continued Tissue expander pain!!

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  • jill123
    jill123 Member Posts: 5
    edited January 2010

    my expanders were horribly painful-had them in 8 months-th enew inmplants arent much better.

    having numb "breast" dont get the point-wish I had done more reasearch on this

  • ronqt1
    ronqt1 Member Posts: 811
    edited January 2010

    Jill, I feel terrible for you. I hate my TE too, am anxiously waiting for my exchange.

    Are you saying that the breast implants are causing you pain as well. Are your implants new? Can't you tell your PS this and perhaps he can change something.

    Please take care.

  • ronqt1
    ronqt1 Member Posts: 811
    edited January 2010

    Hi all, well today is 10 weeks post surgery with TE, I went food shopping and I still get exhausted attempting to do heavy shopping.  I am doing the exercises, but I still poop out when taking the stuff out of the wagon into the car. What I do is request someone to help me unload the wagon into the car. I am not embarrassed. I need the help and then I tip them. I also had requested a temporary handicapped sticker which I have until June, (hopefully) I will be done with this insanity. 

    Does anyone else get exhausted with affected arm and TE this late in the game. Again, my third attempt at fill is the 14th if my scab on incision is no longer there.

    Have a great day. Board has been quiet for a couple of days.

  • dawn613
    dawn613 Member Posts: 1
    edited January 2010

    I was just thinking the same thing about all the large amounts of fills. I had bilat. mastectomy December 4th, 2009 and was initially filled with 50 cc of saline in each expander at time of surgery. My left side is not healing as well as expected yet so as of today I not only haven't had any fills but yesterday my PS deflated my left side to 10cc to let it recover and heal with some antibiodics and less stress on incision.  I believe he told me when all this started that each fill would only be about 50 ccs per week and I'm trying to get to at least 800 cc.  I was a Double D at time of mastectomy.

  • Kristinka
    Kristinka Member Posts: 520
    edited January 2010

    Ronna - I don't think I'm much better off than you are!  I'm 8 wks out from the mx and have had two fills.  I'm finding that the fills really knock me out - I've had to nap all week due to my fill Monday morning and the subsequent pain.  Driving makes my chest muscles spasm, as does any heavy lifting.  I find I can take nice walks in my neighborhood, and that builds my strength.  All in all, I feel I'm in a holding pattern until the exchange surgery.  Take good care of yourself until the 14th - you want to be all healed when you see the PS.  

    Dawn - my PS also goes very slowly.  Really about 50 ccs every other week.  I couldn't stand the pressure if he went faster.  Once you get going with the fills, you'll see how much you can stand.

    best wishes,

    Kristen 

  • KatRNagain92
    KatRNagain92 Member Posts: 522
    edited January 2010

    I have a question about the expanders..what do you do as far as a prosthesis goes until you have the implant in place?  Thanks, I'm still very new to this.  I'm scheduled for a total mastecomy next thursday and was originally going to go the tram route but opted instead for one less surgery.  This expander thing, if I can get through the initial pain might not be too bad.  I just wonder how I'm to stuff my bra in the meantime (If I can even tolerate having anything touching the area?)

    Thanks all!

  • Nedeza
    Nedeza Member Posts: 666
    edited January 2010

    KatRNagain92 ~

    First of all...WELCOME!!!  As far as expanders go...some of us have difficulty & some do not.  It varies, I think, with each and every case.  I did extremely well with my fills...until my last fill in which I was over-expanded.  My PS removed cc's because I was soo uncomfortable.  Afterwards I felt much better & tolerated the weeks until my exchange approx. 13 weeks post MX.  As far as tolerating anything touching the area (incisions)...unfortunately sensation is lost across the breast where the incision lies thus you will not feel much of anything...I suppose this is a good thing.  Having the MX actually severs some of the nerves & permanent numbness occurs...sorry for the FYI.

    My thoughts & prayers are for you next week!  Keep us posted!

    NAE

  • KatRNagain92
    KatRNagain92 Member Posts: 522
    edited January 2010

    Thanks Nedeza...now I'm reading about immediate implants and I'm wondering why I can't go with that? Is that the same as the expanders?  I have large breasts and symmetry will definitely be a problem.  The PS went from a R sided partial (I had already made my mind up about not wanting a partial because too much would have to be taken and the tumor is 2.6 cm. Plus I'm petrified of reoccurance.)  to the double mastectomy option with implants in a heartbeat.  I If insurance will pay for the prophylactic side I may opt for that...problem is, time is running out!  I'll have to meet with the surgeon on Monday and again with the PS on Tuesday. 

    This site is a great help!  Thanks for your warm thoughts and prayers.

  • franie
    franie Member Posts: 73
    edited January 2010

    Dawn, I had a bilat a year ago. I was a DDD and my surgeon led me to believe I could not be expanded to DDD. Consequently I did nothing. Please keep us informed of your progress. 

