DIEP 2013

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  • faith729
    faith729 Member Posts: 244
    edited March 2013

    Yay Judy so glad your doing well !

  • mammalou
    mammalou Member Posts: 823
    edited March 2013

    Hello, I'm new here. I had implant put in last June, almost a year after RADS. I am having implant issues and I just came from PS where I signed up for a single Diep. I already had reduction/lift on good side. I really think this Diep is the way to go but I am scared! Is it worth the surgery and scars? I've read where lots of women are happy with their choice, but I think I need some reassurance. I'm starting to question myself and tell myself I can just live with this implant.

  • Cherrie
    Cherrie Member Posts: 1,423
    edited March 2013

    Betsy thank you for the reminder. I am not doing my abdomen scar as it is going to be revised, but my breast scars are ready. Dr. M didn't mention the silicone tape only the Kelo-cote.



    Mammalou-you have come to the right place to ask questions. I am so pleased with my DIEP. Just make sure that your doctor has done hundreds of them. It makes a big difference.

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited March 2013

    Judy, glad you're up and around!  You go, girl!  When you're up to it, give us all the haps.  

    Nihahi, sorry your daughter is dealing with this.  When I was donating blood every eight weeks I discovered my iron levels were bottomed out and my levels came up when I stopped my donations and took drugstore iron for a while.  For someone to have chronically low iron, there must be a cause.  Is she having very heavy menstrual bleeding?  Has anyone checked for blood in her stool?  Does she get any iron in her diet?

    My package arrived from Soma with the softest, prettiest pajamas I've ever owned.  They're from the "Cool Nights" collection, button up the front for easy access, and I plan to jump out of a hospital gown and into my jammies first chance I get.  They're not cheap, but I figured I could splurge right now!

  • wraithg
    wraithg Member Posts: 93
    edited March 2013

    JanetM I felt the same way and evern after surgery I wondered if I did the right thing!! There is no right or wrong decision here. Now 4 weeks after I feel pretty good about my decision and healing is going well. Each day is better.

    Had my first doctor apts yesterday. Pathology report excellent- estrogen positive , tumour .09cm and nothing found anywhere else. No after treatment recommended and I don't go back for 6 months to surgeon. PS said I was healing very well and don't need to go back for 3 months , which at that time the tattooing will be discussed. My binder and bandages are now off!! Still sore boobs but better. I do have fat under the arms and PS said it is because my own fat fills in the hollow there , hopefully it will go down a little and there are options down the road. Interested in all the suggestions for scar healing and any other options in the future to make things better. Nihahi I hope your daughter will be ok , I know it adds stress to you too. 

  • Gini23
    Gini23 Member Posts: 183
    edited March 2013

    Faith - Thinking of you this weekend and hoping that an excited calm has come over you as you celebrate Easter with your family and get ready to move forward. You can buy the meditation cd/book by Peggy Huddleston at the Dana Farber gift shop. "Friends' Place" or something like that...? That is also where I picked up my camis with drain pockets (insurance covered mine!) They do suggest prepping a couple weeks prior with it, but I got mine very close to my BMX and used it anyway. It certainly cannot hurt!



    Mammalou - you came to the right place! Scroll through the pages and you'll find lots of reassurance. Several of these amazing ladies experienced implants first and seem very happy with their decision to go DIEP. I am certain they will chime in for you. :)



    sbelizabeth - funny 3 dear friends of mine sent me a pair of Soma jammies in the hospital. I had never heard of them before. They are uber-soft and comfy! And very pretty - purple lace around the edges, and of course button-up!



    So here is something I have not seen mentioned yet... "no sexual activity for 6 weeks" ... just curious if that was heard by anyone else.... ;)



    Nice to hear you are doing well, Judy!



    =) Jeannie

  • nihahi
    nihahi Member Posts: 3,841
    edited March 2013

    Just popping in to say good morning. Doing a "shoulder season" hike today, not quite a mountain fix, but a day of playing outdoors with an incredibly supportive friend. Hope it is a "Good" Friday for everyone. (((x))))

  • Downey30
    Downey30 Member Posts: 337
    edited March 2013

    Hi Mammalou,  I am one that did the implant route first and after three surgeries and looking at a fourth due to capsulation I pulled the plug.  I wish I would have know the full facts about implants after radiation.  Skip to now....I can certainly tell you that the comfort level is so improved with the flaps.  The pec muscle is back where it should be and I have soft, jiggly, and warm breasts.  It is a journey that I am very happy I've taken.  I'm not quite done but getting close.  It's a very individual decision.  Hope this helps.  Jamie






     


     

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  • faith729
    faith729 Member Posts: 244
    edited March 2013

    Gin I thank you so much for thinking of me this weekend. I was looking forward to spending a nice day with the kids but that got derailed when I was washing clothes for the hospital and for the kids...dryer shit the bed ! Awesome.

