DIEP 2014

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  • Teacher64
    Teacher64 Member Posts: 840
    edited July 2014

    DeeW - I had to wait 8 weeks to exercise due to a bit of muscle loss during surgery. For most it is 6 weeks. 

    Georgie - you either have the most amazing memory or took notes. Welcome back.

  • GeorgieGirlKC
    GeorgieGirlKC Member Posts: 132
    edited July 2014

    Teacher-lol! And thanks for the welcome back! Definitely not good memory, I used my little mac note thingy and typed into that while I read. Then copied and pasted into the post. Okay so Lemon here is my divot. What the heck??? I could store a couple of dollars of pocket change in that hole! 

    image

  • OneTexasDay
    OneTexasDay Member Posts: 162
    edited July 2014


    So, I have never heard this mentioned here as a side effect of DIEP, so if I just missed it and it was discussed over and over again.... my apologies.

    I am about 6 weeks post DIEP and am back to work so I think I am doing pretty well.  I am getting lots of sensations along the breast and donation site including everything from tickling, to itchy to sharp pains, but I have not been concerned with this as I figured all this has to do with nerves reconnecting.

    What is very strange to me is that I keep getting a painful ache in my pubic area, right where my crotch and my thigh come together, but only on one side.  I don't recall having this pain before the surgery and am also thinking my cycles may be coming back (haven't had one since my 2nd chemo last december).  I can't imagine it is related to the DIEP but who knows.

    I see my plastic surgeon next week and my MO in 3 weeks.  Any idea of what might be causing this? 

  • pollyanna5
    pollyanna5 Member Posts: 85
    edited July 2014

    OTD, I had my first cycle a week and 1/2 ago, and it was a doozy.  Everything was extra tender there.  Not sure if it was surgery, but it was definitely a bad period for pain.  My mom has also said that she has heard medical people say that the donor site is always more painful then the recipent site.  Not sure if it is true, but my belly hurt way more then my breasts did, especially early on.    I had a lot of the tingling, itching and sharp pains following my reduction in March and it is definitely nerves.  i havent had it bad in the breasts this time, but tons of issues like that in the stomach.  I'm sitll not used to feeling of feeling the skin of my breast, but there is such a different sensation with the interior of the breast.  It feels different all day, how it moves, how water feels when I shower against it, how fabric feels next to it, etc.  It is just weird.  I hope a bit more comes back.

    Thank you Georgiegirl for posting a picture of your divot.  I thought that is what I have on each side, and it looks like that , although not as deep.  I'm not happy with the shape they seem to be settling into right now.  Divots on the outside, and kind of flat in the middle cleavage.  It's like someone pushed down  with a dessert plate on the middle of my breasts, so everything goes to the outside.  Hoping that in can improve.  

    I have a job interview Monday :).  I'm not supposed to go back to work until Sept, per my PS, but I need another job, and I need income, so it's how it is.  It's an advocacy position for disabled persons.  I have two children with aspergers and a grown brother with severe disabilities, so kind of my life.  I hope it works out.  It is a good schedule and flexible, which is what I need now.  I have to gaps in my resume, one for being at home with my kids for 9 years, but now I have a gap since March when all of this started.  Not sure how to explain it, and if i should explain the whole early breast cancer thing.  

  • Teacher64
    Teacher64 Member Posts: 840
    edited July 2014

    OneTexasDay - I've had the same thing on my left side. Monday I asked my PS if I had a hernia or it it was because he took a little strip of muscle and he said it is scar tissue. I told him I get a stabbing pain when I sit up from a prone position or try to do a sit up. He said to work through it with one sit up and then next time two and it will eventually help tear some of the scarring. He said sitting up in bed is better because there's more give in a mattress than a floor with sit ups. I told him that even getting out of the car can cause the pain. It subsides quickly, but on a scale of 1-10, it's a 10 when it happens. Since Monday I've been sitting up from a prone position and can do it 5 times before it grabs me. You might ask your PS about it and see if you get a similar response. 

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    OTD, although I haven't had my DIEP yet, I did do the implant route first, and had sensations similar to what you're describing. It's those nerves that were cut regenerating. Mine were pretty bad and I ended up going on neurontin for a couple of months. 

    Georgie, thank you for the info. I wish I could go to NOLA or PRMA, but financially it's just not feasible. Perhaps in the future, I could do it for my left side, as I'd prefer to get rid of both implants.

