Is it time for prosthesis?
I had my BMX with SNB 1/11/11. I came out of surgery in severe pain and it has lingered on. The nerve damage is awful. I still have pain, numbness,burning feelings etc. I have been putting off getting a mastectomy bra and prosthetics because I just couldn't see putting a bra on all that tissue that is already irritated. I like not wearing a bra (I do have small amounts of tissue left that I call my little fake breasts) and don't really know if i would ever choose to wear them. My partner and my mother softly encouraged me at first to get them in case I would ever want to have to have them. My symptoms are a bit better, but don't know why I can't get myself to get fitted. We have a wonderful boutique with great ladies here. I know no one can make the decision for me, but wondered if any of you ladies had any thoughts I could toss around in my head? Thank you in advance.
Comments
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Do it when you're ready; there's no rush. I had mine done on April 30/08 and got my prostheses on Sept 22/08. I knew I had to wait til I healed from surgery, then I was having rads and it isn't recommended to wear prostheses during rads because of the irritation. I got used to not having anything and, like you, was in no rush. Once I got them I was very happy with them. I guess the timing was just right.
After surgery I wore a camisole that I got at the hospital with pockets for foam inserts. They did the trick til I went for the "real" things. That way I looked like I had breasts but it was incredibly comfortable. This may be an option until you're ready to commit. Prostheses aren't cheap!
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I'm so sorry that you're still dealing with pain issues. Given that, I can certainly see why you've hesitated to buy breast forms that might exacerbate the problem. On the other hand, sometimes the pain could actually be alleviated by having the feeling of something held against your chest. That was true for me--the breast forms alleviated sensitivity I was having post-mastectomy. However, in my case, the sensitivity disappeared after a couple of months.
Have you talked to your doctors about the continuing pain and/or been to a pain specialist? I'm not big on meds, but there are times when they are called for.
As for when/if to get fitted, I agree with BMac, there's really no rush. It's great that you have a good boutique nearby. Perhaps you might stop in and ask to try a few things to see how they feel. In my experience, the bra is perhaps even more important than the breast form in achieving a comfortable result.
Also, consider trying out a very soft camisole, like the Still You Tank Top (it's reviewed on my BreastFree.org website), with an unweighted foam form or the very light Still You Illusions forms. With such a garment, you could look great and hopefully feel very comfortable. And it could tide you over until you feel ready for regular breast forms.
Barbara
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I agree with the others who have posted, there is absolutely no rush to wear breastforms. I originally rushed out and bought the very lightweight ones but kept finding excuses not to bother wearing them (I never did at home, ever) even with a very "comfortable" bra (in quotes because I don't think ANY mastectomy bra is truly comfortable and I tried almost every style on the market - cost me a fortune in return postage).
I didn't have nearly the pain and discomfort that you did, but I just hate the sensation of wearing a bra or, frankly, even the camisoles. I am more than 1 1/2 years out from surgery and my skin in that area is extremely sensitive to everything that comes into contact with it. I find that only a smooth finely woven cotton is truly comfortable -- all other fabrics range from being slightly to extremely annoying. Any kind of weight or pressure on that area - however slight - or snug underarms, annoys me as well. My skin surface in those areas feels EVERYTHING. I gave away a number of tops that had any kind of embroidery, stitching or seams in the front because I choose to go flat and my skin feels even the slightest bit of "not-smooth" against it. It's not painful, just an incredibly annoying sensation that I don't choose to put up with. :-)
I have sloping shoulders that bra straps ALWAYS constantly slipped down from, no matter how they were adjusted, LOL. One delight of being bra-free is not having reach into my collar and hitch up a slipped bra strap ever. ;-)
Seriously though, don't feel pressured (by others or by societal appearance expectations or norms) to get breastforms UNLESS you truly want them. Or if you do get them, don't feel pressured to wear them. Mine have sat in their boxes for over a year and half and may well do so for the next 40 years as far as I'm concerned. :-) -
mycinnamon,
I had a great deal of nerve pain also, and I postponed getting forms and bras until just before my year was up. I didn't want to have to pay anything, and I had met both my deductible and out of pocket for the first (and only) time that year. I got them, and like Barbara, I found that having something press softly against my chest all the time actually helped me get past most of the nerve pain and extreme sensitivity. I did not continue to wear those forms very long or the bras, but I have found a variety of other forms that I wear part of the time, and sometimes I have gone "natural" with a cami or little sports bra. I always feel better with something pressed against my chest. It is still the moving, I call it touching/untouching, that bothers me the most. I may never settle on one way to be, but then, I've always been one to move the furniture and change my hair, so I guess change is part of who I am. Good luck making the decision that is right for you!