    Also brought the car in for much neededwork and got a call that it will cost $550 ...

    After a major meltdown I'm relaxing for a bit while the kids take advantage of the nice weather.

    Hopefully I get to that excited calm stage soon.

  • PinkHeart
    PinkHeart Member Posts: 1,193
    edited March 2013

    Sbelizabeth,



    When your BC story airs on news, can u please post a link to it. Thanks for doing this to help raise public awareness . Have fun doing your segment!

  • MartyJ
    MartyJ Member Posts: 1,859
    edited March 2013

    Faith - you are going to have pleasant weather all weekend.  Try to do everything you can by mid-day on Saturday.  Then you can devote the afternoon, evening and all of the next day to your family.  It is amazing how little you need in the hospital - I took a carry-on tote and still had too much.  If you can give yourself a bit of time without focusing on getting ready and covering all bases, you will really be ready by the time you leave for the hospital.  It is a matter of letting go of things you can't control and trying not to control everything that you can.  Just breath.

  • mammalou
    mammalou Member Posts: 823
    edited March 2013

    Downey...thanks for the info. I agree they don't tell you everything. I told them yesterday that I kept waiting for the drop and fluff and they said, " oh, you don't get that with radiation". That would have been nice to know. I wanted perky, but it is like the TE on my chest and doesn't match my other breast at all. The ps said he could maybe get 20% improvement with fat grafting but couldn't fix pain. Thought a new implant would just get scar tissue again. I agree with that.

    When was your diep?

  • wraithg
    wraithg Member Posts: 93
    edited March 2013

    So now that I have removed binder I have discovered the rolls over incision on sides of my waist. Yuk!!!! Has anyone had succes with exercise to tone this down or when incision heals , does this ever go down? Mammalou it is a big decision but I am glad to have done the diep because its using my own fat and just feels a more natural thing to do. My tummy is flatter but I don't look thinner , its not weight loss so its more about getting new boobs. I suppose its better to have rolls on my sides than two large rolls on my front!!  

  • MartyJ
    MartyJ Member Posts: 1,859
    edited March 2013

    Geralyn, you will lose those rolls at Stage 2.  Although some of it will go away as the bloating leaves (takes several months). I am 5 months from Stage 1 (Stage 2 is next Friday) and I don't look thinner, but having that roll relocated from abdomin to chest has made me feel smaller.  It did take time.  I have a fav pair of slacks that I couldn't wear until 2 weeks ago.  Don't worry, you will keep changing.

    Mommalou, although I didn't have rads I did have implants for many years before I had DIEP.  Yes, DIEP is worth the surgery and scars.  I have warm, soft, natural breasts.  Lovin' it.  The scars will fade with time.  

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited March 2013
    Pinkheart, here are the links to the four articles that follow my travels in cancer-land.  It's not a TV news story, it's a newspaper project.  The photographer was nominated for some awards for her work on the last article--she's really talented and both the reported and the photographer are sensitive, compassionate, wonderful people. 

     

    When the reconstruction article comes out I'll post the link.  Thanks for asking!

     


     


     


     

  • Moviemaniac
    Moviemaniac Member Posts: 949
    edited March 2013

    Hi all!  Happy Weekend!

    Faith, I will be in your back pocket as you roll into the operating room on Monday.....you will be fine!  I'm telling you, the anticipation is much worse than the surgery!  I had crying jags too....it's perfectly natural-after all, you are losing a part of yourself!  I finally solved this by standing in the shower the night before my DIEP and talking to my boobs.  I know it sounds crazy, but I needed to have parting last words with them.  I thanked them for nursing 4 children, and for being my constant companions for the past 58 years.  Then I said that because of changes that had happened to them, I needed to let them go, but that I was grateful for the time we spent together.  Nutty? Yes.  But it DID help settle me down, and I felt less horrible about the "defacement" about to take place.  Now, over 2 months out, I am so grateful I chose this route!  Give yourself some time, and you will, too.  

    Judy!  So glad to hear from you on the "other side"!  Hang in there-it will get better (and better)! Smile

    Geralyn, you and I have followed the same path after our BMX.....no further treatment needed.  My Onc said I had done "more than enough".....coming to grips with that, and trying not to second guess the Docs...but I admit, I am still a little nervous that I should be doing more.  Hope that subsides in time. 