    I know this is off topic, but if anyone could take a moment to send a prayer or good thoughts to my friend, Chari, it would be appreciated. Her neighborhood had been evacuated because of a wildfire, her dogs are in the house, and they're not being allowed to go to their home to get them. I'm really worried. Thank you!

  • trish01254
    trish01254 Member Posts: 128
    edited July 2014


    Oh Andrea, how sad.  i couldnt imaging having to leave my doggies.  Good thoughts for the fire to bypass Chari's neighborhood.

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    Thank you, Trish.  They weren't at home when the fire started, and are frantic with worry.

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    Does everyone get nipples? When I had my real breasts, the headlights were always on, so to speak, and I like being smooth now. Frankly, I'd rather just get 3D tats instead.

  • debiann
    debiann Member Posts: 1,200
    edited July 2014

    I think many get just the tats.  I'm undecided yet what I'm going to do, depends on what all is involved in nipple reconstruction, but just tats appeals to me too.

  • DeeW29
    DeeW29 Member Posts: 22
    edited July 2014

    Thank you Teacher64! 

  • jmb5
    jmb5 Member Posts: 532
    edited July 2014


    My friend's 14 year old daughter, Kayla, did great with her surgery the other day. They found out today that they got all the cancer, and consider her cancer free right now. Still aren't sure if she'll need chemo, which surprises me. I figured it would be a given with a softball sized tumor on her liver. They mentioned that this cancer is so rare in children, so they are researching and trying to determine the next step. Probably scans every three months. Thanks for praying! And sorry I didn't update right after her surgery. It has been crazy here. I've just been getting on here to check PM's and update the surgery list. My 16 year old daughter was in Haiti on a mission trip and I think all my energy was focused on her. She got home at 1:00 a.m. today and we stayed up til 3:00 talking. She had a great experience, and I am so proud of her. She loves Jesus and loves people. It's fun to watch her grow.

    Good luck to all those with upcoming surgeries. Looks like several in August. You can do it!!!!!

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    Jmb, I'm so glad to hear Kayla came through with flying colors! I would have thought she'd need chemo too, but if she doesn't, all the better. I'm praying for a quick recovery and that she'll remain cancer free!

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

    Georgie, I am so glad you stopped in to see us.  I just mentioned you the other day.  Lemon and I are having our stage 2's soon, how about you?  You sound like you are doing great.  I can't believe how you read through all those posts and addressed everybody.  You must take notes!!? 

    Dee, you are allowed to walk all you want, some women are even jogging again at about 8 weeks.  I don't know what your level activity was before your diep, but if you were exercising before, you should be able to work back up to your regular level slowly.  How many weeks out are you from your stage 1? Of course, always check with your PS first. I am trying to work back into my regular yoga workout.  My tummy is not cooperating that well, but baby steps.  Like Georgie, I am doing all my ROM stretches several times a day. 

    I have been busy with my grandson most of today, and I am beat.  Time for some quiet time. 

  • GeorgieGirlKC
    GeorgieGirlKC Member Posts: 132
    edited July 2014

    Good morning and happy Saturday! 

    OTD I had the same breast and abdominal site sensations you mentioned but not the other pain you described. 

    Pollyanna thanks for sharing about what you are seeing with your reconstruction. My reconstructed side is a little hamburger bun-ish as compared to the right breast but when I talked to the P.S. office I was reassured that after phase 2 with the lift on the left side and scar revision to the right with the nipple I would see more symmetry between the two breast. I.E. lefty has been subject to 47 years of gravity and righty is only 2 months old and not quite finished! LOL! I am hoping stage 2 will fix or at least lessen the divot situation for us! :) That said the divot isn't a deal breaker for me but like many have said before, it's good to state ALL the things you want in stage 2. I am sorry you are having to go back to work before you are released to do so. I hope your interview goes well, sounds like you have some experience that would lend itself well to the position. You will have to keep us posted.  I was talking to a friend about my resume gap yesterday and my concerns about how to re-enter the work force. I have a 1 year gap as of this month due to cancer treatment and reconstruction. I know it is not an employers business to know this kind of personal health information, but the question is bound to come up regarding the gap...anyone else have experience or wisdom to share in this area? 

