Skip to content
Forum IndexForum: Breast Reconstruction → Topic: Tampa FL PS
« Forum: Breast Reconstruction: Is it right for you? Discuss timing and various procedures and techniques.

Topic: Tampa FL PS

Log in to post a reply
  • Posted on: Jun 13, 2009 10:44 pm
Sarasota, FL
Joined: May 2009
Posts: 86
sailorgirl1 wrote:

I am sched. for  a Bilateral MX on June 24.  I feel very confident in my BS, Dr. Charles Cox, but just met the PS Cox recommended on Thursday, Dr. Rami Ghurani.  Has anyone heard of him?  He appears quite capable but not very warm and fuzzy.  I also have heard of Drs. Soler, Mosiello and Smith.  Does anyone have any personal recommendations for PS in the Tampa area?  Thanks!


Dx 5/18/2009, DCIS, Stage 0

Page 1 of 3 (61 results)

1 2 3
Posts 1 - 30 (61 total)
HuneyB2
Joined: Nov 2008
Posts: 22
Jun 15, 2009 02:41 pm HuneyB2 wrote:

Hi sailorgirl,

I had bilateral MX Oct. 09 at Moffitt Cancer Center by Dr. C Cox.  I loved him.  He is warm and fuzzy :o).  I had my reconstruction by Dr. G Mosiello this past March 6th.  I wouldn't exactly call him "warm and fuzzy" either, but very good.  He is very kind and sincere, just not a talker.  He does listen.  I just saw him Friday for my 3 mos. checkup after implants.  I am very happy as was he.  I wouldn"t hesitate to recommend him.  Sometimes personality isn't the most important thing going for them.  I am a registered nurse, so I've worked with all kinds :o).  I don't think Dr. Cox would refer to if he didn't have confidence in them.

Good luck to you, I wish you the best.

Pam

sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jun 15, 2009 04:42 pm sailorgirl1 wrote:

HuneyB2 - thanks so much.  Your comment was just what I needed.  I'm really feeling the jitters and am sooo worried I'm going to end up with butchered breast skin, mishapen boobs that come out flat an protrude from the sides, or leaking silicone and getting very very sick!!!  I think I'm just so nervous.  I really like Dr. Cox and I love Morsani, where he's now doing most surgeries.  Dr. Ghurani has partnered with him on his skin/nipple sparing procedure.  He just didn't seem to offer any alternatives to TE/implant, such as DIEP or GAP.  This would be only if I developed a reaction to the TE's.  I mean, so I have to go through agony first????  Seems like the DIEP/GAP etc. type surgeries will become more common place soon.  They seem to be more natural.  Luckily, I can make that decision after the initial surgery so I need to just tell myself to let it go and be okay with the process.  It's just so hard to go through all of this as you and everyone else knows!!!  You gave the same advice as several others who know Dr. Cox, "if he told you to see this PS, he's probably fine.  Dr. Cox wouldn't recommend someone he didn't trust."

Thanks again!


Dx 5/18/2009, DCIS, Stage 0
sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jun 15, 2009 08:08 pm sailorgirl1 wrote:

Hi HuneyB2 - Are you the Pam I spoke with on the phone a few weeks ago??  Do you work for SW?

I tried to call you but I must have taken down the wrong phone numer Undecided


Dx 5/18/2009, DCIS, Stage 0
HuneyB2
Joined: Nov 2008
Posts: 22
Jun 16, 2009 08:47 am HuneyB2 wrote:

Sailorgirl,  No, that wasn't me.  But, I would be more than happy to speak to you or be any help I can.  We're all in this together. PM me and I will gladly send my phone #.  I live in Ocala and traveled to Tampa weekly for many trips.  It was well worth the results. Look forward to hearing from you.

