Amoena LIFE Fall 2014 - US

PLUS: HEALTH | BEAUTY | PORTRAITS | AND MUCH MORE

L IFEFall 2014www.amoena.us | www.amoena.ca

Feeling good, looking great.

PressureGraceDealing with stress is a personal pursuit

underGetaway!

From Diagnosis to Strapless

wedding DressA Cinderella

story in Real Life

Behind the SCeneS

Our survivor Ambassadors are

picture-perfect!

Surgical Do-Overs

An unexpected but common

occurrence

Features6 Cover Story

Grace Under Pressure Dealing with stress is a personal pursuit

16 Behind the Scenes Our survivor Ambassadors are

picture-perfect!

20 Mind & Body Two Workouts we bet you haven’t tried

22 nutrition Superfood Alert! Cauliflower Comes

into its Own

23 Real Life From Diagnosis to Strapless Wedding

Dress A Cinderella story in Real Life

24 Report Surgical Do-Overs An unexpected but

common occurrence

Fashion10 You, On the Go

Amoena Fashion for every moment, modeled by our survivor Ambassadors

Regulars 4 Up Front

All the latest news on issues that affect you

18 Survivor Portrait Turning the interview table 180 degrees to meet Dianne Armitage

19 Feelin‘ Kinda Funny Pressure Cooker

Editor f rom the

The entire contents of this publication is copyrighted by Amoena, Kennesaw, GA, USA 2014. All rights reserved. Reproduction or use of the contents in any manner is strictly prohibited without prior written permission from the publisher. Amoena Life magazine is published twice a year and is available by request. Amoena Life magazine is distributed to subscribers, retailers and medical facilities. No liability for unsolicited manuscripts. Amoena cannot be liable for pictorial or typographical errors. While every effort is taken to ensure the information contained in this magazine is accurate, the publisher cannot be held responsible for any use of or reliance on the accuracy of such information. Any information provided is not a substitute for professional care and should not be used for diagnosing or treating a health problem or disease. If you have, or suspect you have a health problem, you should consult your doctor. The editor reserves the right to edit or abridge letters.

On the coverGinger, age 38, is a breast cancer survivor and Amoena Ambassador for 2014.

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Publisher Amoena USA Corporation | editor Lee Thrash Contributors Dianne Armitage, Beth Leibson, Christina Relf, Kathy SteligoArt director Shan Willoughby | design Sekayi Stephens; Bela Weiss Photography Dorothea Craven, iStockPhoto, Shutterstock, Veer Contact Amoena Life, 1701 Barrett Lakes Blvd., Ste. 410, Kennesaw, GA USA 30144, 1-800-741-0078, [email protected]

Recently, I read a book about survival. In the fictional tale, a

13-year-old boy finds himself all alone in the woods of Canada, with nothing but a small hatchet and his windbreaker. Imagine! He survives, but what caught my interest was the discovery that observation was his most important tool. The boy learned that every sound, every movement of the branches above him, could speak to him—letting him know of an animal nearby (important!), that the weather was about to change, or simply the time of day. And without the distractions of modern life, he was able to see more, hear more, feel more.

If only we could become that conscientious in our daily rounds. Observing the present for exactly what it is; not looking so far forward that we become stressed or worried. Just being here.

It’s okay if you want to sit with that thought for a moment.

Most times, we’re not that lucky, are we? Stress has a pretty tight grip on today’s survivalists, whether we’re in cities, suburbs, the country or the Canadian woodlands. (Okay, maybe not in the woodlands.) How can we work through it? Our cover

story, “Grace Under Pressure,” can give you a few ideas on page 6.

We’re pleased to welcome our 2014 Amoena Ambassadors to this issue! Don’t miss Behind the Scenes, on page 16, for a glimpse into their photo shoot – plus the gorgeous results in our Fashion pages, beginning on page 10. These extraordinary ladies are helping us tell our story in a bright new way – we know you’re going to love getting to know them.

What do you say? We’ll tell you, actually: Results from the last issue’s Reader Survey are posted at the end of the magazine (page 26), and a few more questions. We can’t help ourselves; you make us what we are. Your feedback is invaluable, so thanks in advance.

All this to say, enjoy this issue of Amoena Life. We hope your observations here serve you well.

to find a retailer near you, visit our store locator at www.amoena.us/stores

or call 1-800-741-0078.

In Canada, visit www.amoena.ca.

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Lee Thrash, [email protected]/AmoenaUSATwitter.com/AmoenaUSA

Coming soon to a retailer near you!

4 | Amoena Life Amoena Life | 5

>>> NEWS & REVIEWS

Amoena believes in making you feel good, and one way to do that is by using fabrics that feel good! In all of our seasonal fashion collections, like Active wear, Home wear, and Leisure wear—as well as in the pockets of many of our Everyday bras—we use performance fabrics that do amazing things! A few examples:

UpfrontThe latest news and tidbits relevant to you

When we’re able to mindfully relax

and wind down, our bodies get actual

health benefits. The best medicine

would be eliminating stressful situations

altogether, but barring that miracle,

here are a few super-easy things to try

to relieve the stress for a moment.

No Shoes in the House!…and other potentially life-saving advice

The peer-reviewed journal Environmental Health Perspectives published a paper in May, 2014 saying certain chemicals that are typical in everyday life have been shown to cause breast cancer in lab rats—and are likely to do the same in women.

The research, conducted by the Silent Spring Institute in Newton, Massachusetts, and funded by a grant from the Avon Foundation for Women, measured biomarkers of human exposure to potential breast carcinogens and compared those findings to the existing animal evidence for agents identified as plausibly linked to breast cancer in other studies.

According to the Silent Spring website, there is still much more research to be done in this area; however, the findings suggest women (and men) should limit exposure to potentially dangerous chemicals whenever possible. For instance:

• Avoid fuel and exhaust• Avoid second-hand tobacco smoke (or try to quit) • Use ventilation fans when cooking • Limit consumption of charred foods • Find a dry-cleaner who doesn’t use PERC or other

solvents; ask for “wet cleaning” • Avoid stain-resistant rugs, furniture and fabrics • Ask for furniture that doesn’t contain flame retardants,

including in the foam

• Store solvents and gasoline properly (tightly sealed, away from children) and use only in well-ventilated areas

• Use and maintain a solid carbon block drinking water filter• Reduce exposure to chemicals in house dust by removing

shoes at the door, using a vacuum with a HEPA filter, and cleaning with wet rags and mops

Read the whole Fact Sheet at www.silentspring.org

CoolMax® by INVISTA. Moisture-wicking was one of the first performance technologies Amoena embraced; we added it to bra pockets years ago to help keep your chest wall drier and cooler.

Modal® by Lenzig. Women everywhere have gushed about how soft and comfortable our Valletta tank top feels! It’s no wonder – Modal resists fading and shrinking, and can even feel cool to the touch. Even better, the Austrian process used to make it is ecologically sound.

Supplex® by INVISTA. All the benefits of cotton, only better! Supplex is often used in sportswear (like Amoena Active) because it’s breathable, holds its shape and dries faster than cotton.

For more fabric facts, go to www.amoena.us/fabrics

SeW UniqueAmoena’s Fabric Technologies

1 Tea-Time: Green tea has a natural compound called L-theanine that can help relieve stress and calm your nerves.

2Countdown: It may sound silly, but close your eyes and count slowly to 10 and back down again. Feeling better yet?