  • ronqt1
    ronqt1 Member Posts: 811
    edited January 2010

    Kristinka, thank you for your words. I had a fill Nov 25 and we tried twice again but could not fill. This is 3rd attempt for a second fill.If it happens, I hope I handle it better than the first fill.  I guess I am in a holding pattern also. - pretty neat explanation of words- I like that.  I am doing my best with exercises but the lifting does bother me. Walking the dog keeps me active too. However, mentally I still have my days of chaos.

    As I have said before, the best thing in this whole mess is that I requested a Driver's handicapped sticker and my Town obliged. In this cold weather and when I am completely exhausted it sure helps when going back and forth to car to a store.

     As to cup size, my dr. was not definitive with me. I am or was a D. I know for sure I would like to be a C. I have alot of faith in my PS so we will see. I am not familiar with amount of cc's as I read the posts.

    Have a great day. My thought are with everyone on this post.   Everyone up North, stay warm.

  • Angel10
    Angel10 Member Posts: 682
    edited January 2010

    KAT,

    I would agree with Nedeza in that not everyone responds the same to expansion.  Throughout the process, we generally wear very supportive bras...mine were given to me by the surgeon.  Prosthesis wasn't even a consideration.  You are slowly filled, and quite frankly I was so uncomfortable I could care less about a profile.  That will come in time.  But I doubt you will be looking to fill any form of bras.  You slowly get larger as the fills occur, gaining back strength and range of motion at the same time. 

    Ronqt1....it was more than a month after my exchange before I felt like I was gaining strength...but then again...I had complications all along the way, so I am not the poster child for quick recoveries!

    There is a lot of info and support on these threads...stay close to them as you go through this. You are bound to find someone going through the same process as you or have felt the way you are feeling, and that can be a real God send. 

    Good luck and God Bless! 

  • Kristinka
    Kristinka Member Posts: 520
    edited January 2010

    Kat - There are some companies that make comfortable camisoles and bras with pockets for pads for MX patients.  You could ask your PS or nurse for a referral - maybe there is a store close by and you could check them out.  I find wearing my regular bras to be pretty uncomfortable, though I can do it for a few hours at a stretch.  If I really wanted a nice profile when I was flat, I'd wear an old bra hooked really loose with some padding.  Angel is right, though.  Comfort will prpobably be much more important to you than looking curvy, at least for the 1st couple of months.  good luck to you,

    Kristen

  • Faythnme
    Faythnme Member Posts: 167
    edited January 2010

    Okay everyone need your help.  In 2 months I am going to make another attempt at having my reconstruction.  I will have healed for 6 months by then.  So I am taking a survey on a couple of topics to help me make some good decisions.

    1. What technics did you use to help alleviate some of the discomfort?

    2. How long did it take from TE to exchange?

    3. Has anyone heard of the HCG diet to help reduce some weight before going into surgery and whether it is a good idea or not?

    4. How long were you out of work?

    Give me all you got because I'm taking notes, not names.... :)

    Thank you much!!

  • ronqt1
    ronqt1 Member Posts: 811
    edited January 2010

     To all: Being that it is freeeeezing in NJ and I was bundled up in layers and still freezing, my TE feels like it is throbbing while outside. Am I imagining it or is it me? It feels very funny all by itself even protected thoroughly with windbreakers, and three layers of other clothes.

    Is this a silly question? 

    Thank you.

     HUGS to all. I hope someone reads this crazy statement and answers this silly question.

  • jane1254
    jane1254 Member Posts: 62
    edited January 2010

    ronqt1

    I am 5 weeks out from Rt. Mast. and also live in this cold climate, NY.  I have never felt the cold more.  My chest feels strange when I am cold and it doesn't seem to have the ability to shiver like the rest of my body. I could use the expression that my chest "hurts" in the cold, but I think my chest hurts  for so many different reasons now.  I had a reduction on my good side.  I feel like I lost my insulation.  I was reading this thread to get some tips on relieving the discomfort form fills.  It seems we are all complaining about the same problems.  I am still trying to decide if very small fills 30cc's or 60cc's make a big difference.  I have had both.

    Jane

  • jane1254
    jane1254 Member Posts: 62
    edited January 2010

    Angel10

    I was reading this site for help with fill discmfort, and I noticed in a previous posting you said something about wearing a supportive bra.  I was just given permission to wear a bra at 5 weeks post unilateral mast.  Would a supportive bra be helpful after a fill?  I have been wearing camis so far and didn't even think of it.  My pain seems to be more rib pain than anything else.

    Any suggestions will be gratelly appreciated.

    Jane

  • ronqt1
    ronqt1 Member Posts: 811
    edited January 2010

    Hi Jane 1254. You got it right, my TE does not shiver, it throbs.

