Help-complications force me to join this "club"
I had a BMX with NS on 9/14 due to LCIS in both breasts. 10 days later I had emergency surgery for a hematoma. Four days later another surgery to remove large implants that had gone south (replace with 500 cc). Three weeks later another emergency surgery to remove/replace right implant that had started rejecting Alloderm. Two weeks later (Wednesday) surgery #5 to completely remove both implants due to a staph infection on the right side and again rejecting the implant.
So here I am today feeling completely lost. Not only am I implant free and flat as a pancake but all the surgeries have left me with multiple scars that wouldn't normally be there. It is horrifying. The thought of taking my shirt off in front of my husband is terrifying. I just don't understand how I got here. I had "precancerous" cells. The plan was to have the BMX with immediate reconstruction and move on with my life. Two months later, I still have fresh stitches, drains and a staph infection that has me concerned. I look like hell and can only pray that someday I'll be off Percocet.
I have no idea where I go from here. What do I do about a bra? I feel like I need one if only to hold the drains in place.
Help!
Comments
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first things first...BREATHE!!! You have been through so much already. I am so sorry about all the complications you have endured. It must be so mentally and physically draining. I had my bmx on 8/23 and understand how you feel to be flat. It is so unnerving as a woman who had borderline DD's to be so flat up top. My husband still thinks I am beautiful and says that my scars and my battle wounds. We are in the fight of our lives and the breasts can someday be replaced. I am waiting until after radiation therapy to get mine done and will probably not be done til 2013 with the whole process. The stitiches and drains will come out. Did your doctor prescribe a Mastectomy cami? They are comfortable and can hold the drains for you. Mine even came with some foobies inside that I wear and no one can tell the are not my girls. Concentrate on healing your body from all this trauma it has been through. Reconstruction can come later. And if your husband really loves you he will not find you hideous but even more beautiful than before this happened. You are a fighter. We--your sisters in battle --are here for you to vent, rant, rave and through a tantrum. We understand it all.
Maggie
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I bet you "got here" the same way that I did....a mammogram. Am I right? In my case the mammogram found calcifications that were determined to be DCIS and I somehow got on the "breastcancer train" and ended up flat.
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jtslg, first thing is here's a {hug} you have been through so much!
baywatcher, I also started my BC journey because of microcalcs on a digital mammo. However, in my case they were clustered around and obscuring a tumor. So having a mastectomy turned out to be the right decision for me.
While many women choose reconstruction, I did not. I was advised as such by my mom, who is a long-term BC survivor, and her opinion coincided with my inclinations. Also this website really helped me http://www.breastfree.org/
You're kind of stuck fashion-wise until you get the drains out. I used one of those post-mx camis with the drain pockets but also wore oversized flannel shirts (it was winter) and hung the drains around my neck with a loop of white ribbon.
Healing comes first then assess your options. I'm sorry about the scars. Mine are considerable but fading somewhat. Maybe I'm accustomed to them after almost two years. My husband's been great. He's cried with me but says what's important is that I'm OK. I'm not sure if he's used to it yet but we're still happily married if you know what I mean. Once you heal, there are lots of pretty camis and silk feels nice against your skin. Best wishes!!
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jtsig,
I am so sorry for what you are going through. I also had a failed reconstruction, and I know that for me having the reconstructed breast removed was even more traumatic than the original mastectomy. It undermined my confidence that anything was going to turn out ok for me, and left me with scars that had me showering in the dark because I couldn't look at it, much less let my husband look. Horrified is exactly the word for how I felt, and I know there is nothing I can really say to make this period easier for you. But I want you to know that I did heal, I did have successful subsequent reconstruction, and my husband and I made it through and still have a loving relationship.Things will get better. Best wishes.
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jtslg, I don't know exactly what to say. Those of us who decided against recon and chose to go flat didn't experience the extreme disappointment and frustration you've felt through your recon "failures". Misadventures. Disasters? Don't know what to call it.
What you've described is what I feared, and is the main reason why I decided not to have recon in the first place. So, I'm flat on one side (didn't have a bmx, 'cause I only had one tumor on one side), and it's a simple, fairly thin, pale pink scar. Your scars are complex and angry right now, but they'll eventually calm down and just, well, ... be there. I think you'll figure out how to deal with that. First, though, you have to figure out how to deal with the fact that you hoped to be on the road to recovery by now, and have some semblance of breasts again.
Be gentle to yourself. Pamper yourself. You've been through h*ll.