3 Look Out: A window, that is. Take a 5-minute break to do nothing but stare out the window. Natural scenes are particularly refreshing—watch the birds and breezes. Pay attention to your breath.

4Smell something: Fragrant flowers, a drop of essential lavender oil, a scented candle. Aromatherapy is awesome and can be a quick stress release.

5 Yep, Yoga: Stretching can cure your tight shoulders and neck. Melt down into child’s pose at the end of a long day to go inward and release tension.

5GreaTWays to relax

Little things you can do right now

For Your BookshelfConfronting Chronic Pain: A Pain doctor’s Guide to Relief By Steven H. Richeimer, M.D., with Kathy Steligo

We trust our doctors to find, treat and ultimately cure our aches and pains, but sadly, there are around 100 million Americans who don’t get that result. It’s a system, the authors suggest, that could greatly benefit from integration with alternative therapies as well as a deeper understanding and deliberate use of spirituality and connection. The book makes its case beautifully, backing up ideas with strong research and reference, and providing real-life examples from patients who have experienced some relief. Whether you or a family member has suffered chronic pain from diabetes, fibromyalgia, arthritis, cancer, injury or other illnesses, you will gain from this new perspective on solving the pain puzzle. (Johns Hopkins University Press, 2014).

there is Life After Breast Cancer By Hayley Townley and Margerie Manning

“Lighthearted” isn’t the word we typically use to describe breast cancer books, but this one demands it. Put together by two women who’ve been there, done that, the collection of stories is whimsically illustrated to feel part comic-book, part journal, and all heart. There are original stories, poems and artwork from contributors all over the world. Generously, a portion of every book purchase is given quarterly to a support charity; readers themselves can nominate deserving groups at ThereIsLifeAfterBreastCancer.com. (Psan Publishing, 2012).

did you know? The Amoena energy has improved softness and a new back layer design that provides even more optimal air-flow for better moisture evaporation.

Plus, Amoena breast forms are the only ones with patented Comfort+ temperature-equalizing benefits—more than any other breast form. See for yourself below, and ask for Energy!

30 minutes

energy Form

Manufacturer A

energy Form

Manufacturer A


>>> SECTION HEADER>>> COVER STORY

Stress. Emotional Overload. Symptoms of the way we live now, the price we pay for ‘having it all.’ It’s hardly surprising that stress is a big issue these days — in the developed world, we can do almost anything, and most of us feel we’re not doing enough.

This pressure is fuelled by our ‘always on’ culture and the media’s wall-to-wall stream of reality TV, news and opinion-as-news, and digitally manipulated images.

So many women juggle a career, marriage and children, while trying to be there for family and friends, volunteer on the side and still be slim, fashionable, perfectly groomed and youthful (oh, and financially solvent, of course). As if this were not enough — and some believe that our modern lifestyle is to an extent culpable — many are also coping with all this while fighting a life-threatening disease. Because when breast cancer strikes, everyday pressures don’t go away.

GOOd StReSS, BAd StReSSSome pressures are healthy, and even necessary. The adrenaline rush we feel

at the start of a new project, or when we have a deadline approaching, helps motivate us. But when we try to do too much, all the time, stress becomes the enemy — quite literally.

Cortisol, the primary stress hormone, raises the body’s metabolic rate in readiness for a ‘fight or flight’ response. It increases heart rate, breathing and blood pressure. It affects background body functions too, like digestion, cell division and even our reproductive processes — putting them on hold until calm returns.

Being on constant alert and able to react to an imminent, life-threatening emergency is great when you need it, but living constantly in that state is detrimental. Stress affects our ability to think clearly and remember things; it has been shown to increase the likelihood of depression and can exacerbate health

underPressure

GraceDealing with stress is a personal pursuit

by Christina Relf


>>> COVER STORY

risks like stroke and heart disease. It also impacts our immune systems, which scientists now fear can impair our ability to fight cancer.

When did eveRYdAY PReSSUReS BeCOMe ‘StReSS?’In the last 100 years women’s roles and the opportunities open to them have changed almost beyond recognition. Now, for most of us, it’s perfectly possible to get a PhD, be the company CEO and call the shots in our relationships. Yet, we are still the bearers and nurturers of children and many of us still seek to create that romantic ideal of the family unit.

This gives rise to the inevitable stresses of running a career alongside a busy home life. And ‘having it all’ can very quickly turn into ‘having to do it all.’ When my marriage collapsed when my son was three years old, I was catapulted instantly to sole breadwinner, while also having to single-handedly create and sustain a life for the two of us. In this situation, stress is a double-edged sword: you can’t afford to acknowledge it (because you might be overwhelmed), or succumb to it (because you have no choice but to press on).

StOP the MeRRY-GO-ROUndLife coach Isabel van der Ven was living with husband Peter in her native Holland, holding down a high-powered job as a project manager for the Dutch Ministry of Agriculture, as well as being mom to her two- and six-year-old daughters. Combine this with a three-hour commute every day and you’ll see her life was just about as full as it could be.

Isabel didn’t feel it was too much: “I would have described my life as a fairytale existence,” she says. But when she found a breast lump while showering, shortly after her 40th birthday, she could almost hear the plates crashing down around her.

Shocked to learn she would need a full mastectomy, Isabel coped with ten months of treatment, two failed attempts at reconstruction using an expander implant, then finally a TRAM flap using skin and muscle from her abdomen. She was forced to give up her career, as the treatment exhausted

her and ‘chemo brain’ meant she couldn’t think straight.

Isabel felt the resulting stress in her life most keenly once treatment had ended. “When there are no more appointments to attend, it’s as if your safety net has been taken away. That’s when the anger, fear, confusion and the big questions like ‘what next?’ come out.” She tried a few volunteer roles to create a regular daily routine, but couldn’t find the right thing. The family even took three months to travel across the U.S. in a camper van — an amazing adventure but, alas, not a life-changer. Then Peter was offered a job in the U.K., which seemed like a fabulous opportunity. “When we first met we agreed we’d love to travel as much as possible and experience different cultures, so we decided to take the plunge and relocate.”

Living in the rural south of England was wonderful but, after helping her daughters settle into school, Isabel still felt she needed some direction. Flipping through a magazine at the hairdresser’s salon one day, she came across an article about a life coaching retreat in Spain. “I’d never even heard of life coaching before. But just by reading this I knew it was what I needed right now.”

eqUAL BiLLinGSpurred on by finding out so much about herself on the retreat, Isabel decided to study for a degree in coaching. She applied the teachings to her own life: “I now understood more about my values, the things that are necessary for me to feel truly fulfilled. These include getting in touch with nature, which is why we got our wonderful Golden Retriever, Max, who gets me out on daily walks in the countryside.”

On the coaching retreat they asked Isabel if there was something she’d always wanted to do but never got around to it. “I’d always wanted to play the saxophone — although I didn’t know if I’d be any good.” So she started learning just four years ago, although to hear her play you would think she’d been doing it all her life.

Isabel’s other key value, independence, had to be matched with

her need to work and be productive. And that’s how Live Your Life After Cancer (LYLAC) was born. Together with her partner Jo Lee, a doctor and life coach who has also had breast cancer, she now runs workshops across the south of England, helping women get their lives back on track after breast cancer, as well as coaching clients individually.