Pam

calliemom
Joined: Jun 2009
Posts: 4
Jun 16, 2009 12:34 pm calliemom wrote:

CoolDr, Ghurani did a DIEP on me in Feb .  I could not be happier with my results.  He is not super warm and fuzzy to begin with, but he does care a great deal and becomes "friendlier" as you get to know him.  I highly recommend him.  He and his team took AWESOME care of me.  If you have questions about the DIEP that he doesn't answer for you, let me know.  He will try to "scare" you out of the DIEP as it is not an easy procedure to recover from and the risks involved post operatively, but as he said, if you come back after hearing all that, he knows you are prepared. 

sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jun 18, 2009 02:28 pm sailorgirl1 wrote:

Calliemom - Thanks soooo much.  I spoke to Dr. Cox's staff and Dr. Ghurani's staff this week and feel a lot better.  I feel at peace with my decision and believe I'm in good hands.  I only heard yesterday, from Dr. Ghurani's assistant Abby, that he does the DIEP procedure.  I also learned that he and Dr. Cox work very well together.  I truly appreciate your comments about his personality.  I can certainly get beyond that if he does good work, which you've confirmed.

Last night I went to a support meeting in Sarasota.  They had a wonderful new PS talk to the group there.  She said that most docs in Sarasota aren't even using the Allderderm sling yet; no one is doing nipple/skin sparing;  DIEP (that I know of); and very few nipple sparing.  I was even happier with my decision after hearing this.

 I'm also glad to know that Dr. Ghurani gets friendlier as time goes on.  That's fine.  I know my road will be a long one but I feel like I'm well positioned to jump the first hurdle!


Dx 5/18/2009, DCIS, Stage 0
flacracker
Valrico, Fl
Joined: Jun 2009
Posts: 26
Jun 18, 2009 07:47 pm flacracker wrote:

I live in Tampa , Fl is anyone familiar with the gummy bears reconstruction implants the new generation of silicone.  Anyone know about any nipples reconstrction procedures?  I am going to Moffit Cancer Center and will have bilateral mastectomy.

sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jun 18, 2009 10:45 pm sailorgirl1 wrote: flacracker - I've read a few posts here and there about the new anatomical gummy bears but for the llife of me I can't remember where they went!  Do you have a PS in Tampa?  They should know.  Who is doing your surgery at Moffit?  I go to Morsani next Wed (6/24) for surgery with Dr. Cox.  I still can't believe this is happeningEmbarassed  What's your diagnosis or are you in the reconstruction phase?

Dx 5/18/2009, DCIS, Stage 0
Magnola
Tampa, FL
Joined: Feb 2009
Posts: 83
Jun 19, 2009 09:19 am Magnola wrote:

Hi Ladies.  I am also in Tampa and LOVE my plastic surgeon, Dr. Henry Redmond.  I had a bilater mas. in January and had the TE's placed shortly after.  I have just finished chemo (1 week in today!) and my exchange is scheduled for July 21.  So excited to shed these rocks.  I had a couple bumps in the road along the way and my onco thought I had an infection in my TE's and  delayed chemo for a month.  I decided to talk to Dr. Redmond and he said I was experiencing a reaction not an infection.  Turns out my onco agreed and I was able to procede.  But to be set back a month was so hard!

But I agree that if your doc recommended a PS, he must feel confident in him.  His reputation is on the line, too.

Maggie

Maggie: started TCH 2/20/09
Dx 10/31/2008, DCIS, <1cm, Stage I, 0/3 nodes, ER+/PR+, HER2+
Sassa
Homosassa, Fl
Joined: Jan 2008
Posts: 673
Jun 19, 2009 01:17 pm Sassa wrote:

For any of you ladies willing to go to Ocala, I have a great plastic surgeon.  As far as he is concerned, alloderm is the standard of care in breast reconstruction and my insurance agrees with him.

PM me if you want the practice name.


Dx 12/6/2006, IDC, 1cm, Stage I, Grade 3, 0/9 nodes, ER-/PR-, HER2+
flacracker
Valrico, Fl
Joined: Jun 2009
Posts: 26
Jun 19, 2009 04:34 pm, edited Jun 20, 2009 12:35 PM by flacracker flacracker wrote:

Hi Ladies, I was diagnose with grade 1 but two of those and then I had a MRI bio and they did a guided needle bio and found cancer in the ducts.  I was told then that I needed a mastectomy. I just got my second opinion  at  Moffit.  to see Dr. Laronga. I will get my operation there. I saw Dr Ghurani' and now I will check out Paul Smith to do reconstruction with the silicone. I could not find out if Ghurani was Board Certified. I am still trying to find out about the silcones and how do they make a nipple.

