Still Uncomfortable with Implants

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  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2012

    LilliM- You are absolutely right.  I am not concerned with Dr. K's reputation when I post because that is not the purpose of this site.  BCO is here to support women throughout the BC experience.  It is a haven where we can share our fears, vent our anger, console one another and be validated in our feelings.  It's a forum to share information with those newly dx to hopefully make their experience a little easier, their fall a little softer.  

    I think the whole BC journey is so much harder than it needs to be and I try to help where I can.  Women still aren't being told about nipple sparing and whether or not they would be a good candidate.  They aren't being told about fat grafting before damaging their pecs with TE's and implants.  They aren't being told about the risks of LE and how to reduce it.  I could go on and on.  I try to share information that I wish I had been told or things I'm grateful I found out about in time.   

    So, no, my concern is not to toot the horn of my surgeon.  I'm sure any one of you can do that on his website, the fat graft site or any of the multitude of online reviews.  Meanwhile I will cotinue to share my experiences honestly and openly without regret. 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2012

    Hi Lindsey!  (I've missed your blog, BTW!)  Sorry you're having issues.  Does it feel as though the pain is on the outside (on the skin) or inside?  One thing I noticed after exchange was my skin became extremely sensitive.  It was painful some days to even have clothing on.  Someone told me this was due to the nerves regenerating and that it would reside with time and it did.  I had to keep telling myself it was a good thing, though, as it could be maddening at times.

    If the pain is more within the breast there are some different possibilities.  One could be that the implants are just too large.  Did you ever talk to whippetmom before exchange?  She is our resident implant expert and she has a formula based on different body measurements to determine the best size for us.  A lot of women feel that implants are much heavier than breast tissue so even though we end up the same as our natural size the weight can feel like more.  

    Are you wearing a really good supportive bra that fits you well?  If it's rubbing it sounds like it may not be fitting right.  As you're healing it's really important, too, that the bra keeps the implants in their pockets.  If you haven't done this I'd recommend a bra fitting with someone trained to work with MX patients.  (Nordstrom's is wonderful!)

    For most this discomfort does get better and you're smart to do the PT.   That will really help.  I read once that it's really recommended that we do lifelong stretching of the pecs or we can have a lot of discomfort from them tightening up.  I know you were doing some PT before.  Did it get any better when you were?  

    I'm sure some others will chime in with other possibilities.  Sorry you're dealing with this.  I know you've had a long road already.  (((hugs))) 

  • annettek
    annettek Member Posts: 1,640
    edited March 2012

    i gotta say in my mind the whole point of this board is to give our HONEST opinions and experiences...without that, there is no point. I have learned a lot here and on the picture site...and I must say this regarding Kate...she has been awesome in her honesty throughout the whole ordeal....I really admire her honesty...she shares her pictures on the other site wholeheartedly....her experiences encouraged me to have my little bit of fat grafting....I don't think I ever read another's posts who so badly wanted something to work out well as she did when she went for that step of her journey to Dr K...it was apparent she was on board...c=it een pushed me to consider that if I needed some major tweaks done the road perhaps I would seek his opnion despite loving my PS- that is how good she portrayed him....but I read between the lines and investigated his website....and somehow I didn't totally jump on board...i think the techniques are good but to me...the PS personality is essential...just a fact in my mind...my PS has taken the seminars with Dr. K....but here is something interesting...I have had an awesome experience with my PS and the results thus far yet I have met others who do not see my PS in the same light...that is the nature of people...and everybody has their own opinion...where I see confidence and admire his healthy ego (I want my surgeon to be a bit ego-centric) others do not...i think it is because we are PEOPLE...and we all react different...I question mine every step of the way...even when happy I always say I WANT GOOD ONES...it ticks him a little but he gets where I am coming from...he listens and we talk and I do not get passed off to a PA or a nurse...every single visit over the past year I have seen him except ONE time and he sees me a lot....up until last month I saw him a minimum of every two to three weeks...this month long gap leadin up to this Friday's appt is the longest I have gone between appointments since my BMX in Nov 2010. Art, ego and skill....all required along with compassion and understanding....essential for this stuff....I was told I am in Houston...head to the med center where the superstars are...I found my superstar who has themost god awful website on the planet hahahaha....he does not advertise and has more patients then he can handle...only recently hiring a PA to help him out....for he does not want to lose touch with his patients....so that is my two cents...honesty lights up dark corners...which need lighting.....blind faith in any one person is dangerous and in my opinion, wrong. While there are some of us who question easily, others not so much and I would hate to try to sway anybody in one direction. So I post my experiences and pictures as honestly as I can....but that is all they are- MY experience and it may not be what is right for another.