Coaching helped Isabel realize what stress is for her, and how to deal with it. “It’s about finding a balance —

giving equal billing to all the things that are really important in your life,” she concludes. “For me, cancer was a gift in ugly wrapping paper. If I hadn’t had cancer, I wouldn’t have travelled across America, moved to the U.K., got a dog or be playing in a successful jazz-swing band as well as an orchestra. Once you know what changes to make, you have to think hard about how you can make them possible. Then you know what you have to do.”

GRACe And BALAnCeRunning marathons and climbing mountains might not be everyone’s idea of stress relief, but when podiatrist Trish Otto was diagnosed with breast cancer

at just 37 and commenced the gruelling treatments, she didn’t want to give up something that not only gives her great pleasure but also makes her feel she’s in control of at least one area of her life.

Trish was spinning lots of plates when she found a breast lump back in 2011. She and her husband and small daughter were staying in Portland, Oregon for the weekend, looking at schools and a place for them to rent when Trish took up her new job and the family relocated from Wisconsin.

A subsequent mammogram, ultrasound and biopsy resulted in a positive diagnosis — a complete shock to Trish.

Galvanized into action, she called on all her medical colleagues to help decide on the best course of treatment for her — a double mastectomy. “I had an aggressive form of cancer and I wanted to eliminate, as far as possible, the chance of it returning,” she explains. This was followed by a difficult course of chemo, all of which took place in the middle of Trish’s move to Portland and the start of her new job.

“They told me I could take time off, but I said no. I think working helped me, and I ran about six miles every other day while having chemo — my

doctor thought I was mad, but I know it helped keep my energy levels up.”

Trish accepts that her life had been stressful before she had cancer. “As a doctor you are on call, and your schedule gets crazy. I am a workaholic and after my diagnosis I was forced to put my life into perspective. I now know you have to take time out and relax, but for me that doesn’t mean doing nothing!”

Far from easing up since her diagnosis, besides running marathons and ultra-marathons, Trish has started

climbing too. “That’s how I met a lady named Linda, who is 72 and has breast cancer that’s spread to her bones — but she’s unstoppable!” The two women climb together on weekends, and have raised money for breast cancer charities.

Trish knows many women would find this form of stress relief pretty daunting but, like Isabel, she firmly believes we all need a way to switch off and forget about everything. “You need an avenue that you can filter energy through. In the early days after my diagnosis, I would have nightmares about the future. But meeting Linda and seeing how she lives life to the fullest, I’ve realized I have to do that

too. And in getting my life back, I’ve banished all my nightmares.”

Find YOUR SAFetY-vALveBecause most of us can’t simply cut out large chunks of our lives, we need other ways to relieve stress and rebalance. For Isabel, finding out what was important to her led to a different career and, crucially, some hobbies that really inspire her. For Trish, endurance running has remained a constant comfort in her life.

Sometimes, relieving stress is about escaping from the everyday and just turning down the volume for a while. That’s why weekend retreats and spa breaks are so popular: they give you time to focus on yourself, sort out your thoughts or choose to think about nothing at all. You don’t have to wait for holidays either — a Sunday afternoon walk or a long soak in the bath can work wonders when your schedule won’t stretch to anything more.

Rebalancing is therapeutic. Australian psychologist Sue Baughman reminds us that ‘therapy’ is any technique or activity that promotes and assists with healing — it can be passive or active, the choice is yours. The key thing is to find your safety-valve, and then make time to practice releasing it.

Sue counsels scheduling ‘me time’ just like a regular meeting. “It’s about making a commitment to a regular practice of self-care — even if it’s only five minutes a day,” she says. “This allows you to develop and cultivate one of the most important relationships in your life — the relationship with the self. If our energy reserves are topped up and we are feeling love for the self, then we are in a much better position to give to others.”

This is no time for peer pressure, advises Sue: “Don’t take other people’s word for it. Have your own direct experience and trust your intuition.” You might already have found your stress-reliever. Think about the things you love most — whether it’s reading or morning walks, spending time with your children or baking. If you haven’t found it, allow yourself to embark upon a gloriously self-indulgent journey of discovery. Give it all the love and energy it deserves, because this time it really is all about you! |

Contributors: Christina Relf is a writer, stylist and communications consultant and single mom. Sue Baughman is a registered psychologist, an accredited Satyananda Yoga teacher, an energy therapist and co-facilitator of psychosocial spiritual retreats.

Isabel van der Ven’s UK-based coaching business for women who have had breast cancer, Live Your Life After Cancer, can be found at www.lylac.net.

Find a better balance by nurturing your ‘Inner Child,’ says Sue Baughman. “Think of the Inner Child as your emotional body, your vulnerability,” she explains. Try placing this list somewhere you’ll see it every day.

How have I met my own needs for the following today?

✔ Security ✔ Approval ✔ Authenticity and acceptance ✔ Hope and encouragement ✔ Love

✔ Attention, stimulation and physical contact

✔ Sleep and rest ✔ Fun ✔ Healthy, respectful boundaries

(based on work by Shakti Durga, author of Empowering Relationships)

Feel the loveSometimes,

relieving stress is

about escaping

from the everyday

and just turning

down the volume

for a while.


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>>> FASHION

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Ginger, 38, is a breast cancer survivor. She’s working out in the High-Neck top and Contrast Seam pants from Amoena’s Active collection.

Small space at home? No gym membership? Keep going anyway! Use your own body weight for strength (pushups, planks), a chair for balance, and a timer — they’re all you need for an excellent full-body workout. Try the 7-minute workout: www.7-min.com

GoingKee

p Bra included!

1. Power medium support sports bra in Passionate Pink /Grey, 32-42 AA, A, B, C, D, DD 2. Hula hoop to burn up to 420 cals/hour! I 3. Don’t forget the tunes! A hot pink armband rocks. 4. Performance medium support sports bra, 32-42 AA, A, B, C, D, DD 5. Monitor your happy heart with a Heart Monitor watch. 6. Active pant in Deep Blue/Lilac 7. Two-in-One: short sleeve Top and sports Bra in Lilac/Deep Blue, XS, S, M, L, XL

Images courtesy of dotcomgiftshop.com; and Primark.

Carletta, 42, is a breast cancer survivor. Amoena bras give this woman-on-

the-go the support she needs and the smooth silhouette she desires.

How do you go about your day? Like a honeybee, hovering one minute, zooming the next — everyday in action? Maybe you move like water, going with the flow. Or, maybe you’re most like a jetliner — you can go anywhere, defying gravity! Amoena fashions support every moment of this go-go-go life that is yours.

Fashion for every moment

You,On the Go

Back smoothing

1. Lara satin in Blackberry soft bra: 32-42 AA, A, B, C, D; Panty: 6 – 18 2. Lacy Karla soft bra: 32-42 A, B; 34-42 C, D (also available in underwire) 3. Handy way to add a pop of color. 4. show your unique side with a one-of-a-kind bracelet. 5. er-go-nomic sandal? Yes, please! 6. Back-smoothing Magdalena soft bra in Black or Nude, 34-48 B, C, D, DD, DDD 7. Lovely Lucia convertible strap bra, 32-40 AA, A, B, C, D; 34-38 DDImages courtesy of A-SHU.CO.UK; Konplott; and FitFlop.




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7eden, 36, is a breast cancer survivor. Here she wears the Luxor tank in Lipstick.

1. Glow anytime with a bronzer powder. 2. sophia tankini in elegant Black, 6 – 16 3. Dazzle with a turquoise starburst pendant. 4. sophia Tank with center crochet, 6 – 14 5. sienna tank in Espresso/Jade, 10-22 6. Feel tropical in leaf-inspired sandals. 7. Aqua Wave swim Form, the quality standard in post-surgery swimming. Fits into a pocketed swimsuit and safe in both salt and chlorine.