There are creative things you can do to hide your drains and still dress nicely. I'm a slob at heart -- I prefer to wear loose, casual clothing. But I had to go back to my cancer center for surgery rechecks before my drains were out (I had 2 drains on my left side). What I did was find a knit "shell"/dressy-looking T-shirt-type shirt, which I wore untucked over nice slacks. Over the shell/dressy T-shirt, I wore a loose jacket. The jacket had pockets, but I didn't want to put the drain bulbs in there because I thought it would look crude, plus the tubing would show. So, I used safety pins to clip the drain tabs to the inside fabric of the jacket, on the fabric near the pockets. There were enough layers there that nothing showed on the outside.
Oh, and I didn't even consider wearing a bra at that point -- my scar was still too fresh. (My surgeon had said to wait about 6 weeks before even being fitted for a prosthesis and bra.) Being bra-less, I was flat on my mast side, but my lopsidedness wasn't noticeable because I'm only a 34B/36A on the "good" side. You'll be flat on both sides, so you won't look lopsided at all.
I checked and re-checked myself in a mirror before we left for the cancer center. I actually thought I looked pretty good (compared to my usual jeans-and-T-shirt), and there was no sign at all that I'd had a mastectomy and was still lugging around those @*#!!! J-P drains.
This is a really difficult time for you, but you can do this. Your body will heal. If your husband is like mine, he won't rush you... but he won't avoid you, either. He will be more concerned about hurting you than anything else. You can help him, by guiding him and letting him know when it feels okay. There's plenty of time for that, though. No hurry.
Hugs to you, jtslg.
otter
[ETA: shastamom said it best. Wonderful post.]
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Jtsig,
First, I want to give you BIG gentle hug,
I don't think anyone has mentioned this but if the doctor says it's okay to shower you can tie a shoelace around your waist, tuck the Drains in there, or you could get a soft cotton cammie that is velcro and has pockets for the drains, hang in there, I know this seems like a nightmare, but you will get through it one step at a time, one moment at a time. I hated the drains but when they were removed it didn't hurt, they're just simply put hard to take and look at. You will heal, physically, mentally, you will heal. There are postives, harder to find but there are, it's not invasive and it was very early stage, precancerous, all very very good things in the cancer world. You will find a new normal when you are further away from this. You're not alone.
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Actually, my journey did not start because of a mammogram (it was normal). I had a reduction in March and the path reports came back showing the LCIS. So ironically, exactly one year ago I was fighting with insurance to approve the reduction and now today I sit here with no boobs whatsoever.
Shastamom-WOW-it sounds like you know exactly how I am feeling right now. I do feel like I have gone through two mastectomies-the second being much more painful. It is encouraging to hear that you did heal and were able to move forward with reconstruction.
Mags-love the kitty. PS did not recommend any mastectomy cami's or anything else for that matter.
1Badbood-I know you are right and I should be thankful that everything was found early etc. But after 5 surgeries I'm not even close to that place right now. Before all this took place I was struggling with whether or not I could call myself a survivor since it was only precancerous. I definitely consider myself a survivor now!
Otter-oddly enough I'm not worried about hiding the drains. I have tied around my neck by a ribbon and the whole world can tell something is hiding under my shirt. Maybe after 8 weeks I've just come to accept them.
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jtslg-
I just wanted to send some hugs your way. I came back and reread my post and I thought it sounded snippy. I guess I am still bitter that this nightmare happened to me.
You have been through a horrible ordeal and it takes time to heal physically and emotionally. All of us here understand what you are going thru.
I hope the staph infection clears up and you can continue with your recon. You might also want to take some time and consider if another form of recon could be right for you. I think if ever decided to do recon, I would consider the breast center in New Orleans or someplace similar. They don't use implants but craft foobs out of your own tissue. From what I have read, implants need to be switched out every 10 years or so.
Anyway, I feel for you and wish you peace.
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thank you Baywatcher. Hugs to you as well. You're pain and anger is no less important than mine. I hope you are able to find peace during your own journey.
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jtslg: I am so sorry you are having to go through this, Check out the thread TE Trouble under the Breast Reconstruction heading. All those wonderful ladies have been through troubles with the temporary implants. I have not been through nearly as much as you - but lost 1 temporary expander over a year after my BMX with much skin issues, delayed healing. So now I am flat (concave) on one side and have a fully filled TE on the other. The day my drain was out I did get fitted with a silicone prosthetic, couldn't wear it long at first but gradually worked up to a full day. Some days even wore a shelf bra cami with a soft sock stuffed in it! We do what we need to. The scarring (I have tons too, from 3 surgeries so far) is horrible to face at first but it does get better and I can look at it lovingly now. I am totally on the fence about my next move - my options now are lat flap or TRAM flap, possibly DIEP, or remove the other TE and go "topless". I honestly have no idea what I will do and my PS doesn't want to do anything til next May. So focus on healing, take care of yourself, and know that there are many others going through this who can support you. Hugs.
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Just wanted to let you know I understand how you're feeling. I lost count of how many drains I had before they had to remove my implant. I won't bore you with my silly story I just wanted you to know you are not alone. I kinda felt like I was. Please message me if you'd like and I'll be happy to share my story with you and answer any questions I can.