    Believe it or not, I don't remember when I got rid of the wrap thing from the hospital, the PS instructed me to get a sports bra (I purchased Champion sport bras - but larger sizes than I was.

    I was a 36, so I got 38-40s for comfort I purchased them at Dick's. I did not care about the price, I just got what I thought I needed for comfort.  I also went to a specialty shop and got bra extenders, which really helps.

    When I exchange, my left breast will be reduced to match my new foob.

    Have a pleasant evening, stay warm.

    With hugs to all

  • Angel10
    Angel10 Member Posts: 682
    edited January 2010

    Jane,

    I still wear the supportive vest at night, (nearly 5 months post exchange) and sport bras most days..I am just more comfortable that way.  When I try regular "fashion" bras, I find my foobs get sore.  My PS does not want me to wear underwires, so I don't know how that is going to work...if I do wear a fashion bra, it is an underwire!  The foobs still feel so heavy!  I hope that this will change and I can wear fashion bras w/o discomfort....but many women still wear sports bras to bed...a year or so later!  And they do get and KEEP the cold longer than boobs!

    Faythnme...I had the TE placement in April, exchange in August.  I took my pain meds as needed....and sleeping pills at night.  Hydromorphone was my drug of choice...percocet made me sick!  Valium is good for relief just before and after the fills.  I slept on a recliner for months...and am just now beginning to sleep on my side again...hallelujah!

    I am not a big drug taker, and stopped using all of it a week after the exchange with no problems...but I have come to think of it this way....if these drugs weren't made for us at this time of our lives...then for when??

    I never did PT....too sore to even think about exercising....did not diet either, but managed to lose 15 lbs due to antibiotic induced hepatitis I went through in the summer...I have no idea what this diet is you mentioned...but I am not a big fan of altering your nutritional intake at this time unless you are really eating unhealthily.  Your body burns a lot of calories during the healing process....I understand protein is good to up during these times, but I never did too much in that regard.  I eat a lot of protein normally.

    I was unemployed when I was dx'ed so can't help you there....just went back to work last week, nearly 2 months after my final revision....don't think I could have made it back before now....but I had complications which hopefully you won't anymore.

    So I am not much of a help to your specific questions but wanted to respond...

    God Bless and Good luck this time!!!

  • brettus
    brettus Member Posts: 1
    edited January 2010

    roonie , i am 4 weeks out from bil mast . most of my pain is in my back . i have heard the chest muscle stretching can affect your back muscles . i just bought some herbal arnica gel for back ,dont know if it works yet . i feel for you , it is just constant ,isnt it ? anyone else like us   ? any advice ? love this site , so much help and support . 

  • concernedsis
    concernedsis Member Posts: 256
    edited January 2010

    Sis had surgery in mid september, drains for 5 count em 5 weeks then fills - 60-120 cc each time - fills HURT! She premedicated with Darvocet. She has like 700cc in and doc said it will be a small B - hard to tell as the expander fills under the arm, high, low etc and the implant will be more front and center so to speak. he wants to reduce her other side and lift but she at this time says no way! The radiation really had her incision and drain sites hurt and she is almost done 23 of 28 today and is back on pain meds with blisters that opened in axilla - needs wet to dry dressings for that. She hates the expanders and says she wish she knew she would have skipped them but we;ll see how she feels when all is said and done. Good luck to all!

  • ronqt1
    ronqt1 Member Posts: 811
    edited January 2010

    Hi all,

    Again,3rd time for fill and no fill. My scab on incision is disappearing has not gone completely. PS also said I am too hard but am doing well and will have a beautiful final product.  So now until Feb. 4, but it would be my last fill. Now I can't wait until the 4th of Feb.

    Oh well.

    Have a great day everyone.

  • Angel10
    Angel10 Member Posts: 682
    edited January 2010

    Ronna,

    Sounds like your PS is being very cautious and this is a good thing....must be a bit exasperating, but it sounds like they want to insure a good outcome....hold fast to that thought! The foobs will come!

    God Bless!

  • ronqt1
    ronqt1 Member Posts: 811
    edited January 2010

    Hi Angel, thank you for your inspirational words. Yes, PS is cautious, and I am going nuts, but in the long run, I am sure it will be fine. It is more mental than physical at this point.

    I was given Paxil this morning by my primary to calm me down and I can also take valium when needed. This should get me through to Feb. 4.

    Have a great evening.

    HUGS to all,

  • Erika09
    Erika09 Member Posts: 145
    edited January 2010

    Hi, I am the lady who's been screaming MASTECTOMY OR LUMPECTOMY, PLEASE HELP!

    I was struggling over what decision to make since I was diagnosed on November 2nd, and on December 31 I had bilateral mastectomy.

    I am really happy with my decision and it would not have been possible without the impute I got from many ladies on this and other threads.  