Time in the sun, away from the hustle of your busy world, refreshes like a cool shower. Make an effort to breathe in and appreciate these moments of getaway.

Amoena Swim Cruise line available in stores this fall!

Time for a Getaway

Images courtesy of Marks and Spencer; Konplott; and Accessorize.

Ginger’s jet-setting in a Relax Carmen long sleeve shirt and Casual pants.

1. Valletta in Passionate Pink! 8 – 24 2. explore the eco-friendly planet with reusable bags. 3. The world’s calling: a phone case shows your adventurous side. 4. Fan fave Valletta t-shirt in Black, 8-16 5. Cozy relax infinity scarf in dark grey mélange. 6. Lara Lace Desire in Raspberry/Dark Berry, 32-42 AA, A, B, C, D 7. Comfy ballet flats go anywhere.

You make travel look easy in wrinkle-free Amoena Leisure wear, made of modal. Have no fear about your breast form at the security checkpoints — those scanners won’t harm the silicone, we promise. There’s more travel information at www.amoena.us/travel-tips.

The Places You’ll Go

Images courtesy of dotcomgiftshop.com; Accessorize; and FitFlop.




>>> FASHION SECTION HEADER <<<

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Want to see more?View complete Amoena collections at www.amoena.us. Click

on the Store Locator to find a retailer near you.

Easygoing

eden is relaxing in the Flower Pajama set with Capri pants.

Ease into a delicious evening alone or a totally relaxed weekend morning. To get the most benefit for both body and mind, go deeply inward with music or meditation.

1. Cozy up with a natural throw pillow—and the one you love. 2. Ambiance Nightdress in Light Grey Melange, S, M, L, XL 3. A staple accessory: stacking rings. 4. Flower Bolero in Plum, S, M, L, XL 5. Indulgent Body soufflé: The perfect way to end a busy day. 6. Feel balanced, even when you’re lying down and lounging around, in Amoena’s slightly weighted Leisure Form which fits into the pocket of our ultra-soft Home wear.Images courtesy of www.gettingpersonal.co.uk; Accessorize; and Crabtree & Evelyn.Carletta’s evening-wear secret is the

Barbara underwire, worn strapless.

There’s simply nothing like a gorgeous dress, a strapless bra, a lingering scent and, let’s face it, something sparkly, to lift your mood. With Amoena underneath, your possibilities are endless — maybe your special evening will be, too!

1. red glamour in dangling earrings. 2. Colette soft Cup Nuiset in Dark Grey, 32-36 A; 32-40 B, C, D; Matching Colette Boyshort, 6 – 16 3. simply stunning hard ring clutch. 4. Johanne soft bra in Red Amber, 32-36 A; 32-40 B, C, D (also available in underwire); Matching Johanne panty, 6 – 18 5. Dazzle your fingers and toes in silver and gold. 6. Barbara underwire bra in Black or Nude, 32-40 A, B, C; 32-38 D 7. New Natura Cosmetic, a lightweight form that truly feels like you, and appears almost invisible even in the sheerest of bras.

Images courtesy of Konplott; Dunnes Stores; and Crabtree & Evelyn.

Going Out

Natura Cosmetic A realness like no other.

16 | Amoena Life

What is an Amoena photo shoot like?Picture this: We’re on location at a modern home in the most elegant part of Atlanta, on a slightly-too-cool spring day. Background music by favorites like Katy Perry and Rihanna keep the mood upbeat (Rihanna’s “Diamonds” feels particularly appropriate and reminds us to “shine bright”). We start at 8:00 a.m., and while our ambassadors get prepped in hair and makeup, the photography team sets up the first shot: lighting, angle, props and color balance.

“You know girls just want to have fun, right?” remarks Eden. “This has been so much fun!” But, she adds, “It is hard work! We don’t give models enough credit.” As she goes to get fitted in an elegant red swimsuit and high heels, we ask Carletta what her favorite part has been.

“Other than the spa day?” she replies with a grin. “Truly, just meeting

everybody, and learning what goes on behind the scenes. From photographers, makeup people… surprisingly, for me it’s just feeling normal. Even though this [opportunity] is related to having breast cancer, it doesn’t feel like it.”

Several scenes later, we break for lunch. It’s the first time many of the crew sit down in four hours. We chat about the products: All three women agree the fabrics are super comfortable, particularly in the Active wear and Leisure wear lines. They agree the weather needs to warm up a bit more before we take the next Swimwear shot!

And they agree with Ginger, that what they’ll take home with them includes: “Lots of good memories, and the feeling that I was able to participate in something that will help other women feel beautiful.” |

>>> BEHIND THE SCENES

Amoena’s Mission Strength Ambassadors in the spotlight

Giving Back in Style

Brightand

GivingShining

Back

It started with a wish to do more.To go big. To do it up right. Amoena’s Mission Strength essay contest and ambassador search was an opportunity for us to share your strength. With Young Survival Coalition’s support in getting the word out, we launched a webpage, crossed our fingers, and hoped we would get adequate response.

Well.

We were delightfully overwhelmed. Nearly 100 entries from standout women all over the nation flooded our inbox. We are honored to have “met” each and every one of them.

Our three winners have introduced you to some new Amoena fashions in the previous pages. Ginger, Eden and Carletta joined us at our U.S. headquarters in Atlanta for 3 days of quickly-formed friendship, luxurious pampering at Spa Sydell, and some hard work modeling.

Who? What? Why?How many people does it take?

• Photographer• Photographer’s assistants (2)• Digital photography manager• Location coordinator• Stylist• Stylist’s assistant• Hair & makeup (2)• Props stylist• Marketing Director• Models (3)

This October, to celebrate survivorship and promote awareness, Amoena chose two of your favorite styles, the valletta and the Power Sports bra, and turned them passionate pink! Get them early—these are limited edition and won’t last long! Ask your local retailer or find a store at www.amoena.us/stores.

For each Passionate Pink valletta purchase, Amoena will donate $1 to the All4One Alliance which is committed to helping all underserved women recover from breast cancer with dignity. All4One provides post-mastectomy breast forms, bras, recovery garments, lymphedema compression sleeves, meals and meal delivery, wigs and professional support for anyone coping with breast cancer. Learn more at www.all4onealliance.org

Amoena is proud to sponsor the Young Survival Coalition, particularly during the month of October. For every Power bra in Passionate Pink/Grey sold, $1 will go to YSC to continue its work of providing resources, connections and outreach so young women with breast cancer feel supported, empowered and hopeful. Visit www.youngsurvival.org

Three donations of $10,000 have

been made to YSC on behalf of each of our Ambassadors.

>>> BEHIND THE SCENES

Amoena Life | 17

Global Marketing Director Malissa Magyar greets Amoena Ambassadors Eden Lackey, Carletta Cunningham, and Ginger Johnson in April 2014. Inset: The girls enjoy some steam in the sauna, and a spa lunch afterwards.


Dianne (Browne) Armitage was born in Indianapolis, Indiana. The eldest of six children, her early aspiration was to write the great American novel. Diagnosed with breast cancer in 1996, 2005, and again in 2013, she believes humor has helped her deal with each diagnosis and just might be therapeutic to others as well. In addition to her work with Amoena, Ms. Armitage has written for Dr. Susan Love’s website and is a frequent contributor to several other health-related sites.