    Mammalou-deciding to do DIEP is a very personal decision, and for every woman here who has had one, I bet you would get as many reasons.....having said that, I am personally thrilled with my results, and the fact that I have two "adopted" girls that are warm, and bounce just like the old girls did!  I would do it again in a heartbeat, even though I experienced some setbacks during my initial recovery.  I also agree that you should seek out a surgeon that has done more than just a few....and there are qualified surgeons all over the country-take your time, and find one close to you.  Good luck, and this board is filled with lovely women who have been through it, and can answer lots of your questions!  Smile

    Marty and Betsy, thank you for all of the great advice you have given on this thread.....you have both been extremely helpful to me (and I am sure others) as we navigate the post-DIEP world.  Smile

    Nihahi, Janet, and SBElizabeth......you will be joining us soon!  Looking forward to hearing about your journeys along the DIEP highway.  You have all been so insightful-wish I had found this board BEFORE my surgery! Lucky you!  Smile And, SBElizabeth, I got a pair of Soma Cool NIghts PJs at my "No Pity for the Titties" party my girlfriends (all 70 of them, no less!) threw for me.  I loved them so much I went online and bought 3 more pair that were on sale!  I STILL wear them all the time-even to see my PS! ( Okay, I'm lazy and I dont like to dress...Smile)

    Heavens, TammyT, Cuetang, and the rest of you wonderful ladies- hope you ALL have a great weekend....we have sun up here in Portland, Oregon, and it's going to hit the low 70's for the first time this year!  Hooray!  Funny what a little sunshine will do for the soul!

    Namaste & God Bless - Jackie

  • MartyJ
    MartyJ Member Posts: 1,859
    edited March 2013

    Katy - those articles are fabulous!  What a wonderful gift you have given so many women you don't even know.  By sharing you have reduced their fear.  Way to go!

  • Moviemaniac
    Moviemaniac Member Posts: 949
    edited March 2013

    Katy-I agree with Marty- those articles are powerful! I was crying as I read them. Thank you for being willing to share your journey with the world. Someday, I am hopeful we won't need boards like this, because breast cancer will cease to exist (for long, anyway).



    Namaste & God Bless - Jackie

  • Judy_63
    Judy_63 Member Posts: 247
    edited March 2013

    Hi everyone,

    I got released this afternoon, I'm at the Hope Lodge now. I'm impressed with the bed its one that raises and lowers and we are at the end of the hall so it's quiet. I'm getting along fine, just have to keep moving and take the pain pills when needed.

    They really do send you home with quite a bit of stuff from the hospital so I would say leave some room in your bag for all the supplies. We may have to go shopping for another bag to bring things home in.

  • MartyJ
    MartyJ Member Posts: 1,859
    edited March 2013

    Judy - you sound wonderful!  Yes, you do get lots of supplies.  But you do use most of them and if you run out of things, just ask for more.  Glad you are doing well.  Keep walking!

  • Cuetang
    Cuetang Member Posts: 575
    edited March 2013

    Katy--Another vote for awesome articles! Thank you so much for sharing with us. It shows the real story of breast cancer, not just pink ribbons on yogurt labels or household products. You have delivered a very powerful real story about what we live with to others.

    Faith-- we are all here for you! Enjoy the weekend as much as you can. :)

    Geralyn-- glad to know that you had a positive pathology report. I think as swelling goes down as we continue to heal we will finally see what our new foobs look like (my hubby is starting to call them toobs -- tummy boobs).

    Judy--great to hear your update!

    Mamalou-- I went for the DIEP because I'm 33 and could not envision having to replace my implants every 15 years. I also was enticed by using my own tissue and having warm boobs. :). I'm very happy with my choice so far.

  • bdavis
    bdavis Member Posts: 6,201
    edited March 2013

    Judy... After leaving the hospital, my husband did get a duffel bag (he hadn't left home yet), so he packed an extra bag so we could get all my supplies home.

  • mammalou
    mammalou Member Posts: 823
    edited March 2013

    May I ask what kind of supplies do you bring home. I'm scheduled for early June and feel kind of clueless.

  • kuka21174923
    kuka21174923 Member Posts: 427
    edited March 2013

    I was diagnosed BRCA positive a few years ago. My mom had been fighting bc for over 10 years now. Her sister died of bc just 5 days before my mom was diagnosed. My great grandfather also died of breast cancer and my grandfather died of lung cancer. I'm 35 and already have the 3 kids I wanted to bring to life. So last year I removed the ovaries and this year I'm moving to my breasts. I already talked to the bs and she recommended a plastic surgeon that does the DIEP. I'm so nervous about it. I don't even know how much fat tissue he will need to reconstruct my breast. Dies anybody know if this type of surgery can be done in one step? The thought of having to spend 8 weeks recovering only to go back for another surgery just blows my mind! I was also thinking about maybe leaving my nipples and aureola. Does anyone have any intake on this? I'm extremely nervous about the whole thing. I go get my MRI on Tuesday and I hope the don't find anything.

