DIEP 2014

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  • LorettaMc
    LorettaMc Member Posts: 11
    edited March 2014

    I am four weeks out of surgery and my stomach is flat, but hard as a rock (like when I was pregnant).  I was relatively thin and in pretty good shape beforehand.  I still can't wear my jeans, I'm guessing it is swelling.  Can anybody tell me when their swelling went down and they were able to wear most of their pants?  I only have 3 pairs of legging types of pants that fit, if this is going to be for a while, maybe I need to get another pair or two?

  • jmb5
    jmb5 Member Posts: 532
    edited March 2014

    lemon68, thanks! It's kind of weird. My tummy is tight and the muffin top is gone, so you'd think your pants would fit with all that fat gone, but the swelling makes you bigger. It's temporary, but I'm impatient. 

    I was not in great shape before surgery, but was fairly thin... 5'8 size 8 clothes. I did have a decent amount of tummy fat. I was a small B cup before and am probably a large B now, so I'm pretty happy and surprised with how much the PS took. She said I was pulled really tight because I didn't have a big tummy. Because of that, my pubic hair line is actually pulled up about an inch or two and I hate it, but she told me she can lower it during stage 2. 

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited March 2014

    Lemon, remember, you just have to show up for surgery. Your OR team knows what to do and your body does, too. You will wake up and even if it's been twelve hours like it was for me, you'll feel like it was five minutes. Of course, Wilbur had me repeatedly asking, "Is it time for surgery yet?" every five minutes in recovery. Oh, Wilbur!  I did go down a pant size after DIEP (not right away!) but it was because my big tummy was gone. My hips and thighs are the same, of course! I can't say I was in good shape before DIEP after surgeries, 6 months of chemo and also rads but I did wait 4 and a half months after chemo ended before having the surgery. I took lots of walks and I did lots of squats before surgery which helped a lot because you're not supposed to put weight on your arms at first. Congrats on having a date! 

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited March 2014

    Lahela and Kat-Ski, yay for you! Happy healing to you both.

  • Curlylocks
    Curlylocks Member Posts: 1,060
    edited March 2014

    image

    Getting my sexy back!  

    Chemo 2 of 4 this morning..wish me luck!

    Michele

  • Beebop
    Beebop Member Posts: 206
    edited March 2014

    Good luck Michelle!  Will be thinking of you today :)

  • tlbradyful
    tlbradyful Member Posts: 134
    edited March 2014

    Lemon the most uncomfortable part of the drains are that they are there! Have a plan (and a backup) on how to keep them from "pulling" when you sit. I used the camisole with velcro pouches for the most part and the lanyard in the shower. You will need a backup lanyard because it is uncomfortable to have a wet lanyard around your neck. I was afraid of removal and took a pill an hour before. I never knew they took them out. :)

  • nihahi
    nihahi Member Posts: 3,841
    edited March 2014

    In your pockets, curly......this time tomorrow you'll be halfway there!!!! huggles!!!!

  • Janet_M
    Janet_M Member Posts: 1,068
    edited March 2014

    Lemon –


    I’m amazed by the courage of the DEIP woman too.  I’m amazed by MY courage, Normally I’m
    just a big hairy chicken – except for when I was going through chemo, and I was
    a big bald chicken. I flinch at the sight of a needle, and cried my way to sleep
    during the first two surgeries. (And one of those surgeries was only 30
    minutes!).

    So when I made the decision to have the DIEP surgery, I knew
    I was going to have to deal with my fears. One of the first things I learned
    was to accept the fact that I was frightened, and not to fight it.

    ‘Feel The Fear and Add Some Courage’ is what a friend told
    me. It’s okay to be scared sh*tless, but it’s also helpful to add some things
    to make you brave.  For me it was
    the knowledge that I was doing the right thing. And I needed to use language
    that helped me move forward. I refused to think of my BMX as something that
    would be taken away, instead I always thought of being ‘rebuilt’. 

    And the idea of being put ‘under’ almost gave me a panic
    attack. Seriously. I found the whole idea really hard to accept, especially for
    12 hours. But I learned that while we are being put under, we are not under
    very deeply. Because no organs or muscles are involved, and there is no insult
    to the body, we are lightly (and safely) asleep.

    During my pre-op appointment, my DH (Jim) and I met with the
    anesthetist. Jim was more nervous then me. But the Doctor explained how the
    DIEP was a long slow steady marathon and it terms of safety scale, it was at
    the top. He also said ‘It’s boring’. I asked what he meant, and he said that
    there’s nothing for him to do. No highs or lows, just a sweet steady sleep. Jim
    visibly relaxed after that, and so did I.