FACECRAFTER…
Sarasota, FL
Joined: Jan 2009
Posts: 564
Jun 21, 2009 12:05 pm FACECRAFTER wrote:

Hi, I live in Sarasota.  I went to Moffitt and saw Drs.Laronga and Smith.  

Gummies, They are only in clinical trials in our area.  The doctor in Florida.  The doctor charges up front for them and does not take insurance.  That's the bad news.  Now for the good news:  They are firmer than regular silicone implants, and some of the girls in Canada that have them, are exchanging them for regular silicone implants.  So no great loss.

Nipple recon:  There are several ways to do nipple recon, or not to do it at all and just ahve nipple tatts.  Skin is grafted for the areola, from the groin, among other places, and sewn on where the areola would be.  Then the nipple is done.   Make sure you specify the size you want for the areola, so you get what you want.  The doc may go larger (or smaller) that you'd like.

PM me if you'd like.   Good luck with your surgery.  JUDY 

JUDY
Dx 8/18/2008, IDC, 2cm, Stage II, Grade 3, 5/20 nodes, ER+/PR-, HER2-
sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jun 21, 2009 09:49 pm sailorgirl1 wrote:

flacracker - speak to Abby in Dr. Ghurani's office.  She's his assistant and works with both David and Paul Smith and Rami Ghurani so she knows a lot about all three of them.  Ghurani is in the process of getting his board certification.  He's completed the written and will have the oral this fall, according to Abby.  According to several people he does very good work.  His previous specialty was maxillofacial (sp?) which is why he also has a DDS.  However he has been doing breast reconstruction for overy 5 years.  I believe that if Dr. Cox recommends him he must be good. 

 If you haven't had a lumpectomy, you may want to ask Dr. Charles Cox at the Morsani Center at USF for a consult.  He's doing a procedure where he makes an incision under the fold of the breast and leaves the skin and nipple intact. Not sure how new this is but I chose to go this route.

Let us know if you have any more questions.

 Us Florida girls have to stick together!!


Dx 5/18/2009, DCIS, Stage 0
sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jun 27, 2009 05:36 pm sailorgirl1 wrote:

Am now 3 days out from my bilateral mx.  Have tissue expanders and drains.  So far, no rads or chemo depending on what comes back on the biopsy.

 I can't tell you all how well everything has gone.  Granted I'm only 3 days out but I have great arm motion and can walk fine.  I tire easily and the pain meds make me sleepy which is great.  I feel like I have a super tight sports bra on around my boobs but that's not really the worst thing.  I look forward to recuperating more and getting my next fill!

For any of you in the Tampa area I highly recommend USF Health/Morsani Center for surgery with Dr. Cox.  It was truly effortless and much better than I expected!


Dx 5/18/2009, DCIS, Stage 0
Snoopygirl5…
Tampa area, FL
Joined: Mar 2009
Posts: 23
Jun 29, 2009 01:05 pm Snoopygirl5 wrote:

I also had Dr. Cox and I have Dr. Ghurani as my plastic surgeon.  He has been good so far - said that he wants the best end result possible.  Abby is great and gets back to you promptly.

I'll let you know how happy I am with the new "sisters" after I get them next Friday.  My understanding is that I'll be swollen for a while.  So far, however, I have liked both Cox and Ghurani.  I feel very comfortable with both of them. 


Dx 9/10/2008, IDC, 4cm, Stage IIb, Grade 2, 3/25 nodes, ER+/PR-, HER2+
sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jun 30, 2009 01:14 pm sailorgirl1 wrote:

Snoopygirl - the final phase of reconstruction seems so far off since I just had the mx less than a week ago.  The TE's feel a little weird.  Sometimes the right one fels like it's digging into my right underarm.  I see the resident's in Ghurani's office on Wed. for post op and hope one of them will shed some light on the situation.

 Best of luck with your exchange surgery.  I hope it goes smoothly and you'll recover quickly.  I know it's been a long road for you.