I used to love to cook… and then I married a chef. In no time at all, I had relinquished my kitchen privileges and turned my attention to

other pursuits. Unfortunately for me, eating was at the top of that list.

Through the years, I was still able to dabble in the delights of creating something from scratch, but this was likely to involve vegetable and cheese platters for our restaurant’s catering needs. Every now and then, it might include a simple cracker dip like a block of cream cheese covered in jalapeño jelly to munch on at a get-together or party. My grandmother’s fried chicken recipe, my mother’s scalloped potatoes and my highly praised teriyaki sauce were relegated to the land of lost memories.

With my most recent breast cancer diagnosis (let me just say, I did not find the third time the least bit charming), I discovered I was trapped by incessantly looping negative thoughts. I was exhausted by this non-stop head chatter, and moreover, I knew it served no positive purpose and might actually interfere with my healing both physically and spiritually.

I needed to fill my headspace with something better, and I had plenty of downtime on my hands. I also really wanted to discover ways to eat healthier, so it was high time to venture back into the kitchen. My husband, God bless him, has tried over the years to embrace my desire for healthier fare. Alas, as a traditionally trained chef, if it doesn’t have sauce, gravy or butter he’s less than enthusiastic. Since it’s common for great cooks and chefs to show their love and devotion by bombarding the objects of their affection with food, I had my work cut out for me, in more ways than one!

The first thing I noticed was that after nearly 30 years on the receiving end of a completed recipe, the kitchen felt like a foreign landscape. Sure, I knew what a measuring cup was designed to do, and I recognized a spatula, but on more than one occasion, I would open a drawer or cabinet and pick something up, only to put it back and walk away.

My mantra became “baby steps” because I recognize my propensity for biting off more than I can chew (both literally and figuratively) and then quickly losing interest because the task at hand is too difficult.

I began looking for simple, healthy recipes online. I love how the Internet has streamlined our ability to find great recipes quickly, see what we need to purchase at the store, and even read what people who have tried the recipe have to say. If I’m going to invest my time, energy and money, I’m happy to know someone else feels it’s worthwhile.

My first foray into feasting involved a simple lasagna recipe with a great tossed salad and garlic bread. What I noticed was: not only did I enjoy the meal, but I also felt a sense of pride in my accomplishment. Throughout the entire endeavor, I felt relaxed and renewed. My time in the kitchen kept me focused on the task at hand, not the fear and uncertainty I had been stirring around in my brain beforehand.

This I know for certain: There is muscle memory and recipe recall. The kitchen feels more familiar all the time (as does my new body). So today, when I start to feel the pressure, instead of stewing in my own juice, I start cooking!

And when my husband insists on lending a hand – I get sauced! |

FEELIN’ KINDA FUNNY <<<

Bubbling away my toil and troubles

>>> PORTRAIT

Turning the interview table 180 degrees, and dealing with a third diagnosis

If you’ve been an Amoena Life reader for any length of time, or if you’ve ever visited TheBreastCareSite.com, then you probably feel like you know Dianne. She’s a critical part of our editorial team and has shared her wise words and funny anecdotes with us for years, both here in the U.S. and all over the world. She never fails to make us smile.

Dianne’s a survivor with a new tale to tell. As of press time, she’s just recovered from a double mastectomy—it’s her third time hearing a breast cancer diagnosis. She’s done interviews with women in this very situation so many times, but admits: “I have found it both ironic and puzzling that I could have spoken with so many women over the past 15 or 16 years who have elected to have this surgery—and felt I would be fine with it in the abstract—and then struggled so when it became a reality for me.”

Amoena Life wishes you continued speedy recovery, Dianne, and sends you our love to get you through!

We asked Dianne to let us peek into her world a little, with her handling the “A,” for once.

q: have you come to a place of peace about the double mastectomy since we last talked? how have you gotten there? A: When I got the initial DCIS diagnosis back in October 2013, I didn’t realize what it would mean. Once I wrapped my brain around [the double mastectomy], I could only feel blessed my diagnosis wasn’t more ominous. Since this was my third time, I knew it was time to make a life-saving move. In the nearly 18 years since my initial diagnosis, it’s been my honor to share the stories of so many women who have faced a similar decision. Their stories helped me to know there is not just life after a mastectomy, but the opportunity for a fantastic life.

q: tell us a little more about your ta-ta for now, no Pity… party. A: Since I was celebrating a landmark birthday just a week before my surgery, I decided I wanted to surround myself with women I love and admire – and who would help me make this transition. So, with the assistance of two of my oldest and closest friends, I came up with my Ta Ta for Now, No Pity for No Titty Birthday Bash. About 35 women showed up to help me embrace what a wonderful life I have. At one point during the evening, everyone had to tell one thing they’d like to “get off their chest.” Nearly everyone shared a story about something I’d done to crack them up. I came away feeling much braver – and amazed at the love showered on me.

q: how is [your French bulldog] Lulu handling it all?? (that’s our attempt at being funny like you.)A: …I was a bit concerned when she asked me to sign over the rights to all of my jewelry prior to surgery. Seriously, the moment

I got home and could just have her next to me on the bed (don’t tell my doctor), I knew I was going to be fine.

q: What’s different this time for you than the other two times you’ve been diagnosed? A: I have been very open about what I’ve been facing this time, because we need to move past our modesty and fear to further the dialogue about breast cancer. I was even candid with male co-workers (if I knew I wasn’t going to make them run for the exits) because I feel men need to realize what makes us ‘desirable women’ has much less to do with our breasts and more to do with our character, strength, humor and grace.

q: Will you keep writing about the topic of breast cancer? does it still inspire you?A: On the day of my surgery, when I was still sort of coming back to reality, I received one of my daily inspirational emails, and all it said was: Write it down, write it down, write it down. I am SUCH a blabbermouth, I have no doubt I will not only continue writing (and talking) – but hopefully I will be able to delve into some areas I wasn’t well-versed enough about before, or was too timid to tackle.

q: What are the words of wisdom you want to share about journeying the breast cancer path, or just living life?A: I don’t know that I have any words of wisdom to impart, since I’m still trying to figure out how to navigate in the world with my nose being my new center of gravity for the front of my body! |

the Real dianne Cooker

Amoena Life | 2120 | Amoena Life

>>> MIND & BODY

Mindfulness Meets Martial artYou love yoga. You long for the wisdom gained on the mat, and you “Namaste” from your heart center. Not to mention, your glutes and biceps look great after all those Sun Salutations you’ve done since 2004.

If you’re curious about adding another flow to your vinyasa, you might consider Tai Chi. Often described as “meditation in motion,” this gentle exercise keeps the body constantly moving in slow, graceful forms. Its origins are mysterious but attributed to China, and sometimes described as a fighting form used for strength, balance and flexibility training. Through time Tai Chi evolved into a globally recognized contemporary exercise that can be enjoyed at all ages.

Are you using yoga to de-stress? You might also enjoy the art of tai Chi. Need to

spice up your walking routine? Add an element of nordic flair. These two workouts

have grown in popularity but many women have never thought to explore them.