    Andrea, I understand about the financial impact for traveling to another place for surgery. It is expensive even if the provider is within your network. I did want to mention in case it makes a difference for you, the American Cancer Society can often help with lodging for the stay and there are also places that can help with transportation. It is amazing the kind of help that is available. If you are interested I think I may still have some of those resources in my email somewhere. I hope you are able to get exactly the kind of surgery you want. :) Prayers for your friend Chari. 

    JMB5 so glad to hear that Kayla had a successful surgery and that they got all the cancer. Continued prayers for the doctors as they research what kind of treatment she will need if any. Your daughter sounds like a joy. I love to hear when young people are drawn early to service work and have a heart for the Lord.

    Goldie!! My surgery is Aug 15th. Any chance the three of us (Lemon??) might have the same date again?? No fun holiday on Aug 15th though, like our Cinco date! 

  • pollyanna5
    pollyanna5 Member Posts: 85
    edited July 2014

    Thanks GeorgieGirl!   I see my PS Friday, so I am going to make a list to ask a bunch of questions.   I am assuming they will tidy them up as it seems to be what stage 2 involves.   I am curious to see what he says!  I am still finding it weird to be so small after having been big for so many years until my reduction in March, then this surgery.  I thought my C's or even small D's following my reduction were small, this is even smaller.  It is weird, but I am glad to still have breasts, albeit smaller and oddly shaped ones right now!  

    I hope the job interview goes well, and it's not too bad, it's only a month before I would be cleared per the PS, so time they decide and if I got it, and started, it would probably be only a few wees ('m guessing it would start mid August).  But physically, it's not demanding, and it involves a large part of working from home each wee, then some community work.   Beiing early days, I would assume, "d be doing less community work auntil up and running with the job.   But will see!  The bad part is now,  I have come down with bronchitis, I think.  I have been coughing for a few days, and it's worse, I was digging throuh the cabinet looking for an inhalor last night.  I will head to the clinic today, hopefully I can get through the intervew without hacking up a lung!

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    Polly, good luck with your interview! I'll keep my fingers crossed for you!

    Georgie, thank you for the info. I wish I could go to one of those centers, but money is an issue, plus we have two big dogs that would need a sitter. And honestly, I hate leaving them for that amount of time. They're my furry babies and help keep me sane. (Though some days they don't seem to be doing a very good job at it!) I think for now I'll just stay with my local PS, but if in the future I decide to do the other side, I'll contact you. Thanks again!

    What does the flap look like after surgery? It is shapeless or like a hamburger bun? Is everyone happy with the size? I understand stage 1 is just getting the flap to survive, and stage 2 is when the "magic" happens, but I just want to be prepared for the reality of it. Even if I'm still 6 weeks away! 

  • enjoyevrymoment
    enjoyevrymoment Member Posts: 334
    edited July 2014

    Andrea- I felt like there was a bit of a blob hamburger patty on there but the shape improved dramatically.  I was not sure about the nip thing finally decided to do it, it is how God made breasts so why not.  From what I have heard from others it doesn't have the reaction to cold thing we all had before due to altered sensation.  I was much bigger prior to surgery but I am a B now, I love wearing medium tops, always had to get XL or L before due to the girls, which was a pain since they were big in the waist then. It is nice not having your button down shirt gap as well.   It is interesting, my breasts are wider rather than deep, does that sound strange?  I think it is because there isn't a lot of sagging?  I did bilateral and I am very happy.  Best wishes to you!  PS praying for Chari and the fire/dog situation.

    Georgie you look great and I am sure they will fix the divot on Stage 2.  

    PollyAnn good luck with the interview.  That is a very good question about the resume gap. They are not allowed to ask you personal information per se but telling them you had cancer, would they worry you would be out a lot. That is illegal to allow it to affect hiring but it crossed my mind. My best advice is to say you had breast cancer, it is behind you, and you are embracing your new life. That is a tough question though, I am sure others have opinions. You will know when the time comes. Best wishes to you!You will get used to your new look.  It is an adjustment for sure but I think back to before they had this procedure and consider myself fortunate to have had it.  

    Whoever asked about working out, I started a slow crawl (previously ran a little, like 3 miles a day) at 6 weeks post op but found my stamina wasn't there, switched to walking and now in PT am doing interval training which makes me think I will go back to running eventually.  Cannot say enough good about PT, this is the best I have felt since surgery March 18.

    Teacher, I have a question.  (and to anyone else) when they take fat out of someplace and inject it, what keeps it there?  Does it eventually shift around?  I have a bit of a dent near the cleavage area which no one but the hub can see but if it is just going to be a short term fix I won't bother with it.  It is just I am wondering if injected fat migrates around.

