Diep 2012

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  • alison34
    alison34 Member Posts: 138
    edited January 2012

    Hi ladies

    Well I am home 3 days after surgery and feel really good and am so pleased with the results



    I am very tight around the tummy and cannot stand straight but a few weeks and I should be back to normal



    The surgery time was 9 hrs for me and all I can say ladies is don't be worried go for it I am so so pleased with the result and it's still needs time to settle.



    Any questions feel free to ask and I will keep you all informed on my progress



    Alison x

  • beacher4209
    beacher4209 Member Posts: 540
    edited January 2012

    ALISON! im so hapy for you,and thanks so much for your experience so far its very encouraging keep up feeling :)

  • c8ndygr1
    c8ndygr1 Member Posts: 186
    edited January 2012

    Alison, great to hear you are doing well and love your results so far.

    Ladies, it gets EVEN BETTER after healing and settling, and any adjustments done in Stage 2. It is sooooooo worth it and I am thankful for having this option DIEP available to me. The pre-surgery anxiety is the worst of it all. It's like childbirth. It's pain (managed with pain meds), then you hobble around for a few days (or weeks if you had a C-section) and get better really fast. You can do it. We all did and we tell it like it is from having gone through the experience. Good luck to all with surgeries coming up.

  • CookieMonster
    CookieMonster Member Posts: 1,035
    edited January 2012

    c8ndygr1 - I noticed that you have stage 2B scheduled, what are Stage 2A and 2B? Just curious. I'm done with stage one (Dec. 15) and wondering about what to expect next. Thanks!

    -Judy

  • ladym13
    ladym13 Member Posts: 251
    edited January 2012

    YAY Ali...I'm so happy for ya, we've come a long way baby:) I remember all our talks so long ago with our bald heads and one boob...I love ya girl...xoxoxo

    If you are happy now, just wait until after stage 2, I just had my stage 2 Dec 22nd and I am back to normal already, wouldnt even know I've had surgery, SO happy with my results, I love my breasts SO much and really enjoying my new flat tummy.

    Good luck tomorrow Redinrah:)

  • goldlining
    goldlining Member Posts: 1,178
    edited January 2012
    Good luck Redninrah! Have a good sleep!
  • beacher4209
    beacher4209 Member Posts: 540
    edited January 2012

    Thanks Ladym13 and c8ndygr1 every happy diep happy experience makes the stress lessen good luck to all ...I love all you ladies thanks for such great support ,kindness and compassion.... Proud of all of you on this thread!!!!

  • Seashellie
    Seashellie Member Posts: 152
    edited January 2012

    Best wishes Redninrah! It will be over before you know it and you'll be on the mend. It's so worth it and not as bad as your nervousness may have you believing. Sending positive thoughts.

  • LuvRVing
    LuvRVing Member Posts: 4,516
    edited January 2012

    Yay Alison, way to start us off!  It's going to be a long six months or so while my skin heals from rads.  I just want to get 'er done!

  • c8ndygr1
    c8ndygr1 Member Posts: 186
    edited January 2012

    Cookie Monster (Judy), Stage 2 varies from patient-to-patient and doctor-to-doctor. It may be any or all of the following: cleaning up any weird scarring, removing dog-ears (bits of skin at ends of scars, not everyone gets these), liposuction and fat grafting to fill in any dents, puckers or ripples and to round out symmetry and for volume, getting rid of muffin top, some people have breast reduction on a remaining natural breast, some have nipples made at this point, some require adjustments to the navel, some have tattoos done at this time (some wait until after healing). I'm sure there are other things patients have had done. It's just anything that needs to be fixed after Stage 1 healing. Each patient is different. Some don't even go on to Stage 2; they are content with their initial results. And Stage 2B is anything that still needs to be corrected or fine-tuned after Stage 2A healing. Has anyone had a Stage 2C or D?

    I am scheduled for Stage 2B on Tuesday for adjustments to nipples and areolas, smoothing out a couple of scars, and more lipo and fat grafting to fill in a dent, symmetry and volume. I'm told it will be a 2-1/2 hr outpatient surgery. Once all this has healed, I will get my tattoos by a tattoo artist who specializes in breast reconstruction. Almost there. I'm delighted with my results thus far and just need the finishing corrections.

    Redinrah, will be thinking of you tomorrow and sending major healing vibes your way. Good luck!

  • bdavis
    bdavis Member Posts: 6,201
    edited January 2012

    I have definitely heard of 2C, 2D, 2E, 2F... depends how much you want or need work...