    Hope everyone has a good day:)

  • Summer2recover
    Summer2recover Member Posts: 171
    edited March 2012

    In my opinion, it's not my responsibility to be concerned with protecting any of my doctors or other medical professionals reputations.  Giving honest feedback about my own experience, good, mediocre or bad is the most helpful in the end. 

  • Stanzie
    Stanzie Member Posts: 1,971
    edited March 2012

    Kate I too have always appreciated your posts, your willingness to open up and share personal details and honestly share your experiences. I too remember when you first learned of FG and how excited you were and how you also thought it might benefit me as well.

    Summer, I loved my doctor until I ran into problems and I found he doesn't back up his work. I am still on his list to call if someone wants to do the same procedure I had. I haven't been called but if I am I will now have to decline as I can't support him any longer. I am not surprised I haven't been called. When I first was diagnosed, I really wanted to talk to women who had this surgery. In the end did I do it? Nope. Things just moved so quickly, I was in shock, scared, worried and it was just all too much at the time. Do I regret that? YES! I had found this site but I only went so far as the just diagnosed and what to bring to the hospital. In hindsight I wish I had read and learned more and that is what this whole site is about. Learning from each other. Makeing it easy to learn- you don't have to wait and set up appointments to ask other women - how did this prodecure work for you! 

    I don't want it sugar coated - I want the honest truth and I certainly don't want someone's advice who is trying to protect a doctor's reputation. That statement by itself give me concern. Lilli- did you really mean to say that? 

  • ronqt1
    ronqt1 Member Posts: 811
    edited March 2012

    I did not even know of BC.org  site until after mast, just googling questions around.  

    I knew absolutely nothing about the breast cancer world or even worse the bc reconstruction world. I never even knew what reconstruction was.

    Stanzie, I too, was in shock, worried, just get it done. Here, we can vent. 

    I am re-reading a good book, I just downloaded it to my kindle, (Bathsheba's Breast) John Hopkins -a history of bc, procedures through the ages, until current and how the women's movement came to light after the silence of breast cancer.

    Sumer, even though I complain constantly what I am going through I  love my doctor. If it has to end, it will. I unfortunately had surgery in Oct. 09, last revision in Aug. 11 and my scar under good breast with implant (for symetrical)  has keloided again. He already corrected it once. So I have additional issues. I cannot blame that on him, that is me not healing well. I called the ps yesterday for an emergency appointment, got it and he gave me some antibiotics for the inflamed keloid and to see him next week. If he thinks I am a difficult patient, too bad.  It's just never ending.

    Kate, I will remember what you said about the incisions under the armpit. I will make sure I remember that if more surgery is needed. Thank you. Enough problems already. As I mentioned before, I still not have had any tatooing yet. Endless. I know I am rambing sorry, feel safe on this site. Can't discuss with my friends, they don't understand. I thank G-d I have a DH who puts up with me.