    Sorry so long winded today.  JMB so glad about Kayla.  

  • Teacher64
    Teacher64 Member Posts: 840
    edited July 2014

    enjoyevry moment  -  I was told that  some of the fat may re absorb but stays in place.mit may feel lumpy at first but that will go away, according to my PS. 

    Anyone who's already had the fat grafting want to chime in?

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    Thanks, enjoyevrymoment. Being a B cup, do you still have to wear a bra? I have to admit, I like being braless now!

  • pollyanna5
    pollyanna5 Member Posts: 85
    edited July 2014

    Thanks for the well wishes.  I am so not sure what to say about the second gap in my resume this year due to cancer.  The one for being a stay at home with my is easy, this not sure.  Still mulling it over!

    I hope I don't get used to the flatten out shape  I have going on, I do hope they fix it in stage 2, I assume so!  But being a B cup is so strange after having been much larger for all my adult years, esp the last ten since pregnancy and breastfeeding 5 kids.  I do still wear a bra, partially beacause the doctor said too, and because it just feels weird without one!

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    Thanks for the good wishes for my friend, Chari. The fire came with two houses of her home, but it's out now and her family and dogs are safe.

  • lemon68
    lemon68 Member Posts: 684
    edited July 2014

    Thank you everyone for caring and wishing me well on my PS appt. yesterday. It didn't go as planned. I did bring my list but it was for nothing. Due to the swelling that hasn't subsided and the odd tethering I have to have the left worked on. He isn't sure if he has to open my flap ( mine is on the side from nipple to the side) or if he can make a small incision along the areola and go in there. He is also going to remove my bulge and seroma on the chest wall on that side too. During the surgery he is going to also contour my tummy incision and get rid of the dog ear. That is it!! And he thinks I will have to have a drain. As for the right side due to radiation it is smaller and hasn't yet let lose, it is soft on top but still hard on sides and bottom, until it softens up he doesn't want to mess with it. I am feeling disappointed but I know its all for the best. I have work trip to Chicago on Aug. 18th returning home on the 27th. He wont do the surgery until I am back home so probably early Sept. Then later he will do the lipo, fat grafting etc.. I know these are only bumps in the road and others have endured much worse. My incisions are healed but I guess my insides have a different agenda. My rads were awful, I did 3 weeks of double doses and even with olive skin was charred and blistered so that side seems to be angry. If I didn't have the swelling and the tethering they really do look good. I am happy, and not one ounce of regret. I am just inpatient.

    Goldie and Georgie my Cinco Pals, your going to have to do Stage 2 without me. I guess I am of kind of getting a Stage 2 at least some things will be done. Georgie, thank you for your condolences. I am still in a compression bra 24/7 but it has not helped. He says I have skin edema from scraping to remove the BC tissue. I guess I am officially a 'sweller' I just never knew it.

    Teacher, I cannot wait to hear every detail. You will be in my thoughts and prayers on Wednesday.

    Kim, Congrats on Stage 2!!

    Aff- I feel the same, I had no idea this was going to span as long as it has. I had my dx in 1/2013! I now know I will still be dealing with it into 2015. I just want to put it behind me already. But I am going to be happy and not stop until I am. Goldie is right we deserve to be happy with our bodies.

    Love to all.

  • Andrea623
    Andrea623 Member Posts: 959
    edited July 2014

    Aww Lemon, I'm sorry your visit didn't go as you hoped. As you said, this is just a bump in the road, but you will reach the final destination. It will just take a little longer than you planned. I totally understand the feeling of dealing with this for so long. I was diagnosed in August 2012, have had 3 surgeries, and it's looking like I'll still need at least 2 more. I was hoping that by this time all this would be behind me. Hugs.

  • Evegibb
    Evegibb Member Posts: 20
    edited July 2014

    Ridley- no date yet. :( I'm on a wait list for a date, was told to call back after summer.  I think the hardest part is just not knowing and not being able to prepare.... Meanwhile, living with one breast for over two years has impacted my dating life... I know deep down that beauty is beyond the physical, but I haven't found the courage or strength to pursue a relationship.... I was 38 when I was diagnosed and unfortunately my then boyfriend didn't stick around beyond my first round of chemo.... So it's been over two years since I've experienced any form of intimacy...... I know that surgery will evoke new/different body image concerns but I just want to move forward and learn to love my new body after surgery! The waiting game is the challenge as I find myself consumed with thinking about it.  Thanks again ladies for the support and info, it's a huge help! :) 

  • enjoyevrymoment
    enjoyevrymoment Member Posts: 334
    edited July 2014

    Lemon, best wishes with your stage 1 1/2!  I can only imagine how you look forward to putting it all behind you.  Sorry it didn't go as planned but when it is all over I think you will be happy with it.  Hugs sent your way for the ongoing adjustments in plans!