Best wishes,

sailorgirl


Dx 5/18/2009, DCIS, Stage 0
Blondie88
Joined: Jul 2009
Posts: 1
Jul 1, 2009 07:13 am Blondie88 wrote:

Hello - I am searching for women who have been diagnosed with inflammatory breast cancer in the Tampa Bay area that could recommend a doctor who specializes in this form of breast cancer.  If not a specialist, at least a doctor that is familiar with it and has treated it.

Any help is greatly appreciated!

Blondie88

lbrewer
Joined: Dec 2008
Posts: 148
Jul 1, 2009 07:34 am lbrewer wrote:

sailorgirl,

As far as I know no one right njow is doing diep flaps in the area.  Dr Smith at MOffit used to with Dr Klein but Dr Klein moved to Orlando and he isdoing them here with Dr. Kenneth Lee.  Dr. Smith may still be doing tram flaps, I don't know.  I had a diep with Dr. Lee and Klein.

lbrewer
Joined: Dec 2008
Posts: 148
Jul 1, 2009 07:36 am lbrewer wrote:

When I spoke with Moffit, they said they do not usually reccommend nipple sparing for DCIS because it is usually close to the ducts surrounding the nipples. 

FACECRAFTER…
Sarasota, FL
Joined: Jan 2009
Posts: 564
Jul 1, 2009 11:38 am, edited Jul 1, 2009 11:39 AM by FACECRAFTER FACECRAFTER wrote:

Blondie88:  Go to MOFFITT.  They will have someone there who has treated it before.  JUDY

JUDY
Dx 8/18/2008, IDC, 2cm, Stage II, Grade 3, 5/20 nodes, ER+/PR-, HER2-
sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jul 1, 2009 04:01 pm sailorgirl1 wrote:

Blondie88:  I highly recommend Dr. Charles Cox as a breast surgeon.  He is also involved in a lot of breast cancer research / surgery studies which appeals to me.  I prefer to be in a university setting where folks have a more analytic approach to disease. I'm sure he has experience in inflammatory breast cancer since he's been in the biz for over 30 yrs.  He can operate out of Moffit but he recently began a breast health center at USF Health, right across the street.  He can put you in touch with a good oncologist also.  PS that appear to be recommended are Dr. Paul Smith, Dr. Mosiello, Dr. Ghurani and Dr. Soler.  It's worth checking out Moffit too;  they are certainly expert in the area.

Hope this helps!


Dx 5/18/2009, DCIS, Stage 0
FACECRAFTER…
Sarasota, FL
Joined: Jan 2009
Posts: 564
Jul 1, 2009 04:57 pm FACECRAFTER wrote:

Blondie88

If you make the appointment with the breast center at Moffitt, they can direct you to whomever is experienced in IBC...  I went to Dr.Laronga (a woman) and she too, is excellent, and been around a while.  Good luck.  JUDY

JUDY
Dx 8/18/2008, IDC, 2cm, Stage II, Grade 3, 5/20 nodes, ER+/PR-, HER2-
skippyrcis
Tampa, FL
Joined: Jan 2009
Posts: 131
Jul 1, 2009 09:29 pm skippyrcis wrote:

I think you should check out Dr Charles Cox.  He has a wonderful reputation, great personality and has 30 plus years of experience.  His office is on the USF campus in the new Morsani building.  I am sure he can help you.  Please don't hesitate to at least meet with him, he will meet with you actually spend a lot of time with you.  What a great doctor and person.  Good luck!


Dx 1/2/2009, IDC, Stage I, Grade 1, 0/2 nodes, ER+/PR+, HER2-
sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jul 3, 2009 01:05 pm sailorgirl1 wrote:

Skippycris - I love Dr. Cox also.  He and his team were great at consoling me before surgery when I was so teary. Who was your PS?

Blondie88 - I too have heard Dr. Laronga is good.  