    Hugs,

  • Erika8
    Erika8 Member Posts: 104
    edited March 2012

    i too lerned so much on this side thank you Ladies i have one question please how can i get to the whippetmom side to see about implants

    wishing everybody a great Day

  • leeinfl
    leeinfl Member Posts: 317
    edited March 2012

    Kate, you are looking for someone or something to blame for complications that you have which is understandable but not helpful.  If you had simply stated: 

    While axillary incisions may result in a better cosmetic result, in my case, I would have preferred the MX incision.

    Period.  End of story - that would be personal for your situation and helpful.   I've never once minimized your pain, as a matter of fact, I posted what I found about PBTPS which in addition to all the information on PMPS seems to have most, if not all the symptoms, that you describe.  Absent an actual diagnosis, wouldn't you want to explore all possible causes?  We ALL know about LE, we ALL know that it can occur at ANY time and it is nearly impossible to pinpoint what might have triggered it.  And, we can take ALL those precautions and still end up with it.  

    I am a realist and wish everyone heading into a medical procedure would do so with an open mind.  I don't blame my initial PS and would never post his name here. He did the best he could but things didn't work out.  That's life.  Thankfullly, through POSITIVE comments on here, I found fat grafting and Dr. Khouri who gave me back a true sense of normal. 

    Keep the posts factual without implications that are untrue or unfounded, especially when it impacts the reputation of a surgeon who is on OUR side!  That is all I ask.  

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2012

    Erika- The name of whippetmom's thread is "IMPLANT SIZING 101".  She has some great information listed there and under implant sizing information she has a list of different measurements.  If you post those, or PM her with them, she can help you figure out the best size and style of implants for your frame and desired result.  She is wonderful and has helped so many on here.  Here's a link to her thread-

    http://community.breastcancer.org/forum/44/topic/746448?page=1 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2012

    Just want to thank everyone for their input and to say I'm no longer going to engage in the drama that's erupted on here the past week or so.  I think it's being too disruptive to this thread and taking the focus off its intent.  I hope we can continue to share information and support one another.  (((hugs)))

  • Erika8
    Erika8 Member Posts: 104
    edited March 2012

    thank you Kate

  • ronqt1
    ronqt1 Member Posts: 811
    edited March 2012

    Kate, you are correct, this site is to support one another and just share. We are all here for the same reason. One big support group.

  • Stanzie
    Stanzie Member Posts: 1,971
    edited March 2012

    I agree as well - the support and care are what is important. Thanks!

  • binga
    binga Member Posts: 140
    edited March 2012

    Kate, thanks for sharing your experience. Your encouragement and information is what led me to Dr. Khouri and I am thankful for that. I am happy with some of the benefits I have had from that surgery but things are not perfect and I can't pretend that they are. Would I do it again? More than likely I would. Would I go into it with better preparation about what I want to accomplish? Absolutely and the only way to do that is to gain knowledge from the real experiences of other.

  • LilliM
    LilliM Member Posts: 29
    edited March 2012

    In the absence of concern on the part of its members, breastcancer.org has no guidelines in place to protect a doctor from unsubstantiated, libelous and/or defamatory comments?

  • annettek
    annettek Member Posts: 1,640
    edited March 2012

    there are a million sites online to rate doctors and if they are not outright hate attacks- people post whatever they want. Oddly, when i made a post about my PS he was embarrassed that it was TOO NICE and asked me to please dial it down so it didn't sound so wonderful hahaha he had received a call from a top onc at md andersen who said "So, you are working miracles now eh?" Ratings and reviews are just that...one person's experience...if they are all moonbeam good, I tend to think they are padded (that is kind of a pun in a way in light of what we are talking about:

    And in reality- if a few people say the same thing...perhaps the subject might reconsider their methods or not- it is up to them....

    I truly respect another leading onc who recently left the houston med center to head up a new satellite branch in another state who told me frankly "Your case just isn't interesting enough" He is young and brilliant and brashly honest...that a doc of his caliber would be wasted on boring old little cancers hahaha oh my goodness...but thank goodness for his honesty....he actually gave me a lot of good advice.

