DIEP 2014

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  • kelleyb
    kelleyb Member Posts: 94
    edited April 2014

    Quick question for gals who did the DIEP with tummy tuck incision - jeans - every pair I own slides right off down onto my hips. Any suggestions (beyond a belt, hate those things) on styles or materials that you've found work best with our new or interim shapes?

    It's nice to be smaller below the belly button, but my torso is off balance as I have a good bit of fat over the belly button area (I call it my rib meat). It looks like I was hollowed out down below.

  • lemon68
    lemon68 Member Posts: 684
    edited April 2014

    Beebop- I am so glad to hear you are finally feeling better. Sorry about the small hole, what causes this to happen? Is it the stiches opening up?

    Kelleyb-- I have seen your pics and looks like you are healing really well! Congrats on the weight loss, I have some extra cushion so I am so grateful to you for sharing your experience. You are looking great!

  • JerseyMomOf3
    JerseyMomOf3 Member Posts: 96
    edited April 2014

    Hi everyone,

    I am new here, have been reading all around this site and this thread which has been really helpful. I am a 45 year old mom of three ages 12, 15, 15 (twins). I have been diagnosed ( after 3 pathology opinions) with mulitfocal DCIS and extensive Atypia after 3 core and 2 surgical biopsies. I have seen several different doctors so far and am pretty sure I will have a bilateral mx with DIEP. I am thankful to have a very supportive husband, workplace, and family, as I understand the recovery process can be pretty lengthy. I think I saw mention of a photo site where members post before and after images, is that correct? If so, how can I access the site? Thanks so much for any guidance!

  • bdavis
    bdavis Member Posts: 6,201
    edited April 2014

    Dayle... I thought you were the 7th... but you're the 9th also? WOW. 

    Teri and Terri... thank you for making it easy for me to find you - only one name to remember

    Dayle, Teri and Terri. I fly in the 9th at night and will be over there on the 10th for tattoos. As long as I have time after tats, I will come by and say "hey." Or maybe I will come by before my appointment. I have a 3pm with Dr D and then my 3:30 appt with Vinnie. We may all need to bring our rain boots....

  • KooKoo621
    KooKoo621 Member Posts: 19
    edited April 2014

    bdacvis - I literally laughed out loud at your post!  

    Seems as if NOLA will be busy on the 9th.  Even more excited knowing I will have you all there.  See you all in a few days. 

    Terri

  • goldie4040
    goldie4040 Member Posts: 2,280
    edited April 2014

    Welcome JerseyMom,

    It's good that you are seeing several doctors, and getting several opinions.  I panicked and rushed into a hasty bmx.  In hindsight I wish I could have kept my wits about me, and moved a little slower.  You have come to the right place if you are considering DIEP.  There are lots of great ladies here who can pace you through it.  My surgery is May 5th. I can't wait.  I have very uncomfortable implants in that need to come out and be replace with nice soft tummy fat!!!

  • GeorgieGirlKC
    GeorgieGirlKC Member Posts: 132
    edited April 2014

    Welcome Jerseymom!!

  • tlbradyful
    tlbradyful Member Posts: 134
    edited April 2014

    I cannot wait to meet you bdavis. Your path has been a wealth of information for us just starting on the repair part of our cancer journey. I want to see those tats!!!!

  • tlbradyful
    tlbradyful Member Posts: 134
    edited April 2014

    I am packing up my car in the rain this morning, but I couldn't be more
    excited. I am going to watch the weather and drive over tonight or in
    the am. NOLA is 2 hours from Mobile, AL. I don't have my first appointment until noon Monday. I had
    another phone call last night from the amazing Dr. Marga Massey; just
    checking in before the flurry of activity starts. She is so warm and
    kind and encouraging and funny. I feel very blessed to have her work on me.

    goldie - I think so many of us rushed into treatment because it was all so overwhelming and we were, most likely, being led by one physician. I do hope I can be a resource to women in my area. I want to encourage everyone to seek out all of the available options before choosing what is best for them. Those first decisions affect so much! I have made it to the right place in a little longer of a journey, but the important part is that I made it here.

    Welcome Jersey! I am a 48 y/o mom of 2, but they are a little older (college). You will be an inspiration to them. I know my daughter is learning all she will need to know if her future brings her or another loved one down this path. My son . . . not so much, but he loves me like crazy and supports me in his own way (from afar) haha.

    KooKoo, bdavis, and Dayle - so happy to have company! I hope to see you all soon.

  • dlm217
    dlm217 Member Posts: 81
    edited April 2014

    how soon after surgery were you ladies able to wear regular pants/jeans?  I had surgery on 3/24/14. Everything is healing great. I had 3 of 4 drains removed on Friday. Have 1 drain left that is expected to come out this week. 