    The other thing I leaned on was guided mediation. I
    downloaded this and listened to it often during the month before surgery. I
    didn’t think it would work for me, but it was very effective. What I liked is
    that it made me feel like I wasn’t alone. Being in that operating room is
    daunting, but this meditation gave me reassurance that I was part of a team,
    and a family, and was being watched over, and in excellent hands.  She also reminded me that our bodies
    are way smarter than we imagine and know how to start the healing while our
    brain is resting, and where to send blood while we sleep.

    And – that you, and your surgeons, and your famly

    The meditation I used was Bellerruth Naparstek ‘Guided
    Meditation for a Successful Surgery’. I’ve recommended her to friends going
    through surgery, or childbirth, or regular old stress, and it’s been really great. 

    And a LOT of the strength that I managed to summon was taken from the girls on this thread. You can do it Lemon! - and you won't be alone. 

    Janet

  • TBerg
    TBerg Member Posts: 27
    edited March 2014

    Nihahi, I have a "frozen shoulder" from my original mastectomy...on the non canc side. I had been going to pt tomget back some range of motion before the diep surg. I know how hard it is to get it back once u lose it. Did u have something similar? If so, how long did it take u to get it back?

  • Janet_M
    Janet_M Member Posts: 1,068
    edited March 2014

    Lemon,

    I'm amazed by the courage of the DIEP women too. I'm even amazed by MY courage. Normally I'm just a big hairy chicken - except for when I was going through chemo, when I was a big bald chicken. I flinch at the sight of a needle, and cried when I was put to sleep during the first two surgeries. And one of those surgeries was only 30 minutes. 

    So when I made the decision to have DIEP, I knew I was going to have to deal with my fear. One of the first things I learned was to accept the fact that I was frightened, and not to fight it. I chose to respect it instead.

    'Feel The Fear and Add Some Courage' is what a friend told me. It's okay to be scared sh*tless, but it's also helpful to add other elements  to make you more brave. For me, firstly, it was the knowledge that I was doing the right thing. And I needed to use language that allowed me to move forward. I rarely used the word mastectomy because it felt like something was being taken away. Instead I thought of it as being 'rebuilt'. Or as one of our girls said, 'frontal realignment'.

    And, the concept of being 'under' nearly gave me a panic attack. Seriously. I found the idea really hard to accept, especially for twelve hours. But I learned that even though we are under, we are not under very deeply. Because no organs or vital organs are involved, there is not insult to the body, and we are lightly (and safely) asleep.

    During my pre-up appointment, Jim (my DH) and I met with the anesthetist. He explained how the DIEP is a long slow steady marathon, and in terms of safety, it's at the top. He also said, 'It's boring'. I asked what he meant, and he said that there's nothing for him to do. No highs, or lows, just a slow steady sweet sleep. Jim visibly relaxed after he heard that, and so did I.

    The other thing that saved me from going off the deep end was guided meditation. I downloaded this, and listened to it often during the month preceeding surgery. I didn't think it would work for me, but it did. What I liked is that it made me feel less alone. Being in that OR in a little gown is daunting, but this meditation reassured me that I was part of a team, and a family, and a community, and that I was lovingly being watched over, and in excellent hands. She also reminded me that our bodies are way smarter than we credit them. and will start healing while our brain is resting, and knows where to send blood while we sleep.

    The meditation I used was Belleruth Naparstek's 'Guided Meditation for a Successful Surgery'. I've recommended her to friends going through surgery, or childbirth, or regular old stress, and it's been really great. 

    Congratulations on getting a date by the way. May is great time for DIEP, you'll have some warm months to recover. Unless you're already warm, of course. We're in the middle of a crummy deep freeze so I just assume that everyone is frigid. Although I hope that's not the case. (Nihahi - hang in there!)

    You can do this Lemon! The courage is there, you just have to find it. And you're not alone. Everyone is one your side, and working toward that same goal. 

    Janet

  • Ashira
    Ashira Member Posts: 161
    edited March 2014

    Janet, thank you for your explanation of the anesthesia process. It is really helpful for me to learn about and to know the details that you share. I now have just a bit more courage to draw on for my stage 1 in April. 

  • Janet_M
    Janet_M Member Posts: 1,068
    edited March 2014

    Ashira - Yay! I'm so glad!  Every tiny bit of courage makes things that much easier! 