Same benefits, different pathstWO WORKOUtS

We Betyou Haven’t tried

The twists and turns of Tai Chi are like an internal organ massage that enhances blood flow and strengthens the muscles. You’ll also benefit from:• Reduced heart rate and blood pressure• Increased cardiovascular efficiency• Increased flexibility and energy• Improved posture and sleep patterns• Improved mood and feelings of well-being

Under the supervision of a qualified instructor, you’ll get the most reward. Some features of a Tai Chi class include:• Forms – These are series of movements often based

on animal actions like Grasp Sparrow’s Tail and White Crane Spreads Wings

• Stability through the legs – It’s easy to get caught up in the sometimes complicated arm movements, but power and energy flow through the legs

• Relaxation – Perhaps the most important, but one of the more challenging aspects of Tai Chi is relaxing through the practice

Body Benefits

how-to

Learn more about Tai Chi at TheBreastCareSite.com.

Low Impact, High Cardio You faithfully tie up your sneakers three times a week for cardio maintenance. You’ve done it solo, with your neighbors, and sometimes even on the “dreadmill.” Nature’s exercise is easy for most everyone – and no equipment required!

Amping-up a walk to increase the benefit usually leads to running… but it doesn’t have to. Nordic Walking, where specially designed poles help with balance and add upper body to the workout, might just be the next “step” for you. While running can be hard on the knees and ankles (and the breasts, if we’re being honest), Nordic walking remains low-impact – yet it can burn up to 50% more calories per hour.

Get a set of poles and a good pair of walking shoes. Cross-country skiers know this is a symmetric, total body workout that can reward participants with:• Average heart rate increase of 10-15% over normal walking,

but no increase in perceived exertion• Upper body strength built by resistance to improve bone

density• Posture, balance and stability with the poles (which also

increase safety and prevent falls)• Better sleep, focus and mood

The right kind of poles, adjusted to your height, are essential. Once they’re in-hand, you will learn these and other proper techniques:• Find a comfortable rhythm — the pole on your right goes

forward with your left leg• Specific techniques for uphill and downhill walking protect

the joints; poles can be used to propel the body forward, especially on uphill slopes

• Keep the shoulders down and relaxed throughout the walk, and remember to keep the hands loose as you “grip and release” the pole – the movements should feel very natural

• Advanced Nordic walkers can try other strides like jogging, skating and even jumping

Body Benefits

how-to

The International Nordic Walking Federation (http://inwa-nordicwalking.com) and the American Nordic Walking Association (http://anwa.us/) are good places to get started.

Eden, 36, and Ginger, 38, are breast cancer survivors and winners of Amoena’s 2014 Mission: Strength ambassador search.

For Tai Chi, Amoena’s High Neck pocketed tank and Contrast Seam pant are perfect. And Nordic Walking’s super-chic with our Long Sleeve Shirt and coordinating racer back bra. Find Amoena Active wear near you at www.amoena.us/stores.

Amoena Life | 23if you’ve discovered a new use for cauliflower, feel free to share the recipe with us! It’s good for you. Visit www.facebook.com/AmoenaUSA.

22 | Amoena Life

>>> NUTRITION

Cauliflower Comes into its Own Do you keep a food journal? Experts say they’re great for tracking calories, learning to recognize your food bug-a-boos and stumbling blocks, and making sure you get the right balance from all the food groups.

Dear (Food) Diary,

I heard the most unsettling thing today in the news. Some smug health reporter on Channel 3 said, with an air of “foodie” in her voice, that

cauliflower is the new superfood. Cauliflower! Can you imagine? That bland, blanched, tasteless cruciferous stalk? I am writing to protest!

I remember cauliflower from years past... Always the last one on the tray of crudités, helplessly left alone with the dregs of the dip in a colorless

heap. Covered in orange cheese product in a sad attempt to add flavor. Or the worst, waterlogged and mushy on my childhood dinner plates! They

can’t force me to get excited about it, I guarantee you that.

Even if it has all these benefits: 3 Packed with B vitamins, manganese and vitamin K

3 Includes omega-3 fatty acids

3 Only 25 calories per cup

3 Fiber (10% of the recommended daily allowance) to help keep you full

3 Gluten-free and low-carb

I was slightly intrigued when the reporter went on to say cauliflower has cancer-fighting properties, I admit. I looked it up:

Registered dietitian nutritionist and spokesperson for the Academy of Nutrition and Dietetics Vandana Sheth, RDN, CDE, says,

“Cauliflower provides a wide array of anticancer nutrients including sulforaphane and indole-3-carbinol. These two nutrients have shown

a positive effect in inhibiting growth of cancer cells and help with prevention of certain types of cancers (prostate and breast cancer).

They also help increase our body’s production of enzymes that clean toxins and protect cells from carcinogens.”

My online search (a.k.a. my Pinterest habit) then led me to this startling revelation: Cauliflower can be magically transformed into pizza dough!

So I’m getting vitamins as well as my pizza fix?! I want to write this one down so I don’t forget it:

http:/

/ifoo

dreal.c

om/c

auliflo

wer-p

izza-c

rust-r

ecipe

/SUPeRFOOd

ALeRt! Your taste buds will thank you!

There you have it, Dear Diary.

Cauliflower Pizza Crust. Who knew?! Love, Me

IngredIents

1 head cauliflower, 7 - 8” wide

1 large egg 1/2 cup Parmesan or Mozzarella cheese, grated/shredded &

not packed 1 tsp Italian herb (or rosemary, basil, parsley) seasoning

1/8 tsp salt 1/4 tsp freshly ground black pepper

dIrectIons

• Preheat oven to 375 degrees F and line a round pizza baking

sheet with parchment paper.

• Rinse cauliflower, remove the outer leaves and separate into

florets with a paring knife. Place cauliflower florets in a food

processor and process until you have “rice” texture. Some

coarse chunks are fine.

• Place on a prepared baking sheet and bake for 15 minutes.

• Remove cooked cauliflower from the oven, crumble and

transfer it to a bowl lined with double- or triple-layered

cheesecloth. Then squeeze the liquid out of the ball, cauliflower

inside the cheesecloth, as hard as you can. Be patient and do

this a few times until barely any liquid comes out.

• Increase oven to 450 degrees F. Transfer cauliflower to a mixing bowl

along with egg, cheese, herb

seasoning, salt, black pepper

and mix to combine. • Transfer cauliflower mixture

onto the same baking sheet

you used to roast it (line it

with clean parchment), and

flatten with your hands until

thin pizza crust forms.• Bake for 15 - 20 minutes and remove from the oven.

• Top with your favorite toppings and bake again until cheese on

top turns golden brown. Slice and enjoy.

storage Instructions: Refrigerate covered for up to 2 days. You

can also freeze the crust tightly wrapped in plastic, for 1 month.

When Christine walked down the aisle she was more excited—if you can imagine it—than the typical

blushing bride. Because, for a year and a half, she wasn’t sure she’d get there.

The wedding was originally scheduled for July 2012. Christine was caught up in a flurry of arrangements. She had booked a location, selected music, and even found the perfect long white dress.

Then, one evening in April 2011, Christine noticed a lump in her right breast. “It was big, like a cherry stone,” she says. Terrified that the lump meant cancer, Christine went, right away, to get herself checked out at a hospital in Munich. They scheduled her quickly and did a sonogram, an MRI (magnetic resonance imaging) test, and then a biopsy.

too Young For Cancer?“You’re too young to have breast cancer,” the doctor told her. “We don’t see anything concerning. Come back in a year and a half and we’ll check you again.”

But Christine wasn’t reassured. “My inner voice told me I should get a second opinion,” she remembers. Her fiancé agreed. “He said that I would feel better if the good news was confirmed a second time,“ she remembers.

