DIEP 2014

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  • annajo
    annajo Member Posts: 84
    edited July 2014

    lemon, I have a spot on my crop circle that looks, sort of, like what you have.  It's like the skin folded over on each side of the incision and the folded edges healed together.  It's about 3/4 of an inch long.  My ps said its kind of weird but she can easily fix it in the office, she just cuts it open again and puts a couple of stitches in.  Hopefully that's all that's going on with you!

  • enjoyevrymoment
    enjoyevrymoment Member Posts: 334
    edited July 2014

    Best wishes Lemon, hope it gets straightened out well!  Have to run to get lab work before work, hope you all have a great day!

  • annieb4
    annieb4 Member Posts: 106
    edited July 2014

    Hi, I am new here and it feels so good to hear from people who are going thru this. My friends and family are great at listening and giving me advice, but they really don't understand what I am going thru. I had a double masectomy last May. I have the crappy expanders in and am just now trying to figure out what kind of reconsruction I should have. I just want someone to tell me what to do, but I know it doesn't work that way.  I am scheduled for the Deip flap January at Mayo. I was scheduled for August, then changed my mind and was just going for implants, but then changed my mind again, and now can't get in until January. I am still so uncertain as to what I want to do. I have gone for a second opinion, and that PS told me my skin was so thin and I would be at a high risk for infection, and that I am a good candidate for the Deip flap. The surgeon at Mayo told me the same thing. My biggest concern is, I am not a very big person, and I don't have much of a belly. She did tell me she could possible get me to a B.  The thought of this kind of surgery really scares me. I am so tired of surgeries and doctors and everything else that goes along with this damn disease.  My radiologist did say, if the implants didn't work, I could still have the surgery. But that is then another surgery. I would rather do it right the first time. So how hard was it for you all to come to the decision to have this done? and also, where any of you concerned that you didn't have enough belly fat to do this?

  • lahela
    lahela Member Posts: 515
    edited July 2014

    annie, I didn't think I had enough belly fat - I was a D and my PS said I'd be a lot smaller, but I'm a generous C now. I was about 136 pounds and 5'7", not much belly at all, but a good surgeon can do quite amazing things! You would be pulled very tight, as I was, but it's doable.

  • Shine14
    Shine14 Member Posts: 25
    edited July 2014

    Hey JMB & Lemon... more Ohio hugs coming your way, this time from Cincinnati!! Praying hard that the results show no cancer and that Lemon's divot settles down.  

    AnnieB... my surgery is not until Aug 1, but my PS had the same concerns regarding having enough belly fat.  I am a B now, and he is fairly certain he can get my back to B again.  He said if the size is too small, they can always put a small implant in below, but won't have to deal with the tissue expanders, etc.  I am hoping that it won't come to that, but it's nice to know I have a fall back plan if I decide I am an not happy with the results.  I think I will be happy with the perkiness and a slightly smaller size won't matter as much, but hard to say how I will feel.   Good Luck!!

    Three weeks until surgery... feeling good and ready!!

  • MsW2012
    MsW2012 Member Posts: 226
    edited July 2014

    annieb4, I feel you! This disease sucks and it's impossible to know the best thing to do. I was just thinking about that this morning. How the heck are we supposed to know if we want, for example in my case, to have chemotherapy right away in an attempt to "save" the breast, before having the mastectomy or lumpectomy? And then, again like in my case, how do we know if going through major surgery AGAIN is going to be the right thing? How long do you wait? How good is it going to end up feeling, anyway?

    So, don't feel bad for feeling uncertain. I think it's probably good that you waited, even though you have to wait till January now. We have our whole lives ahead. Me, I needed a few months to be away from the whole cancer thing before I even considered having further surgery. I had UMX with immediate recon with expander implant in Sept. 2012. I finished chemo and rads in April of 2013, but waited over six months after that before the same PS did revision surgery with a silicon implant just last October. Then it was more than six months after that when I decided I wanted to get rid of this implant and do the DIEP surgery, which btw my first PS said I was not a candidate for. I will have my DIEP surgery this Tuesday and I'm actually excited, even though I know recovery is going to be a major ordeal.