  • redninrah
    redninrah Member Posts: 773
    edited January 2012

    Thank you ladies.....maybe I might msg you tomorrow after surgery.... Bye

  • pamdo
    pamdo Member Posts: 49
    edited January 2012

    Best wishes Redinrah!  and if you msg us tomorrow after surgery I will be VERY impressed!  I was not lucid for about 2 days!

  • beacher4209
    beacher4209 Member Posts: 540
    edited January 2012

    yes Luvrving stay here in reas all the amazing results,i will doing the same thing. i have not a surgery date yet,still consulting :)

  • Nancy10102006
    Nancy10102006 Member Posts: 25
    edited January 2012

    I am having tram flap on Feb 3.  It has been five years since diagnosis....not sure what has taken me so long to decide to do it.  But I am ready now....it is great to read the posts from all who had good results!  I will have a small surgery on Jan. 25th prior to the big one on Feb 3  to cut two blood vessels in the groin area which is supposed to increase the blood flow in the blood vessel that they will use to supply blood to the tissue which is being moved into the left breast.  Did anyone else have this procedure first?

  • goldlining
    goldlining Member Posts: 1,178
    edited January 2012

    Nancy10103006, the DIEP and TRAM are not exactly the same thing. Make sure you are considering the reports from the people who had the same as you're planning. For your specific question, I had a CT scan to image the blood vessels, but I didn't have and in fact have never heard of the technique you mention. Just for curiosity sake, I hope more people comment on that. Good luck!

    Hoping for good results from Redninrah when she's out of the fog of anaesthesia. 

  • bdavis
    bdavis Member Posts: 6,201
    edited January 2012

    Nancy.. I agree with Goldlining... The DIEP  procedure and recovery are going to be different from the TRAM.. as no muscle is taken in DIEP.. so read with caution as your experience may be different... I also have never heard of clipping vessels prior to surgery.

  • ReadingMama
    ReadingMama Member Posts: 573
    edited January 2012

    Nancy, I agree, the Traditional TRAM and DIEP are very different, so you should definately make sure you know what you are getting and talk to some ladies who have had the TRAM.  As Betsy said, no muscle is taken in a DIEP.  There is also a Free Flap TRAM where a very small cuff of muscle is taken and many of us have had that also. 

    My PS did mention the procedure you talk about, like yours mine said this would get the new blood vessal ready for all the extra work it would be doing.  But I don't remember sorry if this was with a traditional TRAM (which tunnels up through the ab muscle) or a Free Flap Tram, which is more like a DIEP. Again, if you are not sure which you are getting, you should definately ask.

    Pananymous - I know you mentioned the NOLA thread was too long to read, but you might want to read the DIEP 2011 thread.  It has a lot of good information and it worth the read.

  • melster
    melster Member Posts: 96
    edited January 2012

    Are their arm restrictions after DIEP? Like are you not allowed to lift your arms higher than your shoulders? Or is that more for people that get TE?

  • CookieMonster
    CookieMonster Member Posts: 1,035
    edited January 2012

    Definitely arm restrictions for DIEP too. I just got them lifted 3+ weeks post op.

  • RetiredLibby
    RetiredLibby Member Posts: 1,992
    edited January 2012

    For those concerned about the length of the surgery, my surgery was 20 hours in total for a BMX and immediate DIEP -- punctuated by the East Coast earthquake on August 23, epicentered 50 miles from the hospital in which the operation was taking place!  I had one breast surgeon and one PS.  As you can see, 20 hours is NOT typical!  I am a very free bleeder, so it took the PS an extra-long time to get the capillaries all to reconnect.

    My noobs are fabulous.  I had PLENTY (plus!) for two DDs (my original size).  The PS's euphemism was "good donor site volume," which my husband gleefully used quite often as he patted my "pooch" before surgery.  I had absolutely zero problems with the noobs -- they were the least troublesome part of the whole thing. 

    My belly incision did open in the middle a couple weeks out from surgery -- we're not sure why, but it is closed now after packing it for about 8 weeks.

    I had no ill-effects from the anesthesia -- and I have a couple of co-morbidities that made me a relatively risky patient:  atrial fibrillation and asthma.  I didn't even throw up or feel nausea from the anesthesia (my one episode was from morphine).  I am an extraordinarily "cheap date" with anesthesia, so they had to be extra-careful and they were.  That was a piece of cake.

    They tell me that the dangerous parts of anesthesia are the same as flying -- the "take off" and the "landing" (going to sleep and waking up).  The middle part is just being maintained.

    The very worst part for me was the narcotic pain medication -- dilaudid -- which didn't help the pain but gave me hallucinations and made me sick and dizzy.  Tylenol worked just fine all by itself.

