John Muir Health Opens Breast Health Center to Enhance Services for the ...

WALNUT CREEK, Calif.--( BUSINESS WIRE )--John Muir Health recently opened the Theresa M. Caygill Breast Health Center at John Muir Medical Center, Walnut Creek. The new center augments John Muir Health’s existing services by offering comprehensive breast health information and resources in one convenient location for the community, patients and their families. The Center was fully funded by a gift from Theresa Caygill, an honorary member of the John Muir Health Foundation board of directors.

“The Breast Health Center is designed to be a resource for everyone in our community. We want to increase awareness about breast health, as well as provide information on prevention and treatment of cancer,” said Deborah Kerlin, M.D., breast health services medical director at John Muir Health. “For John Muir Health patients, the Breast Health Center is an important part of the continuum of care, allowing physicians, staff and patients to better partner in care planning, resource sharing, education and support.”

The Breast Health Center will provide information and a number of resources in a warm and comforting environment, including:

Education – Information about breast health, breast cancer, nutrition, classes and support groups. Nurse Navigators – All of John Muir Health’s breast cancer patients have access to a Nurse Navigator who is available to them throughout the continuum of care. The Nurse Navigator becomes a partner in care providing education, support and additional resources. Screening – Mammography is still the recommended screening tool as it helps to identify breast cancer at its earliest stages, which generally leads to a very favorable health outcome. Depending on a patient’s particular situation, we will recommend the level of screening that is best for them and how often they should be screened. We offer digital mammography at six locations (Walnut Creek (two locations), Concord, San Ramon, Tice Valley/Rossmoor and Brentwood) to enhance access.

Rhinoplasty (Nasal Surgery) San Francisco Bay Area (Cosmetic Nose ...

So what is the latest in Rhinoplasty Walnut Creek? San Francisco Bay Area plastic surgery patients want to know. I explore the topic with an eye on history because new nasal surgery techniques come and go, but the truly great ideas persist. The basics of the “modern” rhinoplasty have been around for centuries; however, the advent of safe and effective anesthesia has allowed us the operative time to work on the fine details with high patient satisfaction.

Closed Rhinoplasty vs. Open Rhinoplasty

The debate over which technique is better, closed rhinoplasty or open rhinoplasty, continues to this day. Each provides some advantages and disadvantages, and the final determination of which technique is best for your nose will depend on an careful, professional evaluation by a Board Certified Plastic Surgeon or Board Certified Otolaryngologist (also called Facial Plastic Surgeons though the ABMS does not recognizes this as a separate Board Certification).

Closed Rhinoplasty

Prior to the 1900′s, most rhinoplasty was performed “closed”. Pioneers like Joseph, Freer, Killian and Cottle showed us what can be done with the closed rhinoplasty technique, and many of the instruments used for septoplasty today, still bear their names.

The closed rhinoplasty avoids the small incision between the nostrils necessary for the open technique, and closed nasal surgery works well for dorsal reductions and narrowing of the boney and cartilaginous nasal sidewalls. For these standard rhinoplasty modifications, the open technique does not provide much advantage.

Since the closed technique incisions are all inside the nose, they are hidden. However, the small external scar needed in the open technique usually heals extremely well and is very difficult to see in most circumstances. The closed technique may have less post-operative tip swelling, but when similar operations are performed, it is difficult to demonstrate the difference.

Open Rhinoplasty

Open rhinoplasty was advanced by Rethi, Padovan and Goodman for the tip rhinoplasty, and was advocated for its superior visualization of the nasal anatomy.

The difference between open nasal surgery and closed nasal surgery is the 1/4 inch incision made between the nostrils. This small incision allows the nasal skin to be lifted, like the hood of a car. While the nasal tip cartilage can be seen with the closed approach, it is necessary to deliver one side at a time for tip work. The open technique reveals both sides simultaneously, and facilitates the symmetry of the result.

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