Learn More about
Breast Reconstruction
Interact with 3D Animations
FOR PATIENTS:
Susan Komen Foundation Walk
Houston Plastic Surgeons – Dr. Bob Basu & Dr. Sugene Kim in Media
Great Day Houston KHOU-TV – October 29, 2008
The Woodlands and Houston Plastic Surgeons Team up for DIEP Flap Breast Reconstruction
Breast cancer Awareness Month
The Houston Chronicle – August 27, 2008
Hospital Offers Reconstructive Surgery for Cancer Patients
The DIEP flap, or Deep Inferior Epigastric Perforator, is a reconstructive breast surgery for cancer patients who have undergone a mastectomy or lumpectomy.
The procedure, covered by insurance, removes the extra skin and flesh from the lower abdomen and transplants it to the chest cavity, creating a new breast.
Instead of implants, which may have to be replaced and can become hard over time, the DIEP flap surgery gives patients a new breast made from their own flesh, meaning it will be soft and supple.
For information about the procedure and other options, visit basuplasticsurgery.com or call 713-799-BASU (2278).
Before Janet Gail Mills of The Woodlands had a mastectomy that removed a cancerous tumor and her right breast, she knew it was only a matter of time before doctors could build her a new one.
Diagnosed with lobular cancer in March 2007 after finding a lump in her breast, Mills said the disease took her by surprise.
“I didn’t have a family history,” she said. “But I actually had two tumors.”
Once she began treatment Mills learned surgeons would need to take so much of the breast tissue to remove the cancer that a mastectomy was unavoidable. After four and half months of chemotherapy, the cancerous breast was removed and Dr. Bob Basu, a plastic surgeon, placed an expander, an implant, inside the remaining tissue to keep the breast shape and elasticity while she underwent weeks of radiation treatment.
“The expander saves the skin tissue because otherwise the skin just shrivels up,” Mills said.
Basu practices breast reconstruction, a small field dedicated to rebuilding the breasts of cancer survivors using their own tissue. Known as a DIEP flap, or Deep Inferior Epigastric Perforator, the six to eight hour surgery removes extra skin and flesh from the lower abdomen and transplants it to create a new, supple breast that results in a combination breast reconstruction and modified tummy tuck. The procedure is covered by insurance.
“Most people think plastic surgery is just cosmetics,” Basu said. “That’s part of it, but there are a lot of things about plastic surgery, especially reconstruction, that help in integrated care programs.”
Trained at Baylor University, Basu began performing the complicated surgery at the Texas Medical Center and only recently branched out to offer the procedure at Memorial Hermann The Woodlands Hospital, where he has a large patient base.
“Patients have the medical center option, but didn’t want to make the drive,” he said. “It made sense to move the program to The Woodlands hospital. If you can get MD Anderson level of care close to home, then patients can make good decisions for themselves.”
While Basu still advocates implants for some patients, women like Mills who have radiation as part of their cancer treatment can develop hard tissue around the implant, causing the breast to become hard and painful.
“Implants, although safe, our philosophy is implants and radiation don’t mix. It can trigger a lot of scarring,” Basu said. “The belly is a great transplant site with soft, supple flesh. Because Ms. Mill’s implant was radiated, it started becoming hard and needed to come out.”
The DIEP flap surgery, introduced in the late 1990s, has become more well-known in the last years. The first version, a TRAM procedure, or transverse rectus abdominis myocutaneous, removed not only the extra fatty tissue and skin from the abdomen, but also part of the abdominal muscle, which would leave patients with weakened abdominal walls and an increased risk of hernias or bulging. The DIEP flap surgery leaves the muscles intact.
Most of Basu’s breast cancer patients are in their 40s. “It’s not a 60-plus disease anymore. We’re seeing patients from 30 to 55, with the youngest at 23,” he said.
Mills, Basu’s first patient to undergo the surgery at Memorial Hermann The Woodlands Hospital, spent eight-and-a-half hours under the knife while Basu and his surgery partner, Dr. Sugene Kim, performed microvascular surgery under a high-powered microscope to connect the chest cavity blood vessels with the transplanted flesh.
“It wasn’t easy, not having a choice. I think all of it has been a hard road at times. I’ve been through chemo, gone through mastectomy, it’s almost just another step in the process. Nothing is easy about cancer, the word itself is kind of disturbing.”
The outcome is more than Mills hoped for.