  • Teacher64
    Teacher64 Member Posts: 840
    edited April 2014

    dim, I had surgery the week before you and am still not in regular slacks. The way the binder fits down low keeps anything from looking or feeling normal in the crotch. 

    The area around my new belly button is rock hard. Is that scar tissue? And the only time I didn't put a bandage on it, the binder rubbed it raw in no time. I'm still having to clean it with peroxide and use ointment on it. Normal? Should I call dr office?

  • BlueFox
    BlueFox Member Posts: 99
    edited April 2014

    My op was yesterday so perhaps I'm over the worst.  Didn't sleep much last night as they keeping waking you up to check you.  You are also supposed to keep very still for the first 24 hours which I found very difficult.  Apparently I was one of their more fidgety patients!

    Not much pain.  

    Haven't thought what I.am going to wear with the binder - not thinking that far ahead!

    Good luck to those going in a few days after me - the recovery will probably be much better than you think.

  • Teacher64
    Teacher64 Member Posts: 840
    edited April 2014

    BlueFox, so glad you are with us. You seem much more coherent than I was. You don't need to think ahead right now. Just be in the moment.

  • Donna2012
    Donna2012 Member Posts: 201
    edited April 2014

    dlm217 -   My surgery was 1/24.  Right after I got home from the hospital, I wore pj bottoms, sweatpants & yoga pants for a long time.  Just about 2-3 weeks ago I started wearing my regular jeans.  I can wear all of my normals clothes (and have even bought some new due to my flat stomach!).  However, I try to avoid pants where the waist band is tight & sits right on my scar incision.  My incision is low, so even my low rise jeans all seem to sit above (and cover) the incision.  

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

    teacher....rock hard around the belly button is pretty common. We have fondly coined the phrase "iron plate" to describe it. For most of us, that hard zone gradually disappeared by shrinking in diameter. I realized a month or so ago, that all iron plate feeling is now gone, and I have surface sensation above and below my tummy incision, with no more dead zones...Not normal sensation, but it's there all the same. Probably about 2/3rds of my flap now has some kind of surface sensation too.

    You need to pm nowheregirl to gain access to the photosite. There is a thread on BCO that explains the process.

    http://community.breastcancer.org/forum/44/topic/805466?page=1#post_3572090

  • Blossom40
    Blossom40 Member Posts: 21
    edited April 2014

    I am new to this site as a member. I have been battling this disease for a year now. I have found this site extremely helpful!! I had a Bil Mastectomy in October 2013 after 4 rounds of chemo. Finished Rad to left chest wall end of Jan 2014. My surgeon said I could start thinking about reconstruction in Aug when I return to see him. I am debating my options. I am debating DIEP & TRAM Free Flap. Do most PS that does the TRAM also do the TRAM Free Flap? I know there are select Dr's that do the DIEP. I am from around the Charlotte,NC area and wondering if anyone has had DIEP & or TRAM Free Flap from any of the Dr's in this area. Please let me know if any of you are out there. I am not sure if where I go in PA does the DIEP. Also if you have had either of these please let me know your outcome as far as results, pain, estimated out of work, etc. Thank You for all of your responses!!!

  • Ashira
    Ashira Member Posts: 161
    edited April 2014

    Blossom, welcome. I am scheduled in a few weeks for a Diep at the center for natural breast restoration in charleston, SC. I learned about them through this board and have been pleased so far with the level of individual attention that I've received from both the doctor and the staff. They're not too far from you and have a great reputation, so you may like to give them a call.  

  • Blossom40
    Blossom40 Member Posts: 21
    edited April 2014

    thank you so much! I will def look into them. It will give me a good excuse to visit Charleston. Please keep me updated on how you do. Will be praying for you during and after your surgery. 

  • Teacher64
    Teacher64 Member Posts: 840
    edited April 2014

    Know I'm not supposed to...but enjoying a half glass of wine to celebrate 37th anniversary with dinner this evening. DH is a keeper and besides, I don't have the patience to train a new one!

  • Zenful
    Zenful Member Posts: 599
    edited April 2014

    Happy Anniversary, Teacher!  Wow!  I would say after 37 years , he is definitely a keeper!  Enjoy your glass of wine and the rest of your day. 

  • dlm217
    dlm217 Member Posts: 81
    edited April 2014

    thanks for the replies. I for have a binder. My dr doesn't use one. I have that iron plate feeling around the belly button. Glad to hear it gets better.  I will give regular pants and jeans another couple of weeks before I try them. I need to figure something out by 5/19/14 when I go back to work.   I work in a law firm and yoga pants aren't going to work. 