    I see it like this- the docs provide the delivery of the treatment- whatever it is ....do they have to kiss my patootie>? Nope, but the respect has to be there and if it is not, it is my choice to go elsewhere. And if someone asks, I will tell them why. You can't please all the people all the time but there are a lot of paper tigers out there in a lot of medical fields who aren't nearly as wonderful as their press would have it. So like anything, we have to listen to our GUT feelings across the board. And if someone does bad things, again in any professional sense, i think we would be remiss not to say it. Not slander, but honesty. Same holds true for the good ones. My MD had also told me to cool it as she is SWAMPED with new patients...it took me a long tme to find her and I have to share her...

    sheesh i did it again...blabbed away....I am gonna take these new boobs of mine and go sit by the pool before the sun slips away....I actually ENJOY them in a bathing suit now:) one little benefit to this whole mess...this time last year I was counting down the days to exchange freaking out that I would never feel right again ever....how cool is that?

  • LinSea
    LinSea Member Posts: 150
    edited March 2012

    Hi Kate, I miss my blog too! Actually tonight my DH is helping me start the "Contnuing Journey." The blog started as a way to keep family, friends, and colleagues informed either by me or DH about my surgery and recovery, but now I want my journey to be with people I choose!



    Yes, i think the majority of my pain is on the outside (glad to have that terminology) with the exception of the upper right pole. If I push on the left pole there is no ache like on the right. Question, I have had three lumpectomies over 7 years to the upper right pole do you think this could be part of anything? Yes, I think by rubbing I mean touching my skin! By 5pm I just don't want anything touching me. So nerve generation, does that mean feeling is already returning? My BS said that would take about 3 years.



    WhippetMom thot I could go up to the 600s, so I am well under that size. I did have a professional fitting but was SO disappointed. My chest measurement is 34 and the bra sizing thread said to add 4", but they fitted me in a 34 D. I couldnt even breathe, but bought it assuming they knew more than me! Wrong!! I am now wearing a 38B/C.



    I feel relieved thinking it could be nerves. Kate, I am 4 months from exchange today. How long did this "pain" last. I have noticed the back of my arms "on a hot skillet" feeling is going away! Yeah. :-). I am still swollen, so we took a 3 week PT break, but the swelling is still there, so am going back to work on the frozen shoulder and scar tissue.



    My PT said that women who have had cancer for years with multiple lumpectomies have a tendency to protect the cancer side and carry that shoulder forward, resulting in a frozen shoulder. The PT work is soooo painful, but she has me doing lots of stretches more for the shoulder but they stretch the pec as well.



    Thanks for yr help and insights. I feel relieved! Hugs to you!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2012

    Lindsey- The pain and sensitivity went away very gradually over 6-9 months I think.  The worst spots seemed to be the sides of the breasts but don't know why.  The nerves that have been cut can take years to regenerate if ever but some nerves end up just extremely bruised and come back quicker.  It's not an exact science, though, and some regain it quicker than others.  The pain you feel when you're pushing on it is more than likely scar tissue which makes sense considering all the surgeries you've had there.  I know they can break that up with ultrasound.  Is this something your PT offers?  (You haven't had fat grafting have you because I was told the US can break down the fat and cause it to be reabsorbed.)  Your PT is right about protecting the cancer side.  I read an article that was recommending PT be automatically prescribed after breast surgery.  It was shown that women's posture changed, especially after MX, and it tended to become hunched over protecting the chest.  It's amazing how quickly we can throw our bodies out of whack.  Sorry the bra fitting didn't work out.  Did you go to Nordstrom's?  If so, guess they're not all so wonderful.  Most of us have great success with them.   

  • Stanzie
    Stanzie Member Posts: 1,971
    edited March 2012

    Lindsey and Kate - wait, now what is a pole? Sorry I missed that one.