“It’s a big deal for me to just be able to say I was the first, and it’s so nice to drive 10 minutes and be home from the hospital,” Mills said. “It’s amazing that they can do that. To be able to take a breast that’s been removed and have something hard in there and now be back to soft tissue. It’s given me back a breast of my own.”
Mills said she’s looking at the surgery as the positive side of cancer with a new breast and a flat stomach after three children.
While in the hospital, nurses checked the blood flow to her new breast with a monitor on a regular basis.
“Whenever they hooked it up to hear the heartbeat, that was as exciting as when I had my kids, hearing that blood flow and knowing there was new life there,” she said.
Part of Basu’s practice is educating patients about their options. Basu said according to a medical study, one third of women were never told reconstruction was available and it covered by insurance.
“Even five, ten years later you can say, I’m ready now,” Basu said. “Even patients who had a mastectomy a decade ago. This is not something the average plastic surgeon does,” he said. It’s a lot of work with long cases and surgeries. You have to want to do it. And you can’t just set this up in any hospital. I don’t think this will ever be commonly performed because of the complexity and training, but hopefully we can improve awareness. This is an option.”
Texas Magazine – March 2008
Houston’s Top Docs
Dr. Bob Basu returns as a Top Doc in Plastic Surgery for
the second consecutive year. He serves as director of
Basu Plastic Surgery and The Center for Advanced Breast
Restoration. He specializes in:
• Cosmetic plastic surgery (breast, body, face)
• Body contouring restoration for moms or after
massive weight loss
• Breast reconstruction including state-of-the-art
techniques using one’s own tissue
From the initial consultation, Dr. Basu works diligently to
provide you with the highest level of personalized care. He
meticulously listens to your goals, always encourages questions,
and addresses every concern. He takes the time to provide
you with a comprehensive understanding of your options,
empowering you to make informed decisions.
In every case, Dr. Basu strives to provide the most natural appearing
results to restore or enhance your own natural beauty and form. Basu Plastic Surgery has an unconditional
commitment to optimizing patient safety and comfort to ultimately
make your individual experience a pleasant journey.
Dr. Basu is a recognized contributor on the topic of
patient safety in cosmetic surgery and is Board Certified by
the American Board of Plastic Surgery. Most recently, he has
been honored with the 2008 American Medical Association
Foundation Leadership in Medicine Award.
Education:
Princeton University, A.B.;
Tufts University School of Medicine, M.D., M.P.H.;
The George Washington University Medical Center (general surgery);
Baylor College of Medicine (cosmetic and reconstructive plastic surgery).
Texas Magazine – March 2007
Houston’s Top Docs
Dr. Bob Basu is a board-certified plastic surgeon and assistant professor of plastic surgery in the Michael E. DeBakey Department of Surgery at Baylor College of Medicine. Dr. Basu specializes in: (1) cosmetic plastic surgery of the breast, body and face, including non-surgical anti-aging procedures, and (2) restoration of the breast following cancer treatment with state-of-the art techniques, including muscle sparing microsurgical tissue reconstruction.
From initial consultation to post-recovery, Dr. Basu works diligently to provide his patients with the highest level of personalized care. He meticulously listens to each patient’s goals and objectives, always encouraging questions and addressing every concern. As an educator, Dr. Basu takes the time to provide each patient with a comprehensive understanding of his/her options, empowering his patients to make informed decisions. As a professor of plastic surgery, he is also a recognized contributor on the topic of patient safety in cosmetic surgery and continues research to improve outcomes in plastic surgery.
In every case, whether reconstruction after breast cancer or cosmetic surgery, Dr. Basu strives to provide the most natural appearing results to restore or enhance one’s own natural beauty and form. He has an unconditional commitment to optimizing
patient safety and comfort, ultimately striving to make your individual experience a pleasant journey. Learn more about Dr. Basu and the procedures he performs at The Center for Aesthetic Surgery at Baylor College of Medicine.
Focus:
• Cosmetic plastic surgery (breast, body, face)
• Reconstructive breast surgery following lumpectomy or mastectomy
Education:
Princeton University, A.B.;
Tufts University School of Medicine, M.D., M.P.H.;
The George Washington University Medical Center, Residency in general surgery;
Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Residency in cosmetic and reconstructive plastic surgery
Plastic Surgeon In Houston – Dr. Basu In KTRH Radio Interview
Spreading the Word about State-of-the-Art Options for Breast Restoration After Cancer Treatment with Houston plastic surgeon Dr. Bob Basu