Christine went to another hospital and again underwent various diagnostic tests. But this time, the diagnosis was different. On July 13, 2011, one month before her 28th birthday and right in the middle of the wedding planning, Christine got the news that she had breast cancer. Specifically, she had mucinous carcinoma of the breast, a rare form of invasive ductal carcinoma that is usually found in women in their 60s and 70s.

“It was a nightmare,” Christine remembers. Instead of the joyous bustle of wedding planning, Christine was thrown into the terrifying tumult of cancer treatment.

One week later, Christine had her chemotherapy port installed and started treatment. She stayed in the hospital for three days after each round of chemo. She found it easiest

to just accept the situation and follow all the therapies her doctors recommended.

It was a frightening period. Christine worried about not being around anymore and was unnerved at the thought that “everything will go on without me.”

Fortunately, she had plenty of emotional support from her family, her

fiancé, and her little dog, Buddy. “He made me smile and forced me to go outside even when I

had no energy,” says Christine. After each round of chemotherapy,

doctors tested Christine to see if the tumor had shrunk, but for three months, it stayed the same size. Finally, she switched to a new chemotherapy regimen and, just a few days before Christmas, got the good news: her tumor had gotten smaller. “It was the

most beautiful Christmas present for my fiancé, me, and my family,” Christine says.

Due to the change in chemotherapy regimen, though, Christine’s treatment lasted

longer than expected, for a full nine months. Then she had another surgical procedure and by May

2012, Christine began the third leg of her journey: radiation treatment. She had 35 sessions of radiation.

happy endings, new BeginningsChristine had her final surgery in January 2013 and is very happy with her look. Then, on Valentine’s Day, February 14th, 2013, she re-entered the work world, returning to her job as commercial clerk.

“My fiancé, my family, and my strong belief in God helped me to manage all this,” Christine says. “And, well, o.k., my absolute fighting spirit.” These days, Christine is very optimistic. She says, “Life is so beautiful and I decided to be happy. I’m well again and thank God for that.”

The best part of the story is that, on December 27, 2013, Christine got married. She wore a lovely strapless wedding dress with a generous train. “We celebrated our dream wedding—everything was exactly like we had wished.” |

Wedding Dress

From Diagnosis to

Strapless

One thing that

helped Christine through her cancer experience was Amoena

products. “Whether I need something comfortable or sporty, Amoena always offers the perfect solution,“ she says. It allows her to wear lingerie that fits

perfectly – and looks youthful and sexy. And now Christine models for Amoena,

sharing her enthusiasm with women around the world. “Modeling for

Amoena gives me a lot of self-confidence.”

REAL LIFE <<<

LIFESpring 2014

pLuS: hEaLth | BEauty | poRtRaItS | aNd Much MoRE

pLuS: hEaLth | BEauty | poRtRaItS | aNd Much MoRE

www.amoena.us | www.amoena.ca

Feeling good, looking great.

Resilience andReinventionStrength, faith and self-advocacy win the fi ght

So Hot Right NowHappiness is trending in science and society Worth Your Risk?Investigating the pros and cons of preventive mastectomy

chancesSecond dramatic action that fl ows from a big wake-up call

MAke A Splash!

Amoena Life | 2524 | Amoena Life

Surgical

>>> REPORT

The remedy for severe cases of capsular contracture is capsulectomy, which is usually performed as an outpatient procedure. The surgeon reopens the original incision, cuts away the scar tissue, and removes the breast implant. The existing implant pocket is then flushed with antibiotic solution, a new implant is placed into the pocket, and a small surgical drain is placed at the site for a few days. (Capsulotomy, trying to break the scar capsule by squeezing the implant, is no longer recommended, because it may rupture the implant.) Women sometimes choose to forego implant replacement, and instead try external breast forms.

Ronnie Stilman was thrown for a loop when she needed a capsulectomy just seven months after her breast reconstruction. She knew it was a possibility, but it occurred much sooner than she thought it might. “Before my reconstruction, my surgeon explained that I might eventually need a future surgery to

remove excess scar tissue,” she said. “I certainly didn’t expect it so soon. I felt as though I was just getting my life back on track before I was back in the operating room having my implant replaced.”

For Susan Cooke, capsular contracture was an unexpected and unwelcome surprise long after her breast reconstruction. Nine years after her reconstruction with a flap of muscle from her back and an implant, her breast became hard and distorted. Hearing that she needed surgery to correct the problem brought back uneasy memories of her original reconstruction—enduring surgeries, the additional operation to clean and restitch her incision when it reopened, and dealing with recovery. It was an experience she would rather not repeat. At the time, she was unaware of the potential of capsular contracture, so finding out that she was headed back to the operating

room to correct the problem was upsetting. “I was really surprised that I needed an operation and was very anxious about it, but I felt it was worth going ahead with it so that I could once more have a good reconstruction,” she said.

NO GuaraNTeeS

Facing additional surgery, even when it is expected, can stir up a flurry of unwanted emotions, because it means more time in the operating room, additional anesthesia and another period of recovery, although recovery from capsulectomy is usually easier than the original reconstruction. More surgery also presents another opportunity for infection and other complications, as Susan learned. Her capsulectomy went well. Her scar tissue was removed and her implant was replaced. However, several days later, Susan’s newly-implanted breast was swollen, uncomfortable and uncommonly bruised—a hematoma had formed when the surgical drain was removed. It took another surgical procedure and hospital stay (and another surgical drain) to resolve the issue. “It has been a very upsetting experience, mainly due to the post-op complication,” said Susan, who was told that it could take up to six months for the issue to settle down. “My main emotion has been disappointment.”

Unfortunately, physicians have no way to predict which women will develop capsular contracture, when it might occur or who will need a capsulectomy. And having capsulectomy does not prevent excess scar tissue from reoccurring, potentially necessitating yet another capsulectomy. Using an acellular dermal matrix (donor tissue from which the cells have been removed) appears to reduce the frequency of developing capsular contracture. For some women, the possibility of needing similar future surgery is too much; many who choose to forego implant replacement have found their way to Amoena to try an external solution instead. |

Kathy Steligo has twice been diagnosed with breast cancer and has had reconstruction twice. She authored The Breast Reconstruction Guidebook and co-authored Confronting Hereditary Breast and Ovarian Cancer.


Surprises come in all shapes and sizes, and when it comes to breast reconstruction, not all of them are pleasant. Most breast reconstruction is completed in three stages: an initial surgery that builds the new breast mound, a second operation to refine breast shape, and a final optional procedure to create a new nipple, which may later be tattooed. Completing the reconstruction process and recovery, and finally getting back to a more normal life is a welcome relief. So it’s understandable how frustrating and uncomfortable it can be to learn that a return to the operating room is necessary.

WhY mOre SurGerY?

Any surgery, including breast reconstruction, has inherent risks. Although most women who have reconstruction do not encounter unexpected and unwanted surprises, others require additional surgeries—sometimes several—to fix problems that are related to the initial procedure or to repair issues that occur down the road.

Additional surgeries are sometimes the only way to correct problems after reconstruction or to improve unsatisfactory cosmetic results. Despite precautionary procedures to maintain sterile conditions during surgery and recovery, infection can develop any

time the skin is opened. Women who smoke, are obese or diabetic, or who have previously had chest radiation are particularly susceptible to post-operative infection. Surgery to remove damaged tissue may be necessary to resolve infections that do not respond entirely to antibiotics.