    Good luck to you ladies with surgery coming up soon. I was pretty lucky. Recovery wasn't as bad as I anticipated. 

  • annajo
    annajo Member Posts: 84
    edited April 2014

    congrats on your anniversary, Teacher!  I had 2 oncologists tell me a glass of wine or two per week is fine.  Fill it up!

    Welcome, bluefox!  It all gets better from here.

  • J1971
    J1971 Member Posts: 18
    edited April 2014

    Hello gals!!

    I don't post very often....but check in daily! 

    I am 5 1/2 weeks after my surgery. I had 6 drains plus doppler stitched in bilaterally and lost final drain at 3 weeks. It seemed that each day was better until a  week ago. I think I keep pushing it and then spend 2 days making up for it....walked 4 miles y'day and still paying the price! I think its because my surgeon had to pull really tight on my abdomen--- I didn't have a lot of fat to give the boobs.....but they are bigger than what I started with! 

    For Tamoxifen!!! My MO had me stopped in 10 days prior because of risk of clots adn I DON'T have to restart......since I have no natural breast tissue left. ALSO...no mammograms or MRIs!!! 

    4 days and ALL restrictions are off....I can lift whatever I want, exercise!

    For those of you on the waiting side.....its AMAZING how fast you heel the first weeks. I wish I had a wedge pillow during initial period but lots of pillows worked. I didn't have a recliner either....well I have an old one upstairs in the rec room but couldn't make it upstairs! 

    I head back to work for 1/2 days on Friday. I am a little worried.....I have quite an active job (physician)! 

    Love the support girls....

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited April 2014

    J1971, glad your recovery is coming along.  Take it easy, girl.  Yes, all the restrictions may be off soon and some of us (raising my hand, here) get back on the horse at full gallop, not "giving in" to the fact that real recovery takes months.

    For the Tamoxifen...if your oncologist is OK with you coming off, then YAY!  But...I thought the estrogen-blocking effects were not just for whatever stinker cells might be lurking in the breast tissue but for more distant sites--liver, lungs, etc.  My MO said I'd be on Femara for ten years, DIEP or no DIEP.

  • JerseyMomOf3
    JerseyMomOf3 Member Posts: 96
    edited April 2014

    Thank you for the warm welcome. This site has been a godsend. Today I was able to spend time with someone who had a successful BMX with immediate DIEP reconstruction about 6 weeks ago. She is doing really well and it gave me a lot of hope and confidence. I know no two people have the same experience but it was very comforting all the same and reinforced the reasons I have for choosing this procedure. Best wishes to all!

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited April 2014

    teacher,

    Don't feel bad about the wine. It has resveretrol in it! Great antioxidant. My naturopath said a glass of red wine now and again was a good thing and not to worry about it. Enjoy your celebration!

  • MartyJ
    MartyJ Member Posts: 1,859
    edited April 2014

    Blossom - PM jenjenl - she had surgery with a Dr. Robinson in Charlotte.

  • bdavis
    bdavis Member Posts: 6,201
    edited April 2014

    J1971... I was also told by my MO that even after BMX I needed tamoxifen for 10 years - to protect me from a distant recurrence. The tamoxifen doesn't just prevent cancer in the breast tissue, it attacks any estrogen feeding cancer cell in the body. And since we all have cancer cells all the time, you want to keep those looking to feed on estrogen at bay.

    Blossom... There is a free TRAM, pedicle TRAM and DIEP. The DIEP is the only one that doesn't use muscle, and is preferable over either TRAM flap. The free TRAM uses a small amount of muscle, but the pedicled TRAM uses a significant amount and isn't a microsurgery. I would avoid that at all costs. Some women who do the free TRAM suffer from hernias, permanent weakness at their core, while others don't have many issues. I think the important thing is to go with someone with LOTS of experience, one who has a few tricks up their sleeve and is willing to show you results and let you speak with patients. And you may need to travel a bit to get that. I traveled from NJ to New Orleans, and many women do travel. Good luck!

  • J1971
    J1971 Member Posts: 18
    edited April 2014

    I should clarify why MO and I decided that no more tamoxifen was OK for me. I had DCIS (a blessing!). Although I had a pretty good case- 8.5cm tumor, grade 3- it was DCIS. I had XRT following uni-BMX with negative SNL. MRIs on contralateral side have been negative. Since DCIS instead of IDC and due to XRT course....we felt that the tamoxifen for my pre-menopausal state wasn't needed. It took WEEKS for those hot flashes to go away!

  • Dyvgrl
    Dyvgrl Member Posts: 471
    edited April 2014

    J1971-

    Silly question , but what is XRT?

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