Dawn
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I had my bi-mx in March and also found the nerve pain horrible but wearing something against my chest for several weeks definitely helped. I did not get fitted for anything, I've cobbled together my own personal very inexpensive and lightweight options that I like, but now I can wear or not wear whatever I choose. I did think I would never be able to wear prosthetics because of the pain but found that compressing the area with something for that period of time helped me heal much better.
Yesterday I had to go for a bone scan and I went flat and the woman doing the test asked me if I had had surgery and when I replied yes, asked was it a lumpectomy, uni or bi-lateral. She then remarked "the scarf makes it hard to tell." I felt great although I had totally forgotten that I was flat anyway.
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Hi CarylC,
Would you care to share what inexpensive, lightweight options you've devised. I'm always looking for good ideas. Thanks.
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well, i made an appt for next week to check it out with our local pink boutique with a professional fitter. i am going in with the mindset that i am just there to check it out, i don't have to get any that day.
erica- i had occupational therapy last spring and was dismissed but the gal i saw was inexperienced with pmps. i saw my new ot this week and am just doing massage twice a week, but is it painful. i am so much worse since tuesday. i have an appt to see the pain clinic tomorrow. i would have seen the clinic in may, but the insurance dept there did not enter my info to the computer so i was left in limbo until my family dr. called and asked what the hold up was. the lady had left early on the friday i talked to her and never put my info in, then lied to my drs office that i never called back. fortuneately she transferred me to the wrong dept and was given an email regarding me so she got caught. so it was almost two months with undue extra pain cuz of her. i will be telling my dr. about what she did. i am hoping that he can figure out some new pain meds for me. i still cant use my arms for ADLs without pain, discomfort, normal useage. i was told maybe they can help, maybe they cant. we shall see. i was in tears tonight i hurt so bad. five months of this is certainly starting to wear on my mentally again. I forgot to add that i have been on 1200 mg of gabapentin daily (i went off it for a few weeks and boy did i regret that), vicodin as needed (doesnt always work). i tried tramadol but it really did nothing for me.
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mycinnamon,
I hope you'll get some relief soon. I know a little about gabapentin -- 1200 isn't a huge dose. Maybe the pain doc could raise it gradually (I think people often take as much as 2400 mg a day). Anyway, I'm glad you've got your insurance issues sorted out.
BTW, I had a wonderful PT who specializes in treating women post-bc surgery. She had me massage my chest VERY lightly and it really helped. It sounds as if your pain is much worse than what I experienced (and mine only lasted for a few weeks), but perhaps it would be worth trying to find a PT who understands post-mastectomy issues.
Please let us know what happens.
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Erica,
I buy a bra from Sears, it's the Apostrophe brand ($20) "shadow stripe" comes in xs, s, m, l and xl and has little pads in it so it already has pockets. Then I buy the "water" breast enhancers from Walmart and turn them upside down and put them in the pockets. Done. The whole thing weighs less than my old Vicky's Secret bras used to weigh and the bras come in all kinds of colors. They are cut high like a camisole, so there is no gapping when you bend over. The breast enhancers are about $5 at Wal Mart and the bras are on sale all the time for $14.
My sister saw me in a tight tank top Saturday for the first time and was like "wow!" I wear the A/B enhancers but they also come in C/D as well.