    Interesting about the nerve regeneration. I was told my back would take two years.... well so far nothing which I really hate. I have this odd electrical feeling of pain especially when I turn over at night. I was hoping it was nerver regeneration but now I think it is just pain from the lat muscles perhaps pinching a nerve. Great!.

    I still haven't tried the bra fitting in earnest as it is just too painful. Who knows maybe I'll feel like it this year.... 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2012

    Stanzie- I think the upper pole refers to the slope on the top of the breast.  Sometimes someone will post about not having much of an upper pole, or cleavage area, because there's no breast tissue there anymore.  Usually implants fill in the lower part but not always the upper.  That's where all my scar tissue ended up forming but not sure why.

    Sorry you haven't had much nerve regeneration.  I found this article about nerve injury and recovery that I thought was kind of interesting-

    http://surgery.wustl.edu/Surgery_M.aspx?id=2936&menu_id=284 

  • tenaj
    tenaj Member Posts: 1,052
    edited March 2012

    Kate: you are such a great resource for us!! Thank you. I have a question about discomfort in the upper pole area. I had my exchange 1/17/12 & had discomfort in the left upper pole area immediately, none on the right. The PS said he did more pocket work on that side & that might cause the discomfort. I developed cellulitis 2 weeks ago, oral antibiotics didn't work so I was in the hospital for 2 days, came home yesterday. This same area was more sore during the active infection and still persists. Do you think the cellulitis is what is causing this or just more pocket work. Or is this what happens with having implants. I initially was dissappointed that were smaller than we had hoped, but after reading here I'm more content. I think I will need some FG to fill in but right now just trying to get these ones to take.

  • Lisa75
    Lisa75 Member Posts: 137
    edited March 2012

    for anyone who had the direct implant with alloderm, how long before the stiches heal and the breast looks somewhat normal again?

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2012

    tenaj- More than likely the discomfort is from the pocket work.  It can be really painful and I'm sure the cellulitis didn't help matters.  You may still have some inflammation from that.  Discomfort from pocket work can take awhile to resolve.  I had that with exchange and felt like I'd been run over by a truck at the time.  Hope it gets better for you.  

  • Erika8
    Erika8 Member Posts: 104
    edited March 2012

    ok very stupid question with the nice weather coming how to deal with one big boob and one with expander first fill what kind of Bra can i wear sofar i could wear my coat to go out but getting to warm any advise please 

  • hopefulhealing
    hopefulhealing Member Posts: 722
    edited March 2012

    eirka can you get a pad from a shop that has prothesis?  I have heard other women do that.  No dumb question here :)  Buy the bra or use one that fits the larger breast and then get the pad from the shop to match and even it out maybe.

  • mlp730
    mlp730 Member Posts: 89
    edited March 2012

    I have a dilemma as well as I can not wear bras because it is so painful. I deconstructed and now have a caved in chest. It is much easier to cover with winter sweaters. I'm not looking to forward to dressing for warm weather!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2012

    Erika- I know at my cancer center gift shop they sold camisoles that had pockets inside it for different sized pads and I think it even came with a few different sizes.  The cami was really comfortable.  Another option for the pads is it seems like every swim suit I bought had removable cups that might be able to do double duty.  Like hopefulhealing said, just use the pad to even out the sizes.  With my TE's I had to get a little creative with dressing like loose flowing tops and stuff.  Luckily, I've seen lots of them in stores this seasons.  Sounds like a good reason to go shopping.  :)

  • Erika8
    Erika8 Member Posts: 104
    edited March 2012

    thank's Kate33 and Hopefulhealing i will look in to that

    wishing you a great Day i am so glad i found that side thanks 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2012

    Erika- If you can't find something locally just google "mastectomy camisoles" and click on "shopping".  It looks like there are lots of sites out there.  I wanted to mention, too, that your insurance may cover these things but you should check with them first.  Sometimes they require you to purchase from certain stores or sites.

  • Stanzie
    Stanzie Member Posts: 1,971
    edited March 2012

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