    Any of you that had the DIEP done, are you happy with the results? How are the scars? I have so many questions about it. I can't even sleep because my brain never stops. I wish I had more information. My idea is to have it done in April so that hopefully ill be recover when summer hits and kids are about of school. Mama cannot be sick during summer vacation!!!!

    I would really appreciate if somebody can tell more about their experience with DIEM and reconstruction

    Thank, ruth

  • MartyJ
    MartyJ Member Posts: 1,859
    edited March 2013

    Kuka - welcome.  Don't worry about how much fat tissue is needed.  Your surgeon will find what is necessary.  Usually the first step of this surgery is all about the microsurgical aspect - harvesting the flap, matching up blood vessels and carefully stitching together.  Talk with the PS to be sure they have done many of these procedures (several a month at a minimum).  Find out who will be their surgical partner - it takes 2 microsurgeons to do bi-lateral DIEP, otherwise the surgery would be incredibly long.  From what you said, it sounds like you are hoping for a skin and nipple sparing mastectomy followed by immediate DIEP.  From all the photos I have seen, this gives the best, most natural results.

    The following steps (stages) are for symmetry and aesthetics - scars are repaired, breasts lifted and/or shaped, fat grafting as necessary.  The goal is to make the breasts look as natural as possible.  In addition, you will get a tummy tuck and liposuction where needed to achieve the goals.  Only the surgeon can determine if leaving the nipples and aureola are medically acceptable.  If they can be left, they may be moved and repositioned as necessary to ensure the perfect outcome (though this may not happen during the first stage).  Scars change over time.  At 5 months since my DIEP, some areas are fading nicely, others not so much.  But that is fine as Stage 2 is next week.

    I know that 8 weeks of recovery is challenging to think about.  You may be one of the early girls who are feeling fit by 6 weeks. Just don't push it.  Recovery comes naturally.  This is all a measure of patience and time.  Just when you wonder why you did it, you are surprised with a change that reminds you how much better you really are.  I drove the first time at 3 weeks out with my DH in the car.  Not that he was any help as he had just had a spinal injection with sedatives.  I didn't drive again for another week.

    If you have Stage 1 in April you can have 5 months of healing time before having Stage 2 in September.  School schedules are a great tool for giving yourself plenty of healing time.

    I am sure your mind is spinning right now.  You are fortunate to have time on your side and the courage to take proactive measures in light of your family history.  If you can handle 3 kids, this will be a cinch!

  • nihahi
    nihahi Member Posts: 3,841
    edited March 2013

    Faith.....I hear ya, girl, re: unexpected things when you're just trying to stay calm and organized. Oh well, gets the mind off the "future" for a bit, doesn't it! Like others have said, things will turn out ok, just hang in there. 

    I've got the day to myself, so am going to try to get some stuff moved around in preparation for bringing all of our daughter's things over. It will take some "creative" stuffing, as we are just a month short of our one year anniversary of moving from a 4 bedroom full basement and garage house, to a 2 bedroom condo with 1 storage locker!!!!!! Before the events of last week, we were still fulled to the rafters, will a few boxes still left-over, but everything at least had it's place. Now....I think it's going to be like living like those poor souls you see on tv that are hoarders, and have to create tunnels through the house to get around!!!!!! OMG, so not my style, I like things "open and simple". 

    Oh well, gonna pour that second cup of coffee and get to it.

    No more word from the mods about updating the thread, I sure wish they'd figure it out, as we seem to keep having "new faces" join us, and I wonder how many may stay away, because the dates are so limited....they may think there are too few of us, and that we are almost done. I'll keep trying.

  • kuka21174923
    kuka21174923 Member Posts: 427
    edited March 2013

    My bs thinks I should discard the nipple and just get it reconstructed, but I've read you only increase your chances by 1% if you leave your nipple in. It really scares me to have to change my body like that. What if I can't stand to look at myself in the mirror? I really don't know how most woman make it. They're much stronger than I am, that's for sure!