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Thanks Caryl. I'm going to check out the bra. I've seen those water enhancers at Target but have never tried them. Glad you've found something that works for you.
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CarylC,can you tell me how the Apostrophe bra is for size? I know some things can run large or small. I can't go shopping right now,so would have to order from the internet.Thanks!!
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@ Pandazankar They are stretchy so probably forgivable to quite a degree. I buy a medium and wear tops from small to medium. I didn't want anything too tight around my chest.
@ Erica - the water enhancers I use are not the gel clear ones but the fabric covered ones. I've not had any luck with the other ones. Sears sells the same ones as Wal Mart does for twice the price. I haven't seen the fabric ones at my Target.
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Could the water inhancers be used to fill out an lumpectomy? I am having trouble finding them on the WalMart website. Could you give me some hints on how to look them up?
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Well, I really didnt want to go but trudged onto my mastectomy boutique for a fitting. Standing there, I realized with my attitude nothing was probably gonna feel good or look good. What a shock when I tried my first ones on! To go from no chest to c cup was surreal. It didnt seem natural, lol. They didnt sag like my big ol fat breasts that i had!! I don't think I have had perky breast in 15 years or more give or take.I asked if they made saggy ones and sadly she said no, there isnt much of a market for them (hee hee). They were too far apart, and the fitter said I can move them around. Again, surreal, moving your boobs around your chest to see how those unnatural perky things look better so they aren't so far apart. Bras were difficult. They cut in, hurt where I have my neuropathy around my chest,armpits, back, shoulders. Lace feels icky. The more rubbery falsies were too heavy and pulled the bra and hurt my chest and underarms and back, so I got the softer lighter ones. I did find one bra that fit and didnt hurt, but holy cow!!! Because of the flap of skin left under my arms post-BMX and the need to have my bra be extremely loose so it wouldn't hurt, I had to get a size 48!!!! I had to laugh when I showed my partner cuz it reminded me of those huge honkin bras my grandma used to wear when her boobs hung down to her knees (lol, not really but seemed like it). I was a size 38 bra before surgery, sigh. I just got one bra because after trying on about three, I couldnt take the pain and discomfort anymore. The fitter was nice, knew her stuff, but didn't know me. She's showing me all these lacey, sexier ones and that's not me, well, not for the most part anyway. I wore my pretty lacey bras last summer when I first met Brian, but the honeymoons over lol, and its cotton panties, know what I mean ladies? Comfort, comfort comfort is my life.It would have been nice to have a sexy one too, but none were in my size. Don't know if I will wear them, one for pain, two because even though after five months I still miss my breasts occasionally, I guess I don't miss them that much to want to wear the prosthetic ones and bras lol.
So the question is, how much dust is that pretty little (well not so little lol) box of one bra and two falsies going to collect?
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Oh, about as much dust as my own box of Special Occasion foobies will be collecting, I would guess! Which I estimate will be enough to create a veritable Watership Down population of dust bunnies. :-)
Question: Have you tried the microbead foobies? They are very soft (I suppose you could even think of them as saggy! I certainly would not describe them as perky) and not solid at all in any part, because they are completely filled with the teenytiny microbeads. Like the hackysacks kids used to play with, but the beads are even smaller and lighter. They take the shape of the bra cup they are put into, pretty much. And they are not all that expensive. The TLC catalog carries them and they are returnable if you find, upon receipt, that they're not for you. So I think the most you'd end up spending for a try-on would be maybe $10 for postage? if they don't work out. They are also so lightweight (less than 1 ounce) that they won't contribute to the weight or pressure of your bra. I think you might like them, or at least find them tolerable for occasional wearing. I have a pair in addition to the fancy-dancy Silique ones (which will be breeding the dust bunnies and were a total waste of $$). -
Thanks for the info. firebird. I ordered a catalog, but it is hard to tell from the pics I saw online. I am thinking I will not be satisfied with anything that doesn't sag and is not perky. I will look at the catalog, but am thinking I really prefer to go without. I really appreciate you all responding and helping me. Thank you.