    Like a lot of people here have said, it is very important to feel confident with your surgeons. You have to trust them. Part of that is being very frank with them about the expected result, which is never perfect, and what kinds of things can go wrong and which of those things can be fixed.

    I hope you find help and encouragement here. I sure have, ever since my whole cancer experience began. Best wishes to you on your decision making process and your health and healing! <3

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

    Hi ladies,

    I have been so busy, which I guess is good, but I have so much catching up to do here.  Hello to all the new ladies.  Welcome.  You have come to the right place for advice and friendship during your diep journey.

    I am still doing the wet to dry packing on my tummy wound.  I am trying not to let it hold me back from too much, except swimming, of course.  I am doing more things around the house everyday. The discomfort (pain) across my chest has not improved which is more than discouraging. 

    My niece, Lily is doing better. She has a surgery a week, and the skin graft on her leg took, which was a big deal!!!  So, we are feeling very optimistic.

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    Goldie, I'm so glad to hear your niece is doing better. I pray she continues to heal physically and emotionally.

    I know you had implants before the DIEP. How long was your surgery? Have you noticed an improvement in the awful tightness you were experiencing? Are you happy with how your new breasts look? Sorry for all the questions, but as I'm looking to get my implants removed, I just want as much input from those who have been there, as I can get.

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

    Annieb4 - Deciding on having the DIEP was very very difficult for me. You certainly aren't alone with your concerns or your uncertianties because it's a lot of information to process and a lot of unknowns. Firstly, I'm the biggest chicken in the world when it comes to surgery. I can barely stand the sight of a needle and I had a panic attack en route to my first lumpectomy.     But by the time I had my DIEP I was really well prepared, and even eager to get it done and put it behind me. One lady on another thread wrote in that she was 'so excited that she nearly jumped up on the table'. 

    But the decision making process was a huge challenge. I was given the choice between surgery, and a lot of radiation. I trusted all my doctors, but they all had their own opnions. The hospital assigned me a psychiatrist to help me get my stress level down so I could think more clearly. The psychiatrist by the way, wasn't any more helpful than my close friends( and a lot less fun), but she did take me through a pro/con list making session that was kind of useful. I came to the conclusion that the things that were important to me are symmetry, and using my own flesh rather than having any foreign objects in my body. In fact, I think I knew that I wanted the DIEP right from the beginning, but fear got in the way. 

    I'm not a very courageous person, but I'm  pretty good at arranging my tools. So knowing that I was going into a long surgery I down loaded Guided Meditations, did yoga, Reiki, and became a zen, yet powerful, warrior. I over prepared for my convalescence, but it made me feel like I was in control. 

    Looking back (to last summer) everything went very well. My PS said it was 'unremarkable' and my partner Jim said those were the sweetest words he'd ever heard. Beforehand, I was told that they may not be able to give me my C cup because I didn't have a lot in my belly to make two breasts. I was content just to be able to wear an open blouse and have the hint of a cleavage and some kind of breast mound - I wasn't concerned about the size. But at the moment (I'm looking at them right now) I'm pretty sure they're the same size I've always had. And they look great! My bras fit almost the same and they sure feel like they belong on my body. 

    Sometimes when you write out your questions, you end up saying what you really want. I noticed that you said you want to 'do it right the first time'.  I think that says a lot.  Keep digging around in your brain for questions and concerns and get them out there. The good news is that your surgeons think you're a good candidate for DIEP - so at least you know you have the option. Talking to people here is extremely helpful - we can empathize with the mental minefields that we all have to deal with. 

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    Yay! Insurance pre-authorized my surgery! Now if the CT scan comes back good, it's a go for September 9! Excited and scared to death!

    Does anyone have an implant on one side and a flap on the other? How did it turn out? I'd rather have a bilateral DIEP, but PS thinks I'd be too small. I was a B before, and don't mind being small. Would insurance still cover if I could have both sides done? This all feels so surreal. 

  • pollyanna5
    pollyanna5 Member Posts: 85
    edited July 2014

    Great news Andrea!

  • Teacher64
    Teacher64 Member Posts: 840
    edited July 2014

    Congrats, Andrea.