  • Teacher64
    Teacher64 Member Posts: 840
    edited July 2014

    lemon - sorry things didn't go as you planned. Think of September as stage 2a and then you will just have 2b at a later date. I will let you know everything after the anesthesia fog is gone.

  • enjoyevrymoment
    enjoyevrymoment Member Posts: 334
    edited July 2014

    Teacher64- best wishes with your upcoming surgery this Wednesday!  You are probably so much stronger than before thanks to PT and your gutsiness!  Hope it goes great!

    Evegibb-Having bc does affect your relationships in different ways but many times for the better, someone needs to hang with it with you and there are people out there who are wonderful and love you with or without a breast.  Am trying myself not to let things define me that I have no control over, but it sure is an adjustment for all of us.  You will find support here.

    Jmb my daughter is with YWAM in Thailand.  It is cool to see your kid think beyond themselves and do that stuff.  Glad Kayla did well!

  • GeorgieGirlKC
    GeorgieGirlKC Member Posts: 132
    edited July 2014

    Pollyanna, I can imagine the adjustment to size was a big change. You will have to keep us posted on what you find out with your job interview and with the appointment with the P.S. Hope you found some relieve from the coughing and don't have bronchitis. Take care of you! 

    Andrea, I hope it didn't feel like I was pushing. Just sharing information. And I couldn't agree more about those furry babies! We have two kitties and they have been so comforting through all this, my little chemo couch buddies. It's like they sense when I am not well and would curl right up with or on me. Re-phase one post surgery-my breast was like a mound, (hamburger bun-ish). I have cleavage that is spot on and I can wear shirts that show a bit of cleavage and you can not see scars or tell that I've had breast surgery at all when I have a bra on. No bra, the are not symmetrical. Native breast looks down toward the floor! I am very happy with the initial results and have been told stage 2 is where the magic happens too! Glad your friend Chari and family are ok!

    Enjoyevrmmoment, thanks for the compliment! I know that Dr. Pisano will do what he can to make the reconstructed breast look the best she can look! Appreciate your input about the job gap issue and how to address. My gut is to share that I did have cancer and that I am well and ready to be back in the workforce. I know like everything else that I have encountered in this journey, the right door will open when it is time. It is hard not to go there though and have concerns about what those job interviews will look like when the time comes. Trying to be in the moment isn't always my strong suit! LOL!

    Lemon, my CInco friend,  I am sorry your P.S. visit didn't go as planned. Praying that the surgery in Sept will get you closer to where you want to be by stage 3! It sounds like your P.S. has a great plan for the next surgery and will do what they can to get you on your way to stage 2b and 3. Also was thinking about your swelling. Would a full compression tank with the appropriate breast support be helpful for you? You know something that would contain your entire trunk but not cut off fluid flow under the breast? I can't remember have you been to a lymphedema therapist? Hugs to you.

    Has anyone heard how Katski is doing? Been thinking about her. 

    Hope everyone has a great Sunday. Going to be an inside day here. Hot and humid! 

  • pollyanna5
    pollyanna5 Member Posts: 85
    edited July 2014

    Thanks georgiegirl!  It is bronchitis, but I am managing it.  Hopefully, I won't hack up a lung or have to pull out an inhalor during the interview.  LIke you, I am nervous to explain the gap in my resume, albeita short one for cancer (only 4 months or so).  But I was also a stay at home mother for almost 9 years, so that is to be explained as well.  Since it is a position in part advocating for parents of people with disabilities, and part of the requirement is that you be a parent of such, which I am, I think that explains some of it.  My two with autism/aspergers required a lot of time early on, so I had to be available. Still nervous.  But, I pray it goes alright.  Few other good opportunities posted this week, so I will send those resumes off  as well.

    And, at some point I have to have stage 2, and then I'll be new to a job...........So much to worry about! trying not to, but hopefully that is not a lot of time off work!

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