Tag Archives: Dr. Todd Lefkowitz

Breast Cancer Survivors Find Latest Reconstruction Techniques Close to Home

If you saw Becky Kriger and Tiffany Becker together at dinner or strolling along the West Columbia Riverwalk, you’d probably guess they’re best friends. They call each other breast friends. That’s because Becky and Tiffany met while getting chemotherapy together. Both were diagnosed and began treatment for breast cancer before their 30th birthdays.

Although breast cancer is the most common cancer diagnosis, it’s still rare in young women. Most cases — 93% — are diagnosed in women over age 40. Becky, a chemical engineer, was 25 when she found the lump in her breast. Tiffany, a surgical technician at Lexington Medical Center, shared her symptoms with a co-worker who urged her to see a surgeon. The same day, Tiffany contacted Lexington Surgical Associates, a Lexington Medical Center physician practice, where her tumor was diagnosed. Within days, a biopsy confirmed it was cancer. Neither Tiffany nor Becky had genetic markers or a strong family history of breast cancer.

Hear what they say about their experience with breast cancer in this video.

 

Although breast cancer is common, each case is as unique as the woman. When Tiffany told her friends about her diagnosis, one of the first to offer help was Todd S. Lefkowitz, MD, FACS, a surgeon at Lexington Plastic Surgery, a Lexington Medical Center physician practice. Tiffany knew Dr. Lefkowitz from working together at the hospital.

“He texted me right away and asked me what I needed,” Tiffany said. “I told him, ‘I want you to fix me!’” After doing her own research, Becky also chose Dr. Lefkowitz for her breast reconstruction.

Dr. Todd Lefkowitz

“A common myth women bring to the first consultation is that their situation is like their mother’s or their friend’s,” Dr. Lefkowitz said. “What they may not realize is that the options we have for breast reconstruction are fairly diverse. What may work really well for one person isn’t a good option for another.”

For some time, surgeons have started breast reconstruction during the mastectomy by placing a device to expand breast tissue under the pectoral muscle. After several in-office procedures to expand the tissue over time, the expander is later surgically replaced with a permanent implant.

A more recent advancement is to perform implant-based reconstruction above the pectoral muscle — a much less painful and prolonged process.

“This technique eliminates a potential source for infection and complication. We’re trying to replace like with like; the mastectomy surgeon took out tissue above the muscle, so let’s put the implant in the same place,” he said.

Dr. Lefkowitz said the movement to go direct-to-implant and skip the expander is another possibility. “We can often put in an implant at the time of mastectomy, instead of a tissue expander. Being able to wake up from surgery and already having a breast that is rebuilt can be very emotionally uplifting for women,” he said.

There are aesthetic advancements as well, such as using the natural crease beneath the breast for an incision to reduce scar visibility, and keeping the natural nipple when the tissue is cancer-free. “The overall techniques of reconstruction are becoming better and better,” he said.

Breast cancer reconstruction works best when it’s integrated with the cancer treatment process. “We try to get patients in to see us before a full treatment plan is finalized, so they can understand the entire process,” Dr. Lefkowitz said. That’s because cancer treatment itself can complicate reconstruction. Radiation can cause changes in the breast tissue that must be addressed after treatment is complete. But chemotherapy can take place before and after mastectomy, and it may continue during and after reconstruction.

Tiffany (left) and Becky (right)

“If there’s a way to streamline the process — to save everyone time, pain and effort — in a safe and effective manner, that’s the way we want to go,” he said.

Streamlining the reconstruction process requires careful attention to the individual. For example, Becky was able to have over-the-muscle implants. Both women have temporary, air-filled breast implants until they complete radiation treatments. After recovery, Dr. Lefkowitz will exchange them for permanent, silicone-filled implants. “That’s really new,” Tiffany said.

Tiffany says her knowledge of doctors and procedures at work left no doubt in her mind about seeking local cancer treatment and reconstructive surgery. Dr. Lefkowitz welcomes informed patients who are advocates for their own health and lifelong well-being. Becky, who moved to the Columbia area just three years ago from Wisconsin, did her research before selecting her surgeons. “I shopped around, and it seems like he did all the modern techniques. And I liked him — he’s funny.”

For his part, Dr. Lefkowitz welcomes knowledgeable patients who come through his door. “We encourage patients to educate themselves about the process and understand they’re a vital part of it,” he said. “It’s patient-driven. People who find their way to my office are emotionally invested in the way they look and feel. Reconstruction is a large part of the healing process — whether they’re women in their 20s or all the way up to their 70s and 80s.”


Join Lexington Medical Center on October 17 for “Women’s Night Out,” a silent auction, dinner and fashion show honoring breast cancer survivors and their families. Visit LMCFoundation.com to purchase tickets.

Reconstructive Plastic Surgery for Skin Cancer

South Carolina has an above average rate of skin cancer. Using tanning beds and not wearing sunscreen outdoors are leading causes. In this story for WIS-TV, Dr. Todd Lefkowitz of Lexington Plastic Surgery introduces us to one of his patients, who needed extensive reconstructive plastic surgery on her face after a diagnosis of skin cancer.


Thank you to WIS-TV and news anchor Dawndy Mercer-Plank for helping us to bring attention to this important health topic.

New Year, New You! Learn About Facial Rejuvenation

Lexington Medical Center is pleased to present its January physician lecture, “New Year, New You: Aesthetic Facial Rejuvenation Resolutions,” on Monday, January 26, 2015 at 6:00 p.m. inside the Lexington Medical Park 1 Auditorium. The lecture is free and open to the public. It’s part of the hospital’s monthly physician lecture series on health topics that are important to our community.

Dr. Todd Lefkowitz, Lexington Plastic Surgery

Dr. Todd Lefkowitz, Lexington Plastic Surgery

Dr. Todd Lefkowitz of Lexington Plastic Surgery, a Lexington Medical Center physician practice, will be the featured speaker. A West Columbia native, Dr. Lefkowitz graduated from the Medical University of South Carolina in Charleston and completed a general surgery residency at St. Vincent’s Hospital and Medical Center in Manhattan. Then, he attended the University of Louisville for further formal training in plastic surgery, learning the latest aesthetic and reconstructive plastic surgical techniques. Dr. Lefkowitz also completed a highly competitive aesthetic surgery fellowship in New York City, focusing on cosmetic surgery of the face, breast and body. Dr. Lefkowitz is dual board certified in general surgery and plastic surgery.

During the lecture, Dr. Lefkowitz will address plastic surgery procedures ranging from Botox injections to facelifts.

To learn more about Dr. Lefkowitz and his practice, visit LexPlasticSurgery.com.

Lexington Medical Center offers a monthly physician lecture series on a variety of pertinent health topics. For more information on upcoming lectures, visit LexMed.com.