    AnnieB4 - bilateral DIEP was an easy choice for me. Radiation, hormone therapy, and implants were not going to be compatible with my pacemaker. I've really liked my steadily beating heart for the past four years and want to keep it going without other interference. Once i talked with my BS, oncologist, and cardiologist, the decision was made. Everyone coordinated with pacemaker tech to turn off magnetic function of the pm the day of the bmx and TE placement so I could have fills. The magnet used to locate the port caused havoc with the pm. The day after DIEP, the pm tech was back to reactivate the magnetic function because the nasty TEs were gone forever!!

  • lemon68
    lemon68 Member Posts: 684
    edited July 2014

    Welcome to the group  Shine. Hugs back at you. 3 weeks will come quick and you will be on the other side :)

    Thanks all of you for the well wishes. My PS called on Friday, the seronoma (sp?) is on the chest wall so we are going to leave it alone for now, it has nothing to do with the divot. He thinks the divot is caused by scar tissue. Annajo wonder if that is the same for you? He said my skin was so thin after they scrapped it to remove the breast tissue. I feel lucky I guess as it could be a lot worse and the good news is he can fix it. He was willing to do so now and left it up to me, I am going to wait for Stage 2. I see him again on 7/25 and we are going to discuss Stage 2!! He said he is willing to do whatever I want to be happy, he is such a doll. I am not unhappy at all just got scared. We have all been though so much it just got to me. Unfortunately due to the swelling he wants me to wait till Sept. for Stage 2. I also have to go to a work event in Chicago for 2 weeks in August. Dang I was hoping to show off my new bod! Now I will be concealing :(

    Goldie I am glad to hear Lily is doing better. I am sorry you sound a bit down, I GET IT. Seems like our Cinco de Mayo was so long ago...but the end result is going to be worth it all we will get there.

    Annie, welcome to you also.

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    Lemon, although waiting for Stage 2 is disappointing, you received great news! Your PS sounds wonderful, and I know you'll be happy with the final result. Im so glad the divot is not something he was concerned about. Your journey is reaching the finish line!

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

    Lemon, so glad your divot wasn't anything serious.  I had a feeling all was okay!!!  Yeah.  I am glad your surgeon is helping you feel excited about proceeding with stage 2.  

    Andrea, yes...I did have implants before my diep.  I felt I had to give them a try for many reasons.  Lack of body fat, the fact that the expander's were placed at the time of my bmx,  etc.  So many reasons.  I really wanted them to work.  And, I gave it my best try.  In the end I had extreme tightness, the BS had taken way too much of the fat under the skin, and the implants were never going to behave correctly.  My pecs also did not seem at all happy with the implants underneath them.  I am almost 9 weeks out from diep and although I would love to say I feel so much better,  I can't.  I still have a lot of discomfort across my chest, a little worse than before diep, but I am still healing.  My breasts are a work in progress, and I am hoping by stage 2 to be much happier with them.  Ask you surgeon a lot of questions.  Make sure you are both on the same page.  I thought my surgeon and I were, but it turns out, maybe not, but I think we are now.  There are quite a few women on this board who had their implants replaced with diep and are very happy.  Try to find MartyJ, Jeannie, Nihahi.  Other's will come to me.  Are you unhappy with your implants?  Are they causing you pain, or discomfort. Did you have rads with them in?  And, yes...your insurance should pay for both breasts to be done.  Congrats on your date being set.  It will be here before you know it.  

  • enjoyevrymoment
    enjoyevrymoment Member Posts: 334
    edited July 2014

    Lemon, I too am waiting longer for stage 2 than I thought I would, but I figure that will give me more time to settle in a bit.  I am glad they did a thorough job getting tissue away from your skin, maybe the wait will help that skin calm itself.

    Annie- I am a B and was surprised to be quite content with that.  No more pinning the front button shirts and things are symmetrical.  

    Goldie- sounds like you are making it work, won't that be wonderful when that abdominal wound doesn't need any more dressings?  Hope it is all cleared up soon.

    Andrea- congrats on a surgery date!  I am not sorry for bilateral DIEP, but I do miss not having as much sensation, and wonder if keeping the non affected breast might have been nice to have in that regard.    It was worth the trade off but just saying.  Such a personal decision, you will know what you need along with your surgeon.  