Dx 5/18/2009, DCIS, Stage 0
skippyrcis
Tampa, FL
Joined: Jan 2009
Posts: 131
Jul 3, 2009 07:20 pm skippyrcis wrote:

Hey Sailorgirl.  My PS is Dr Soler.  I like him.  I am not completely comfortable raving about him because all did not come out perfect for me and someone else I know.  My cousin did great by him.  I do love his personality and I do understand that a great number of reconstructions need tweeking.  I did not research anyone else.  I just went with who my cousin used.  She did the leg work. 


Dx 1/2/2009, IDC, Stage I, Grade 1, 0/2 nodes, ER+/PR+, HER2-
Snoopygirl5…
Tampa area, FL
Joined: Mar 2009
Posts: 23
Jul 6, 2009 11:34 am Snoopygirl5 wrote:

((Sailorgirl)) - thanks for the well wishes for my upcoming exchange.  I'm ready to go today!

 ((Skippyrcis) - You and I had discussed the exchange surgery some time ago.  My PS said that he would have to do some "tweaks" as well.  After reading about infections and "tweak," I'm starting to freak a little.  Would you mind sharing what did not come out "perfect" for you?  Anything major?  You can always PM me if you don't feel comfortable sharing on the boards.  Thanks for your help.


Dx 9/10/2008, IDC, 4cm, Stage IIb, Grade 2, 3/25 nodes, ER+/PR-, HER2+
julie21
Lake Wales, Fl
Joined: Jul 2009
Posts: 3
Jul 12, 2009 12:20 pm julie21 wrote:

Hi Sailorgirl,  I had a bilateral MS on 6/29 by Dr. Cox, and also seeing Dr. Ghurani.  Had the same feelings as you about Dr. G. but figured Dr. Cox wouldn't have recommended if not capable of doing a good job.  My drains removed on 7/9 and have not had any difficulty as yet.  The TE's are taking a little getting use to.  I see Dr. Cox on Tues 7/14 for the results of my SNB.  It is nice to know or be able to chat with others who have the same BS and PS.  Thanks to all for sharing.

julie21
Dx 5/2009, DCIS, /4 nodes
sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jul 12, 2009 12:54 pm sailorgirl1 wrote:

Hi Julie21 - Glad to know someone else is in exactly the same boat.  Had my follow up with Dr. Cox on 7/7 and received the good news that I'm cancer free!  yeah!  SNB was clear. Biopsy of good breast showed LCIS so, even though it's not cancer, I'm glad to know I took it off anyway.  Do you have TE's?  Have you been back to Dr. G?  Everytime I go I have to wait sooo long because he only sees patients on Thurs. afternoon.  I had a 4:10pm appt. and finally saw him at 6:30pm!  Luckily all is going smoothly right now except for underarm nerve pain.  Maybe we can meet up sometime!


Dx 5/18/2009, DCIS, 3cm, Stage 0, Grade 2, 0/3 nodes
sailorgirl1…
Sarasota, FL
Joined: May 2009
Posts: 86
Jul 12, 2009 12:58 pm sailorgirl1 wrote:

lbrewer - sorry, just saw your post!  Can't believe Moffit said that.  Maybe they can see that your type of DCIS is too close to the nipple for nipple/skin sparing surgery?  I'm sure they have a good reason but I had DCIS and had the surgery.  I'm not sure what the criteria is but I believe not everyone is a good candidate.  Perhaps you can ask for additional information or seek a 2nd opinion.


Dx 5/18/2009, DCIS, 3cm, Stage 0, Grade 2, 0/3 nodes
skippyrcis
Tampa, FL
Joined: Jan 2009
Posts: 131
Jul 13, 2009 09:27 pm skippyrcis wrote:

Snoopygirl, sorry that I have not checked back sooner.  I go see my PS in the morning.  My breast look different from each other.  On he is a bit bigger than the other and I do have some ripples on the smaller one.  In the time since my surgery things have evened out some.  I may wait a bit longer before deciding on surgery again.  We will see after tomorrow what I will do.  Take care, I hope all is well with you.

Kristin 


Dx 1/2/2009, IDC, Stage I, Grade 1, 0/2 nodes, ER+/PR+, HER2-

Page 1 of 3 (61 results)

1 2 3

© 2009 Breastcancer.org. All rights reserved.