    By the way - April is also a perfect month for fabulous new breasts. 

  • Ashira
    Ashira Member Posts: 161
    edited March 2014

    I love your attitude Janet. Makes me smile, which is a pleasant change Happy

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited March 2014

    Michele, thinking of you today! You are definitely going to turn some heads!

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited March 2014

    Beebop, how was your first day back at work?

  • Kat-ski
    Kat-ski Member Posts: 212
    edited March 2014

    Okay Ladies, I have been informed from Brandi @ PRMA I was the 5000th free flap for the group!!  Wow, imagine that!  I am amazed and honored!  Here is what PRMA released:

    http://prma-enhance.com/useful_resources/blog/03-0...

    I am feeling much better today as the cedar allergy has cleared up.  Thinking of you all. Kat

  • jbdayton
    jbdayton Member Posts: 700
    edited March 2014

    Kat-ski that's cool.  Glad you are doing well.

    Janet thanks for the anesthetist info.  I did not even give that a second thought.  Anxious for Monday.

    Continued healing for Annajo and rosebud as well.

  • annajo
    annajo Member Posts: 84
    edited March 2014

    The flap is doing great.  Me, not so much.  3 days out and I know it's early but I'm feeling sad and just wondering if this was the right thing.  DH caught a glimpse of it and it made me cry.  He says it looks amazing and he is in awe, but I know it's a stitched up weird looking blob.  And I'm just so sore and tired.  When will this fog lift?  Remind me why I didn't do an implant!

  • nihahi
    nihahi Member Posts: 3,841
    edited March 2014

    tberg.....I have a history of shoulder issues, that range from Repetitive strain injury, Bursitis, Impingement syndrome and Frozen shoulder. If you have an actual dx of frozen shoulder, I hope you are now in the "coming out of it" stage, and not the ever decreasing ROM to the point of immobility stage. It ain't fun!!!!! As a "shoulder person", you likely already know that it can take very little to set it "off".....even more time to sort it out again.

    At the time of my recon, I had been having Physio for Impingement syndrome, that had been getting worse over a period of months, but, we had reached a bit of a plateau and had stopped losing ground on the range of motion. My physio felt that the severe capsular contracture (breast implant) was contributing to the shoulder scenario. Turns out, he was right, as they found some yucky consequences of the long-term implant during surgery. At the time of my flap surgery, my PS was very aware of my shoulder concerns. They let me position my arm where I was comfortable, then supported that position with blankets, when they put me to sleep. My PS kept me in that position as much as possible during the surgery, according to my OR report, and I woke up in a very similar position. I was not allowed to raise my arms above shoulder height for about 10 days (I think it was that long). That restricted mobility, plus a whole lot of swelling in my axilla and arms was enough to kick in the axillary cording, and restart the impingement issues big time. But.....as I mentioned before....things have resolved.....and I could do full front crawl and backstroke motion in the pool yesterday, with just a hint of shoulder discomfort. I will be 11 months out from my first surgery in another week. Not sure if I've answered your question, but that is my scenario.

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited March 2014

    annajo, these are early days for you. You have been given lots of drugs, including anesthesia. They can definitely influence how you feel. Your hubs thinks you look great and your flap is doing great! You had DIEP because you wanted a soft, warm boob that you would never have to replace or worry about leaks, capsular contracture, etc. Your new boob will eventually feel part of you and will be more comfortable than an implant. You have a new boob. It is different than your old boob but it is still a boob or noob or whatever you choose to call it. Your pIastic surgeon will most likely value your input to make it look the way you think it should. I hope you will be happy with your decision and grateful, in time. You are going through the rough days now. It will get better! Patience is so valuable during this process. Hugs!

  • jazlaumir
    jazlaumir Member Posts: 91
    edited March 2014

    Annajo , I'm two weeks post surgery today and have been feeling the same way so it's a relief that I'm not alone . I put in a call to my PS yesterday, his nurse scheduled an appt to discuss on Friday but to my surprise, I received a personal call from him today to discuss my concerns about what I call my "Frankenboobs" and how it was hard to look at them and the way the look now. He explained again the difference with my radiated breasts vs non radiated breasts, the two different surgeries he had to do as a result and the priority being that the focus was to have the flaps take successfully and me to focus on healing with no problems. He said in our subsequent meeting we will sit down and go over what I ultimately want them to look like with a review of photos again and then we will work on making them looking like breasts from that point with any revisions and tweaks necessary at that time. 