    Hoping you all have a great day!

  • trish01254
    trish01254 Member Posts: 128
    edited July 2014

    has anyone felt a pain at 11 o'clock to belly button?   It feels like a bruise or aching muscle.  It is almost a constant pain.  Wasn't there last week.   Worried that I overdid or pulled something.  I'm thinking a hernia would be super painful. 

  • Lovemyboysandlabs
    Lovemyboysandlabs Member Posts: 83
    edited July 2014

    Hello everyone, I am new here. I hope this is the right place for me. 

    I just finished chemo now I am trying to figure out which reconstruction to have--the DIEP surgery or implants. I have heard bad things (word of mouth) about the DIEP, that it's so hard because of recovery, but the plastic surgeon I visited with prefers this over implants. I know most people out there opt for implants, so I am so confused as to which way to go. Any insight would be extremely helpful to me right now. I wasn't sure if I should join this group because I am not even sure if this is the route I will take. 

    Thank you for any advise!

    Kelly

  • Teacher64
    Teacher64 Member Posts: 840
    edited July 2014

    Cording issue has reared it's ugly head so I had to go to church with my hair pulled back. I just couldn't hold the dryer to make it look decent. I had so hoped that I'd worked through it and it would be GONE.

  • aff
    aff Member Posts: 279
    edited July 2014

    Trish -Did the PS have to take any muscle? Mine took a 2 cm piece due to location and quality of blood vessels. It was the most tender abdominal area. I have been walking 2 to 3 miles every day for about a week and it has felt much better. 

    Lovemyboys - the decision to choose DIEP over implants or vice versa is so personal. It comes down to what you are comfortable with as an end result, breasts created by implants or breasts created from your own tissue. There is no right or wrong answer, just the right answer for you. Recovery from DIEP is tough but very doable. We seem to all be back to somewhat normal activity at about 6 weeks. Some ladies have returned to work at 4 weeks and some much later. We  all recover at our own pace, but we do recover. If you look back through these pages you will see many questions answered recently. I am 5 weeks out and have had all restrictions lifted except for heavy lifting, yoga and/or pilates. I am so happy with my new breast which already feels so natural. I won't say that there haven't been complications, you will read about many of them if you go back through this thread. However all our PS are confident that they are fixable. Please feel free to ask any questions you may have and welcome. 

  • aff
    aff Member Posts: 279
    edited July 2014

    teacher - this darn cording is so frustrating. I have had the worst pain in my shoulder blade for the last 2 days. I'm not sure if it's because of the cording. I pray it's not from rads since I am only 2 days in. 

  • wintersocks
    wintersocks Member Posts: 922
    edited July 2014

    Wow, recovery after 6 weeks? - That's great, I thought it was much much longer (awaiting date for DIEP.)

  • aff
    aff Member Posts: 279
    edited July 2014

    wintersocks - full recovery is much longer but you will read about many women here that return to work at 6 weeks. I'm sure that you will get responses from those ladies that are further along on the recovery road. 

  • Lovemyboysandlabs
    Lovemyboysandlabs Member Posts: 83
    edited July 2014

    Thank you aff, I am so overwhelmed and was hoping this would be a clear no-brainer decision for me, but it's not. I have been reading back through the posts here, and see that there are others that have posted before me in the same boat. 

    I see advantages to both options, that is what's making this so difficult. The PS I saw specializes in DIEP and prefers it, but will do implants if that's what I choose. They've done over 5000 of these surgeries, so I am guessing they know what they are doing...

    Part of me wants implants because it seems easier in the short term, but then I look at all the pros of this surgery and think I should base my decision on the long term vs. just recovering more quickly. 

    I have just finished chemo and it sucked, so I am ready to just put all of this behind me and I can't because reconstruction is such a long drawn out process. I know the decision is personal, I just don't know what to do. I guess I will read through this board, then read through those that had implants. 

    A big question I have is why do most people opt to have implants vs. this surgery? And how did you all arrive at your decision to get the DIEP?