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Oh, I'm definitely in the same "all flat, all the time" camp as you are! :-) But it IS reassuring to have something comfortable in reserve just in case I ever see a dress or top in a store that I absolutely fall 100% in love with but being worn totally flat would completely spoil the entire effect -- so in that case it'd be "foobies to the rescue"! :-)
It is very hard (I'd honestly say, all but impossible) to get a clear idea of the microbead ones without actually seeing them in person. I showed them to my breast surgeon a few months ago and even she was astounded at how featherweight and completely malleable they are. I even tossed one up in the air a few times for dramatic effect, LOL! Too bad I can't juggle, otherwise I really could have put on quite a show with the pair of them. ;-) -
where do you find the water breast enhancers i looked at the walmart website and no luck? can you buy the bra at another store besides sears thanks!
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p.s. They are still sitting in the box, in a bag on the floor behind the door......
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My cheap solution is NOT to simulate breasts but simply to cover and protect the area with the softest most unatrusive thing I could find. It helps protect overly sensitive skin from being rubbed or irritated by the outside garment. I buy Bali Total Fitness bras from Sam's Club. They are 100% very soft t-shirt cotton and come 3 to the package. They are simply one flat piece of fabric from side seam to side seam. I have so much nerve damage that I have now decided to avoid bras altogether as the slightest pressure through the underarm area is an issue. So whether I wear a bra now or not is dependent on the comfort level of the outside garment. I used to be enormous. Reconstruction or prosthesis were never even a consideration for me. My advice to you is to understand you have options. Pick the one that suits you best and do not let anyone brow beat you into anything different. The one you pick for yourself is the right one. Many were rather horrified in the beginning when I announced there would be no reconstruction and no prothesis. I have been walking around flat for over 15 months. I stand up straight, remember my posture, make eye contact and am generally friendly. I can promise you no one has spun their head off because I was flat when I am out shopping and those that I have told said they never noticed until I said something. It has always been the right decision for me. Whether someone approves or not, they'll get over it. Now it your turn to choose what is right for you. This you have control over so do whatever makes you the most comfortable and happy and do it in your own time.
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wow, such a long time ago that post seems lol. i had already decided no reconstruction back in january when i had the bmx. and although the pain clinic nerve block shots and cortisone shots are working, as well as the pt, and pain counselor, i gave up on bras. i never really wanted it for everyday, just in case maybe some time i would want to, but i dont ever see that time coming now.
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mycinnamon: I admit I have had probably a half dozen sessions of trying on little A or B cup padded bras just to see what it would be like. As you said, not for everyday but maybe for a special outfit or occasion. I have these mutant things left over from the "skin sparing" which sit on the top of my breast bone. There is no room for the center seam, the outside line of the cup aggravates the area of the very worst nerve damage, and makes the under arm extra fluffy tissue REALLY look like extra boobs. My reality is that until there is corrective surgery on top of my breast bone, bras or breast forms of any description are completely out of the question and not even an option. I see a PS in about 10 days.
Separate question. Did you find pt helpful? I had a broken hand/wrist at the same time of surgery and recovery. The break took nearly 6 months to heal so pt or massage training to prevent LE were not an option. I have been left to my own devices through all of this. I have managed on my own to have good range of motion. Just wondering if at this late date there is any reason to learn the pt/massage techniques?
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I am not sure what you are asking about pt for? Broken bone or LE, both of which I don't know much, if anything about.
PT is crucial for me even yet. I have such bad scar tissue adhesions in the chest and possible armpits and for nerve damage pain. I finally found pt's that know what they are doing. I had seen one last spring that had little if any experience with pain as severe as mine, that she was useless for me. If I miss the end of the week pt session, I can feel the scar tissue tightening by Sunday or Monday, even with doing stretching at home.