    I've always been told that I have very dense breast tissue, but for some reason my doctor never ordered an MRI. So when I went to see the bs she said I needed to have one done so that she could see what I have before the surgery. She also mentioned that depending on how dense my breast tissue is she might be removing some lymph nodes during the surgery from under my arm. I'm not willing to do this. I've seen my mom, my aunt and other woman suffer from lymphedema because of that. This is the hardest part for my mom during her 13 years bc survival ordeal. My mom told me to not let any surgeon touch my lymph nodes, specially if I don't have cancer. I always knew I was going to have this surgery one day, but I didn't think it was going to be this hard! And just the thought that I might have passed the gene to my kids kills me! But hopefully they'll have better options by the time they're old enough to choose from.

    When I talk to people about what I'm going through they don't understand why I wouldn't want to do it. They all say, girl you get a tummy tuck and a boob job, what is there to think about? I don't feel this way. They're removing a part of me, and the scars will always be there to remind me. It didn't affect me at all when I had my ovaries removed. I never saw them, so I didn't care if they weren't there any more. Of course that was until I started having hot flashes,and mood changes, lol. But at least I don't have to deal with having a period anymore😄

    I've always been very blessed when it comes to breast size. I just lost some weight, and went from a 36DD to a 36D. I would like to remain a full C cup after the DIEP, and I'm hoping that the ps can find enough fat tissue in my belly to do so. If you need to do a stage 2 surgery, what's the recovery time for it? I'm having help with my first surgery, since I still have 2 year old at home, but I won't be able to have any help in September if I need a second surgery. My mom lives in Spain and is still going through preventive chemo treatments every week. So I will be at home with a very demanding 2 year old red haired girl! Lol

  • SheChirple
    SheChirple Member Posts: 954
    edited March 2013

    Grrr.  I had onco appt this week.  I mentioned that I had put on a few pounds (3) since my last visit and he about lost it!  Not quite yelling, but very firmly warning me about gaining any weight.  OK, ok, I get it.

    I figured a few lbs is okay, more belly fat, right? 

    I had planned to lose 20 lbs before the summer, but it's not happening.  I think I have this mental block that I want to have plenty of fat for the DIEP in May. But, at the same time, I don't want to be gaining weight. 

    Who knows, for real?

    Keep on moving, stay healthy, eat right and all will be well.  Most importantly, keep moving,  Keep the body in good daily exercise for best recovery.  right?

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited March 2013

    SheChirple, I SO hear you!  I want to drop twenty pounds too, and when I was much younger I could just think about losing weight and it would magically drop off.  These days, being post-menopausal and on all these meds that go along with BC, it's like pounding on a brick with a feather.  On the other hand, I had a few appointments with a cancer nutritionist, and she was very clear--estrogen positive BC has a significantly lower recurrence rate in the absence of extra adipose tissue.  So I watch my carbs, which seem to be poison for my system, exercise every day, stretch, think pure thoughts, floss...

    Last week at my pre-op appt, my PS instructed me to get at least twenty minutes of aerobic exercise at least 5 days a week (which I do anyway) and get in at least 30-40 situps every day.  He's really into the concept that a fit patient is a better surgical candidate, which makes sense.  Faster recovery, better healing, fewer blood transfusions.  

    For those who read the linked news articles and commented, thank you! The funny thing is, I've known the feature writer since junior high school and we cooked up the idea to cover my initial biopsy as a project for October BC month.  I had NO thought that it would be positive for BC and that I would be stepping out into cancer-land, with all the adventures involved.  I'm glad it's been educational for our community, who, like most, tend to think of breast cancer in terms of ta-tas and pink ribbons--and mostly I'm happy to provide even a little reassurance for any newly-diagnosed woman who's scared to death.  

    The sun is shining and I have a bicycle waiting for me!  Have a great Easter weekend, everyone!

  • emilyj67
    emilyj67 Member Posts: 21
    edited March 2013

    Ironmag and Marty -- thanks for the tips! I'm not in my bed yet, but I'm indeed tired of arranging the pillows, so I might try it tonight. My only concern is my three-year-old next to me. :) Tylenol PM has been great.



    I'm writing from the treadmill at the gym, so pardon my lack of attribution:



    I have to say, the first week was hard, and then finding out I have to wear this binder for 3 months was a bit of a shock. But I'm going with it all -- I have been driving since 2 weeks out, and walking as well. The PA wanted me to walk outdoors instead of risking falling off the treadmill, but I just couldn't hack the cold on top of it all, so I switched to the gym and am going slowly.



    I was also scheduled to have Dr. Caterson at the Brigham, but was switched to Carty because of a family issue for Caterson, and he did a great job. (I will need a necrosis touch-up along w the dog-ears and sizing, but overall ok.)



    I'm interested in the protein etc. tips, so I think I'm going to get behind the power-healing before I go back to work in a week (!) at 4.5 weeks post-op!



    Best to you, Faith! It's a long journey, but it gets better every day! :)

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