeling more at ease in their bodies in social settings.

 

The Surgery

During the surgery, the patient’s breast size is reduced through the removal of excess tissue. Then, the nipple position is raised and the breast width is narrowed. A surgeon may also alter the shape and size of the areola, the dark skin around the nipple, during the surgery.

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The surgery is performed with either a “lollipop” or “anchor” scar incision. Surgery can take between 3-4 hours depending on the size of the breast and patients are put under general anesthesia for the duration of the procedure. Although there are risks associated with the surgery, most have an occurrence rate of less than 1% in patients. You can learn more about these risks and the surgery here.

 

The Recovery Process

After surgery, gauze is placed over the incisions and the breasts are wrapped with elastic bandage. It is recommended that women take 2-4 weeks off from work after surgery in order to fully recover. It is also recommended that patients not engage in vigorous physical activity for three to four weeks after the surgery. Your plastic surgeon will monitor the recovery and make sure there are no complications after the procedure.

In order to begin the process of determining whether or not you are eligible for the surgery and health coverage, talk to your family doctor or book a consultation with a plastic surgeon. Many women with oversize breasts are candidates for the surgery, however patients that smoke and women with a BMI > 32 are not eligible.

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