I too have what I call little fake boobs left over from my mastectomy. I didn't ask for skin sparing and didn't realize I needed to indicate I didn't want it. But it's all good. If I wear a low cut shirt, my bf gets the illusion of cleavage, which he likes, and I still have a little bit for him to play with in the place of boobs, now that I have more feeling that is normal, not as much numbness nor as much hypersensitivity, which I like.
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mycinnamon: The PT I was asking about is exactly the one you have found to be helpful. I have alot of nerve damage on the right side and have been wondering if PT might help. I may look into that. Any words of wisdom on finding a good one? Thank you.
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I would first talk to your surgeon or doctor or oncologist, whoever you feel will understand the most. Dependning on the severity of your nerve damage and the side effects you have from it, I can not say if drugs like gabapentin or PT would help you. That is between you and your dr. As far as finding a good PT for this kind of thing, I went into the first one blind. LIke I have said before, she was useless to me. She may be good at other things, but not this.I got lucky when I found these two ladies, no work needed on my part. If your doctor doesn't know of any who have lots of experience with this ( I personally was in too much pain to go to a rookie again), you can ask your pt therapy dept when you call if they have any with lots of experience with PMPS, scar tissue adhesions etc.following mastectomies, and about how many patients they see with it. The gal I saw last spring only saw one mastectomy or so every three months she said. If you choose to do therapy, and the person you are seeing doesn't seem to know what they are doing, move on to find someone new. I do that with drs now. I am much more bold and picky about who treats me (but what I realize I say picky is, is just basic..be knowledgeable about my concerns, be repsectful and professional....Good luck with your journey. Let me know what you decided and how it is going!
P.S. There is a thread about PMPS under surgery. I have a thorough listing of my medical team for PMPS there. Think it was started by Deeds. Can't remember.
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Hi, I had UMX w/ SNB last week. Right now I imagine that I will go bare at home and want some shape for work and going out of the house. This is all new to me...I have no idea what to look for. I will be going for a prosthetic fitting in several weeks (have to hurry due to insurance issues). I am in search of advice, ideas, questions I should ask at the fitting. What to look for in a bra??? If you would share your experience, knowledge, tips and tricks it would be greatly appreciated!
CarylC ~ Water enhansers...sounds interesting. Is there any sloshing sounds...like a waterbed? I had a water filled enhance bra at one time and it did make some noise.
Do the microbeads have a smooth or lumpy appearance through a shirt?
I recieved a brochure in the mail promoting the "BodiCool Wave" some new comfortable, cool, light weight gel form. Has anyone tried this one?
HELP, Please and Thanks!
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FLwarrior,
I answered you much more fully about fittings and breast forms (prostheses) on the "No Reconstruction" thread.
I have tried the original BodiCool form. The cooling gel is very raised on the back of that form and some women found it to "bumpy," though it didn't bother me. I think this new BodiCool Wave form is an attempt to provide the cooling (i.e. to keep the form from getting to warm against the skin) without the bumps. It's worth trying when you get fitted. Amoena also makes a form intended to keep the skin from perspiring. It's called "Energy" and comes in two shapes. You can see both of these forms if you take a look at the "Breast Forms" section of my non-profit website, BreastFree.org.
Barbara
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Barbara ~ Thanks for the link and response. I will check out your site.
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Hi Starak, I am going on my fourth month of PT and it is helping wonderfully!!! I also get ganglion nerve block shots in the neck for pain, and cortisone shots in a certain spot where the shot doesn't get too. I didn't realize how much my scar tissue had formed adhesions throught my chest (even to the drain hole sites!!!). I too have little boobs left over from my mastectomy. I don't know why my surgeon left them and don't really care now. At first I was very upset. I wanted to be flat. After awhile, I realized my hubby was peaking down my shirt like he used to to catch a glimpse of cleavage! Well, I got the best of both worlds. A little something to please him without having to wear a bra. So it doesn't bother me now.
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Just another update on the prosthesis and bra...they are still sitting in the pink box, in the pink bag under my dresser. I am now contemplating giving them to the local american cancer society for someone who might not afford them but want them.
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