    I did have an extended recovery period from fatigue.  I think my asthma had something to do with that.  I just started back to work in the office full-time the week after Christmas, although I had been working in the office part-time and working from home full-time since November.  My planned six-week return to work turned out to be a non-starter for me ... but that is only me.  Most women seem to return to work much faster.

    My stage II will be February 17 -- revising my ab scar and reducing and lifting my right noob.  It promises to be a much easier recovery (she said optimistically).

    Good luck to all who are lining up at the starting block! 

    L

  • redninrah
    redninrah Member Posts: 773
    edited January 2012

    Hi I'm in hospital now. Day 2. It wasn't that bad last night. But I didn't get any sleep as they were checking the flap on the hr. I got up and sat in a chair today. On liquid diet.

  • CookieMonster
    CookieMonster Member Posts: 1,035
    edited January 2012
    redninrah - that sounds like my day 2. Hopefully they'll let you off of the liquid diet tomorrow - I did not enjoy the liquid diet.
  • LuvRVing
    LuvRVing Member Posts: 4,516
    edited January 2012

    Redninrah - good to hear from you!  Ick on the liquid diet!

  • alexch
    alexch Member Posts: 21
    edited January 2012

    Hi Ladies,

    I am doing the DIEP procedure on Feb 7. Mine will be considered delayed reconstruction. I am wondering did you have to sign your consent for the DIEP to be converted to TRAM if you do not have enough ab. fat when the Dr gets into the surgery? Is everyone happy with how their whole body looks after the "tummy tuck". My concern is that I will look ackward b/c I will look smaller from the waist up and my legs and butt will look bigger.... I tend to have thicker thighs...

    Also, DId anyone have the other side removed during their surgery as well? If so does that change things as well with recovery time?

    How long until you can bath or shower after the surgery?

    Redninrah, I am glad things went well for you b/c I read on the other thread you were doing the DIEP after Christmas. Thanks for checking in.

    Take Care,

    Alexch

    Diagnosis: Aug, 2009, IDC, 7-8cm, 0/15, Grade 3, ER+/PR+ HER+

  • redninrah
    redninrah Member Posts: 773
    edited January 2012

    Pain is subsiding ...I miss coffee .tomorrow on solids. Lots f painkillers.

    Can't wait to see finished product.

  • redninrah
    redninrah Member Posts: 773
    edited January 2012

    My mouth s soooo dry. Drinking lots of water. Have a catheter in.

  • GointoCarolina
    GointoCarolina Member Posts: 753
    edited January 2012

    alexch,I have not had DIEP but I know from reading this forum that a doctor will have you sign consent to switch because of blood vessels,not lack of fat.From my understanding a really talented microsurgeon who has done a lot of DIEP flaps does not ask that you sign that consent because they have had an MRA done beforehand to check your vessels.Others please correct me if I am wrong about this.

  • CookieMonster
    CookieMonster Member Posts: 1,035
    edited January 2012

    My PS (at UCLA with great succss) had me sign a general release, but said that he very very rarely goes from DIEP to muscle sparing TRAM. Mine was DIEP all the way as it turned out. But I agree with pandazankar that it's blood vessels not fat that will usually turn it into TRAM, the fat they can see ahead of time and know if it there's enough or not.

    I'm still getting used to how my body looks after the DIEP and we're not done yet, but having the pooch gone is nice. The surgeon made the foob somewhat bigger than I wanted just in case of radiation, but no radiation so he's going to end up reducing it at the same time he does the lift and reduction on the other side. I only did one side as the BS so absolutely no reason to take the healthy boob.

    I have pretty meaty legs as well, I don't look totally out of proportion or anything, that I've noticed, yet, but we'll see how it all turns out in the end.

    I don't think recovery is longer if you do both sides, but it's probably a bit more difficult as with only one side, I was able to use that arm for lots that I couldn't have done if I'd done both. But they teach you how to do things like get out of bed when you're in the hospital.

    The shower time seems to vary from surgeon to surgeon. I was told I could shower when I had just the ab drains in, but that I had to keep them dry. Showering was MUCH easier after those drains came out and I could just shower with no worries.

    -Judy

  • RetiredLibby
    RetiredLibby Member Posts: 1,992
    edited January 2012

    My surgeon did not have me sign anything that said he could convert to TRAM. We had detailed discussions about the fact that I wanted all of my muscles to stay where they are. He had me sign that he could place a TE if necessary, but only to hold the skin pocket if something went wrong and he had to preserve the skin pocket for a later flap method. The release specifically stated that the TE would NOT go under the pec. I had a CT before surgery to map my blood vessels and he was very happy with them. I did say that if he got in there and discovered that a DIEP was impossible that I did not want implants and he was to close me up, make me smooth and pretty and we would be fine.



    L

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