Post-operative bleeding can occur, but is less likely when electrocautery tools are used to seal blood vessels. It sometimes occurs when damaged blood vessels leak and form a hematoma, a collection of blood in the surrounding tissue. Hematomas that aren’t reabsorbed by the body may require another operation to drain the pooled blood and reseal the blood vessel. Surgery may also be needed to remove fat or tissue that dies from insufficient blood flow. This can affect areas of breast skin, which is thin and fragile after mastectomy. It may also be problematic for women who have reconstruction using flaps of their own muscle and/or fat, if a portion or the entire flap doesn’t get enough blood supply.

Even when their first choice would be to avoid further surgery, women who are unsatisfied with their cosmetic results often choose to have additional procedures to refine or improve their breasts. Reconstructed breasts can be reduced, increased, lifted or dropped.

Indentations and dents can be improved and scars can be revised.

CapSuLeCTOmY: a COmmON CauSe Of reOperaTIONS

Additional surgeries may be needed after any type of breast reconstruction, regardless of the facility, the surgeon, or whether the procedure involves breast implants or a woman’s own tissue. Implants, however, carry greater potential for problems and reoperations. The most common cause of reoperation involving implants is capsular contracture, a capsule of scar tissue that forms around saline and silicone implants. It’s a natural bodily reaction to all types of implants, including pacemakers and artificial joints. All women with implants develop this capsule of scar tissue to some degree, but it is often so slight that many women are not even aware of it. Capsular contracture isn’t unusual, nor is it a health hazard. Mild capsular contracture may simply cause the breast to feel a bit more firm, but in some women the scarring tightens so much it squeezes the implant, causing pain, distorting the breast and making it hard. Radiation to the breast, infection or trauma to the breast implant increase the chances of developing this condition.

An Unexpected but Common Part of Breast Reconstruction

by Kathy Steligo

Supplied to women by Mother Nature to help them nourish their young (and weirdly, provided to men too), nipples might be something we take for granted, but a breast can look lonely without one.

After reconstruction, many women choose additional surgery for nipple reconstruction, where a surgeon takes skin from another area and creates a nipple mound on the reconstructed breast. Nipple tattoos are also an option. According to The Breast Reconstruction Guidebook, some reconstructed nipples lose projection over time and, if the woman chooses, have to be redone.

But many women choose another way to look more complete: adhesive nipples. Amoena’s high quality nipples are made of a soft silicone that shapes itself to the curve of the breast — or the breast form — and they attach securely with a skin-friendly silicone adhesive.• Three sizes – small, medium and

large• Four different skin-tone shades –

ivory, almond, bronze and tawny• Packaged with Amoena Soft

Cleanser – used regularly, the cleanser actually reactivates the adhesive for a long-lasting product.

PAss

DO-OVERS...many who choose to forego implant

replacement have found their way to Amoena

to try an external solution instead.

Ask your Amoena fit specialist to help you pass the t-shirt test! Visit our Store Locator at www.amoena.us/stores to find a retailer near you.

Amoena adhesive nipples complete every look

The T-Shirt Test!

26 | Amoena Life

& We’ll keep listening. You keep talking.Let’s build on the momentum here. Could we borrow you for another few minutes? You can tear out the right half of this sheet and send it to us at: Amoena Life Survey, 1701 Barrett Lakes Blvd., Suite 410, Kennesaw, GA 30144, or simply go online to www.amoena.us/survey and answer these brief questions online for us.

What, if anything, makes purchasing pocketed bras and camisoles difficult for you? (check all that apply): The fit/fitting process The cost The location/convenience The selection at my local retailer Other (please specify)

_______________________________

how would you prefer to buy your pocketed bras/camisoles and other Amoena products? At a local store At a department store Online

When you workout, what kind of top do you like to wear? Sports bra alone Short-sleeved t-shirt Long-sleeved t-shirt Tank Top

When you workout, what kind of pants do you like to wear? Long pants Shorts Capris

Could you name 3-5 clothing brands (for active wear, swim wear, lingerie or leisure wear) that you buy frequently?______________________________________________________________________________________________________

Could we follow up with you for more information? if so, please enter your name, email address and phone number below.

Name: ____________________________

Email: ____________________________

Phone:____________________________

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>>> SURVEY SAYS

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Consumer: This is not a rebate program. Discount given at time of purchase by your Amoena retailer. Limit one coupon per person. You pay any sales tax. May not be reproduced, purchased, traded or sold. Any other use constitutes fraud. Offer void where prohibited or restricted by law.Retailer: Only US retail distributors of Amoena products may redeem coupon for credit on your Amoena account statement for 50% of the face value if terms are met. Redeem coupon by sending original coupon with PROOF OF SALe with account name, account phone, account number and style of product purchased to Amoena, Attn: Coupons, 1701 Barrett Lakes Blvd., Ste.410, Kennesaw, GA 30144. Redeemed coupons must be postmarked by January 31, 2015 to receive credit. Amoena reserves the right to deny and/or disregard any redeemed coupon if deemed to be false or fraudulent. Offer void where prohibited or restricted by law. Keep a photocopy of all materials submitted for your records.

Account Name _____________________________________________________________ Account # ___________________

Account Phone# ______________________________________________________________________ ___________________

Manufacturer’s Coupon | Offer expires december 31, 2014

Manufacturer’s Coupon | Offer expires december 31, 2014

Save $10 when you spend $75 or more on any Amoena® seasonal collection purchase*!*Discount not available on core Amoena styles. Discount given by your Amoena retailer and not available on any item that is reimbursable by insurance and part of your insurance claim.

Take $10

Off

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Name

Address

City

State Zip

E-mail

i am a:

q Breast Cancer Survivor

q Family/Friend of a q Health Care Professional Breast Cancer Survivor

q Please sign me up for Looking Ahead, an online consumer e-newsletter from TheBreastCareSite.com (e-mail required).

Mail with your $10 check made payable to Amoena (no cash payments, please):Amoena, Attn: Amoena Life Magazine1701 Barrett Lakes Blvd., Ste. 410Kennesaw, GA 30144

Subscriptions available to US residents only.

Amoena retailers, please call Customer Care to order printed copies.

In our March issue, we posed a brief selection of questions about your buying habits and your lifestyle. You kindly responded (approximately of 200 of you!) and we have numbers now that give us insight and direction – thanks! You truly make Amoena who we are, so your feedback is always invaluable. Here’s a sampling of what you, in the U.S., had to say:

how often do you purchase pocketed bras/camisoles?

do you buy pocketed bras/camisoles in addition to what insurance covers?

how have your exercise patterns changed since your diagnosis?

26.24%Less than

once a year

At least once a year

Twice a year

More than twice a year

41.18%

22.17%

10.41%

10 20 30 40 50 60 70 80 90 1000

29.44%

24.77%

I exercise somewhat more

now than before

I exercisemuch more now

than before

I exercise about the same

I exercise less than before

I do not exercise at all

33.18%

9.81%

2.8%

10 20 30 40 50 60 70 80 90 1000

NO43.84%

YES56.16%

Lifestyle Habits BY the nUMBeRS

Your Shopping

to find a retailer near you, visit our store locator at www.amoena.us/stores

or call 1-800-741-0078.

In Canada, visit www.amoena.ca.

Awareness underneath.Show your support with Amoena’s popular Lara collection in feminine jacquard lace in flirty light rose—just in time for breast cancer awareness month.

www.amoena.us

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Documents

Amoena LIFE Fall 2014 - US