    This conversation did help me feel better, calmed me down and feel more hopeful as he urged me not to focus on how it looks now . I hope this helps.

  • Beebop
    Beebop Member Posts: 206
    edited March 2014

    Jeannie - the first day was exhausting, but I work at home so was able to take breaks when I needed to.  Today I was having a lot of abdominal pain and pain in my back that felt like someone was sticking a knife in it and twisting.  I guess I need to get used to sitting in an office chair again.   I took a pain pill and had a 30 minute nap at lunch time.  I managed to work 10 hours today!

    I just don't understand why the abdominal pain is so bad at 8 weeks out.   I do have some fat necrosis and that seems to be where the pain is.  Is it normal for that to be painful?

  • annajo
    annajo Member Posts: 84
    edited March 2014

    thank you both.  I haven't even really had a good look at it.  I know I need to take some time with this.  I am going home tomorrow and maybe that will help.  I do think in time I will be thankful for the Diep as I have seen on these boards so many problems with implants.  It was such a hard choice and I also considered no reconstruction...  So I am second guessing myself on how I feel right now.  I guess the trick is to stay focused on the long game?

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited March 2014

    I have a question for you ladies. Has anyone had a T-Marker test?

  • maggie85
    maggie85 Member Posts: 53
    edited March 2014

    Annajo and Jaz -  tomorrow I will be 8 weeks out.  The first month or so, I felt such despair!  I was sad, would cry at the drop of a hat, thought my body was so ugly after surgery and nothing would ever be the same.  I've slowly gotten better ... and I have never, ever had a day of depression in my life, but I understand that being under anesthesia as long as we ladies are, affects us this way sometimes.   Being away from home definitely did not help.  I wondered if I had done the right thing, as well.  It wasn't just the physical, but the amount of money this diagnosis has also cost me and I feel like I'll owe for the rest of my life.   You ladies are not alone, but we get on these boards and read of the other ladies being so happy with their new breasts, and we think "What's wrong with me that I feel this way?"  But ... we are all different in that some of us had mastectomies and have had no breasts at all, or we've been through this more than once ... for me, I had DCIS and I had breasts, so I woke up still having breasts, but they're different now.  I don't like them.  I hope that Stage II will make me feel differently.  Those that had it so much worse than me are thrilled that they have breasts again.  I understand that, and just hope that I get to a point that I like my body again.  

    Keep your chins up ... better days are coming.  

  • Jeannie57
    Jeannie57 Member Posts: 2,144
    edited March 2014

    Beebop, I didn't have that pain experience so I can't comment intelligently. What does your PS say?

    Dyvgrl, my MO only does them after diagnosed stage IV, which is not me. 

  • lemon68
    lemon68 Member Posts: 684
    edited March 2014

    Hello

    JMB- Thanks for putting my name up there, seems so real when you see it in writing! I have heard of the pubic line being higher but I cant imagine how they lower it, your going to have to share that.

    Donna- 40 pound weight loss, congratulations. I am sure you look beautiful.

    Jeannie- thanks for your continued support both here and in the past. I definitely will want Wilbur there with me.

    Curly locks- you are looking Good!

    Tbradyful, thanks for the tips on the lanyard, I have a coupe of them here and will have them ready. I will also remember to take a pill for the removal of the drains just in case.

    Curious what types of pain killer you all took after the surgery once home? And for how long? After my hysterectomy which was a 6 " incision I was in pain for quite awhile, I cant imagine with this one.

    Janet- What a kind wonderful post, thank you so much you really made me feel better about the anesthesia. I will definitely check out the meditation, I am game for anything that is going to help me keep calm. And it is FRIGID here as usual, doesn't seem like Winter is ever going to stop. I planned for my surgery in hopes the weather will be nice and I can enjoy the Spring.  I work at home and don't plan on a lot of time off, I am hoping I will be able to sit outside in the sunshine while I work and heal.

    Ladies honestly I cant say thank you enough. XO

  • jazlaumir
    jazlaumir Member Posts: 91
    edited March 2014

    Thanks Maggie, it's definitely a journey full  of varying emotions and it helps to be able to vent it all out without judgement to a group that can understand...

  • maggie85
    maggie85 Member Posts: 53
    edited March 2014

    You're right, Jaz ... I think we all grieve for what we've lost, and I think it's hard to admit and just takes time to overcome.  But I believe we'll all get back to normal, someday :)

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