((( You )))
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I also just had my implants removed and feel almost worse than my lumpectomy. Had rads, delayed recon for three years, had TEs put in March 2011, expansion painful and put on antibiotics twice, exchange surgery Sept. 2011, developed another infection, tried antibiotics but implants had to be removed Oct. 28th. My PS blames the radiation but also thinks we can try again once i "Heal". Haha. Not sure what that means. I am very depressed and wondered if anyone has had success with fat grafting. So scared to try implants again, although the surgery would be just one this time since the expansion already did the stretch job. I also am devastated when seeing my chest....scars are daunting.
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einarsen-sorry to hear you are in the same spot as me. I feel so sad that you waited three years for reconstruction. I can understand your devastation.
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I understand your devastation.....I was talked up on the ns bmx because I had triple negative and high grade DCIS. I had IDC, a particularly bad one, but stage 1. I did lumpectomy, and re excision and had to skip chemo and rads because of secondary health issues. Then I got the lecture from two bc sisters that getting the breasts off was the best way to go for long term peace of mind. One had already done a prophylactic bmx with recon and looked incredible, the other, the same, but with poor results and complications much like yours. I went to see a plastic surgeon who was pushing me very hard to do the bmx with recon. He sent me to a breast cancer surgeon with whom he does the recon with, and she said yes but---wait. Yes, it is a great surgery, yes, you will look fantastic, but no, it is fraught with complications and you must think it through. I did not end up having the bmx, but I think you were talked up as I was; bc is a frightening prospect and we make decisions in the interest of preserving our health.
Now, you need to sort out your infections and give your tissues time to heal. From what you wrote, it appears you are more upset about living with the aftermath, not just getting through the infection, which will ultimately resolve. You need to get good nutrition to help this process--it will make a difference. But what do you do after the infection and inflammation is gone? What are you left with?
After the tissues are completely healed, you need to research microfat grafting. There is a thread here at BCO which is all about microfat grafting. I have not had it done, I have no experience with the doctors who do it, and I have no deep knowledge of the procedures involved. BUT, I did read and see enough about it to know you may be able to benefit from it, also that it is a multi stage process. There is a doctor in Florida, Dr Khouri, who has a lot of experience with it. I think this might be able to restore your feelings of "wholeness". The photos I have seen are miraculous.
All my best,
MsBliss
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Jtsig, I am sorry you had such a bad experience. I had a similar one and have come a long way since April when I deconstructed, having my implants removed and the muscle repaired. I had a rough expansion phase but was reassured the pain would be gone once the permanent implants were in place. I was fine for three months, then I developed mild truncal lymphedema. Didn't receive good care by the first LE therapist, and within six months I had a major flare. I found a new therapist and was treated properly. At the same time, my implant started to distort and poke outward and became quite painful. My PS wasn't very helpful and minimized the issue.
Eventually, after getting a second op, my original PS diagnosed capsular contracture. I didn't like the sound of any of his solutions, and by that point I had found a PT, a LE therapist, and LE physiatrist I trusted, as well as having a good friend who is a PT. My lymphedema became the overriding factor in my choice to deconstruct. I initially met with a different PS to consider replacing my implants, and I read a lot about the risks for developing CC again with replacement implants. Any surgery was a risk for exacerbating my truncal LE and causing more scar tissue, which really frightened me. I didn't think I could handle that plus another possible implant failure, which would then require another surgery.
So, I opted to quit and get off the pain roller coaster in order to save my sanity. It was a tough decision, and it was definitely like revisiting the bilateral mast three years earlier. At least it brought relief, and I no longer felt imprisoned by silicone objects inside me. My chest is not a pretty sight, and one of my pectoral muscles was permanently damaged and couldn't be completely repaired. My ribs are concave from the expanders/implants, and my PS left some extra skin to minimize the impact of surgery on my LE. It is what it is, and while I had hoped for a tidier chest, I have come to terms with the new me. Because of the truncal LE, I have chosen for now to go form free and have been experimenting with new clothes. I am finally feeling good in my own skin again and confident with how I look. I am glad to be healthy and 99% pain free. Unfortunately, the LE is forever but it is much easier to cope with now.
The PS who removed my implants instructed me to give myself time to mourn and get used to my chest. It sure is a tough process, but it can be done. I wish you the best, Jtsig, and hope you feel better as time passes. -
i would like to join in , concerning complications, i was dx with ibc in sept 2010. had chemo first then mx with immediate recon, which is what my surgeon suggested, for me, but now wish to god i never had it now, only to say i had a local reccurrance last sept, now i have had a 2nd reccurrance, but will have to have more chemo this time, i feel so disheartened.
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