    Thanks for any help you can provide. :)

  • Lovemyboysandlabs
    Lovemyboysandlabs Member Posts: 83
    edited July 2014

    Sorry, but I just noticed a few folks went to PRMA in San Antonio--that's where the surgeon is that I visited with. Can you share your experience there and who did your surgery? THANKS!!

  • hohoma
    hohoma Member Posts: 1
    edited July 2014

    Asymmetric Reconstruction of the Nipples?

    Hi ladies, I would like to ask a question that might sound frivolous to people who are fighting for their lives.  However, it is important for me, I think, because I decided to remove one of my breast prophylactically. 

    The truth of the matter is that I am scheduled to get both sides reconstruction, one immediate after prophylactic MS while the other 10 years after my dx with DCIS and the following total MS without any intervening RS.  Although I am BRCA negative,  I have a sister and mother who are BC survivors, and the I am relatively young and have girl twins who are 11.   I decided to have the RS because it became important for me to give my girls a relatively healthy image of a woman's body, while decided on the prophylactic S to reduce the risk of recurrence drastically.

    Can people with similar experience tell me how you decided on the nipple RS?  My PS has told me that if I do a nipple sparing MS with the left one, it would not be symmetrical with the old one since it would be flat.  But he also added a real nipple could be good in some cases, since my phase 2 surgery would be simpler and some people prefer their own and also like to preserve what was theirs, and the latter is my case.  What were your experiences, I would love to hear from people who have gone through similar experience before I make my final decision this week. 

  • naiviv
    naiviv Member Posts: 535
    edited July 2014

    Hohoma,

    I had nipple and skin sparring bi lat mastectomy. My right was propy side.  It made waking up and looking in mirror a lot easier for me. Although scarred it still looks like my breast. I am in the small percentage that has retained breast sensation and my nipples are responsive to cold and stimulation. (my nipples were removed, cored and then replaced) . When I went into surgery I didn't know if I would be able to keep the left one and I told the BS if I couldn't keep left to remove the right, I was thinking of symmetry and reconstructed nipples matching later.

    If you choose to keep your nipple, you can have the other tattooed. A nipple can be created from skin and then it can be pigmented with a tattoo, or you can have a 3d nipple tattoo. I have seen 3 tattoos on patients in my ps office and they look realistic. But I have only seen both done in person, not just one. 

    Decisions are so hard, I believe we have ladies here in different  nipple recon situations who can tell you a lot more than me. I wish you the best.

    Take care

    Vivian

    I edited to add

    I found this thread you should check out

    Under topic/forum  Nipple reconstruction - Is it right for you? Discuss timing and various procedures and techniques.

     

  • optimi
    optimi Member Posts: 67
    edited July 2014

    Welcome to all the newbies!

    I am 4.5wks out of a bilateral mastectomy and immediate DIEP flap reconstruction and I have to say I have no regrets at all. My prophy breast looks close to perfect after skin and nipple sparing mastectomy and DIEP. The other one looks a little out of shape since I still have to go for radiation but I am not worried. I am sure my PS will be able to perform her magic on it during stage 2 and make it look good.

    I think most important is to find a PS you fully trust and feel comfortable with. I knew from the beginning that I didn't want implants as they won't look or feel natural. Also implants need to be exchanged every 10-15yrs and there is the chance of leakage etc. My PS mentioned that DIEP flap is the better choice for younger women since it is permanent and more natural looking.

    Hohoma, I wanted to keep my healthy nipple and my PS mentioned that she would be able to split my nipple during revision surgery and place half on each breast. I have seen pictures of her former patients and the nipples look very natural. 

  • Cherrie
    Cherrie Member Posts: 1,423
    edited July 2014

    Naiviv- I had nipple and skin sparring also. I have no sensation and that is what I miss the most. Lucky you!

  • naiviv
    naiviv Member Posts: 535
    edited July 2014

    Cherrie,

    Thanks, I was surprised at first as were my surgeons. I was told there was about a 20 % chance of retaining some sensation if the nipple remained attached during the surgery. Mine came totally off to make my breast envelope smaller and to remove all breast skin from areola and core nipple.  Sensation can also come back in time as nerves regenerate.

    Both my PS and BS are stumped as to the how and why, I am just thankful that I have it.

    V

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