    My pathology report is back and they found three different cancers, two on the right and one on the left. Both breasts had Usual Ductal Hyperplasia Multi focal. Luckily, the nodules were all very small (2mm, 4mm, 1.5mm), no lymph nodes involvement, and very clear margins. So, the report is nothing to be happy about, but it is a very happy day for me because I went against the medical recommendation, found courage and a lot of encouragement on this site and went with my instincts.  I can clearly see that I eliminated much pain and many sad days of my future.

    I was out of the hospital the next day, and have been going on long hikes since the second day. Drains were removed 8 days later.  I got 300cc on each TE's during surgery, and they're not nearly as bad as I was expecting them to be. I actually have a nice cleavage with them!  Next week I will have my first fill and my PS said that I should be done with only two fills which will make me a size C cup.  I was a small B before, so a C is a nice gift and I don't need to go bigger!

    As for pain, I took Vicodin for 3 days but they made me nauseous and I started on 200mg of ibuprofen every 4-6 hours for 7 days, and now I am completely out of meds.  It is still a bit uncomfortable to sleep but it is getting better each day.

    Now I should proudly wear a tee-shirt that says -"Dam right they are fake! The real ones tried to kill me!"

    (I didn't come up with it! I am borrowing it from someone in one of the threads on this site, and I think it is very funny!)

    Thank you and best wishes to everyone!

  • ronqt1
    ronqt1 Member Posts: 811
    edited January 2010

    Hi Jane, I have responded to you before. I too have rib pain. I just took out the underwrires out of my sports bras because they started to rub againt the mast. side underarm. I feel much better now without the underwrires.

    Have a great day.

  • jane1254
    jane1254 Member Posts: 62
    edited January 2010

    i have tried a sports bra.  I am so anxious to get home at the end of the day to take it off though.  The frustrating thing is I expect to feel like I used to when I took my bra off, but no such luck.  Whatever is bothering me is still there.  I find this whole thing so crazy because my aches and pains just keep changing.  I keep saying to myself its just part of the process and it will be just fine in the end. I am trying to enjoy the week until my last fill and not anticipate the 3-4 days of discomfort.

    Thank you for being so helpful.

    Jane

  • sheridangirl
    sheridangirl Member Posts: 209
    edited January 2010

    Hi Gals.

    I had my last fill 12/26/09 and am at 1300 cc in each TE. I was a DD cup before the Bi MX on 10/26/09 and will be a D when this is all finished. This whole reconstruction has been very painful and I have been taking Darvocet since the surgery. But, since the last fill, my muscles have finally settled down and I am only taking pain pills at night because the weight of the TE's press on my chest or pull the muscles when I lay down. I know in the long run this will be worth it because I will still look like me before the surgery.   I will have the exchange in about 4 more weeks and will be off work for about 4 weeks after that. I am glad I made the decision to have the BI MX but wish I would have known how painful and long the recovery and reconstruction process was going to be. As far as bras. I was given a surgical bra when I had my lumpectomy in August and it is the only one that is comfortable. My PS said to use an underwire too, but that is very uncomfortable.  

  • jane1254
    jane1254 Member Posts: 62
    edited January 2010

    Its like a secret that no one tells us.  When immediate recon. is suggested we agree, but really have no idea how painful it is.  I have my last scheduled on 1/29 and I am probably just a full B cup by choice.  I had a reduction on the good side at the time of Mast.

    I cannot believe that there are some women who say the fills did not bother them.  I wonder if body build, weight, height and all that stuff make a difference.  If a person is short, maybe the TE presses on ribs due to lack of space.  Who knows, I will be very happy at the end of March to get rid of this TE.  Actually, I will be happy just to know I am finished with fills when that time comes.  The nights are so much worse than the days.  I slept slightly on my side last night and was overjoyed.  I am still sleeping in almost a sitting position.  I am so afraid to move that my hands have pins and needles from not moving all night. It certainly helps to know that we are not alone on this journey.  If this is what it takes to beat "C", we can do it.

    Jane

  • Nedeza
    Nedeza Member Posts: 666
    edited January 2010

    Jane ~

    It does get better....even with the TE once the expansions are completed & you go through that waiting period before the exchange.  My TE after a few weeks did actually soften a bit which made it more comfy. 

    NAE

  • ronqt1
    ronqt1 Member Posts: 811
    edited January 2010

    Hi Gals, I can now sleep on my sides a little more comfortable now, but I prefer to keep the affected arm up still.  When I am typing my t/e gets in the way, it sticks out on side. Just anticipating again final fill on 2/4 if scab disappears. However, the expander is a little easier on me than in the beginning and yes we are all in this journey together. I have said it before, I wish I knew how much annoyance there was involved with the T/E. especially if you are short and I am short.

    Have a pleasant evening.

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