Does anyone not wear a bra after implant reconstruction?
Comments
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I am almost 5 years out from the exchange of bilateral implants.
I was told after the period of time (6 weeks) of required compression garment wearing and a soft bra, that I never needed to wear a bra unless I wanted to. Well, that has never happened.
It took about a full year until my implants fully dropped and fluffed. They look like I have a well fitted bra on and everyone is surprised when I mention I never wear a bra.
I exercise on a regular basis and have worked on regaining my flexibility in my chest muscles and upper body.
Over the years, my chest feels softer and I was surprised one day in Zumba class that I actually had some jiggle and wiggle when I did a shoulder shimmy.
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GG27, I can't have what I really want - my normal body back. :-( Second choice would be just implants and no cutting on other body parts. But that's not an option either.
I'm not a real girly girl so I wasn't prepared to feel so strongly about this. Like you, I'm self-conscious about looking odd when I go flat. I start to think I look "ok" that way then put on the prosthetics and see how much better I look with boobs. But I'm physically uncomfortable wearing prosthetics. I suppose I would adjust eventually, but I'm tired of breast cancer determining how I dress and tired of being reminded of breast cancer every day.
I think your experience with the lat flap is more common than the horror stories. I'm sure the skill of the surgeon is a factor as well as various characteristics of the patient. Thanks for asking your friend about complications.
Amy
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Sassa, that's good to hear. That's what I hope I end up like.
Several people have mentioned "drop and fluff,"but I haven't seen it explained. I can sort of guess, but can you you enlighten me?
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2Tabbies, Yes, I totally get that you want your old body back, me too, but that can't happen!
I talked to my friend Shelagh today & like me, she is completely happy with her lat flap. She doesn't have any issues either, she's about 3 years out. She only had rads on one side but lat flaps on both. She says she does notice that the rads side pulls sometimes when she's over done it, but she says it's not unlike feeling sore from too much physical work before BC. She says one of the big pluses for her is not wearing a bra. She hasn't worn one since the surgery & loves it!
I tried out prosthetics for 6 months. I wore them everyday to give them a fair chance & I hated them. I never got used to them, I was constantly pulling down my bra trying to keep them where they were supposed to be. They were very expensive, luckily the gov't paid $700 & I paid $50.
I have silicone Alloderm "gummies" so I don't think I had the "drop & fluff". Good luck! Dee
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Dee, I've had my prosthetics since last October. They were pricey too - $600 for the pair - but my insurance covered it all. I couldn't wear them when I was having rads, but other than that, I've tried to give them a fair shot. I've been wearing them more in the summer since my clothing is less bulky and doesn't hide my deficiency. I can never wait to get home and take them off. I've also tried other sorts of breast forms that are supposed to be more comfortable - fiberfill, microbead. But they all have issues. I put them in a Coobie bra or sports bra that has a pocket for a removable foam cup. These lighter weight forms are more comfortable than the silicon ones, but they are even harder to keep in place. They either migrate to the center to form a uniboob or ride up so I feel like they're on my collar bones. As you said, I'm always tugging or pushing at the bra or forms to get everything where it belongs. If my clothing provides good camouflage, I go flat. It's the only way I'm comfortable. But that means I can't wear some of the things I like to wear. I don't care how many people tell me I look "just fine." In some things, I don't. I was thinking tonight about a lacy vest I crocheted that just doesn't drape right with no boobs. I got a flush of pleasure thinking that I'd be able to feel good about wearing that again if/when I get recon. That thought confirmed to me that I do want to go forward with some version of recon. It will be a bonus to be able to look good in all sorts of clothes without even having to wear a bra.
Thanks for asking Shelagh about her experience. I'm not worried about a little tightness or pulling. Heck, I have that now just from the mastectomies. I'm working on loosening it up with stretching, but some of it might always be there. It's only potential loss of strength and/or chronic pain that concern me.
Do you know anyone who didn't need implants with their lat flaps? Most of the descriptions I've read said there's enough tissue to build a small or medium sized breast using the lat. That's all I want - small like an A cup or maybe an A+. But the PS was definitely talking about using an implant with it.
Amy
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Amy, I don't know anyone who doesn't have implants with the lat flaps. I'm not sure if it's a procedure that's done here in Canada. If you want to go that small though, it's certainly something to ask your PS about. I would love to have no implants but I am 5' 10" & a size 10 & feel that I "need" to have a B+ - C cup to seem balanced. Though some days they do get in the way & I wonder why did I go that big??
Shelagh & I did talk about the small revisions that we had to have done as I had kind of forgotten about them. We both went back several times, in the small OR, no anesthesia or anything, just local, & had little sticky outy bits removed & revised. Mostly on the back scars. Because they take quite a flap of skin from there, sometimes there ends up being a pouchy bit at the bottom & I had that revised 2x & some "dog ears" trimmed under my arms. None of the times did they hurt significantly but you should be aware of this.
You'll have to have a count down date to when you can wear your vest!!
I love that I never have to think about what bra would I have to buy or wear with a certain something that you want to wear.
When do you think you would have the surgery? Dee
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Dee, I think the size of my frame was why my PS was saying I should go with a B. I'm not tiny. I'm 5' 6" and with a frame that's on the small side of medium I'd say. For example my wrists and ankles are very thin. I'm going to take my silicon prosthetics in to show him. I find they feel a bit large to me. They must be an A since the bras the fitters set me up with range from 36A to 40A. (I never took bigger than a 36 before BC. The fitters said some of the bras run small hence one is a 38 and one is a 40. How can it "run small" when it's an actual measurement??) Anyway, I want as small as looks reasonably normal.
I'm not worried about revisions. I think that's likely no matter what procedure you have. As you said, they're fairly minor surgeries. In fact, if for some reason I choose not to reconstruct, I want some revision of what I've got left. There's a deflated balloon of skin on the right that the surgeon left me for recon purposes. The one on the left shrunk up from rads. There's also a dog ear on the right incision. I'd want to get rid of those.
My surgery is scheduled for November 11 if I stick with the lat flaps or some other procedure with this PS. If I end up going elsewhere for a different procedure, who knows when it might be.
Amy
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2 Tabbies,
When you exchange the TEs for the implants, the implants sit very high , are very firm, and somewhat compressed. As the muscles recover from the manipulation during surgery and relax, the implants will be able to project a bit more ("fluff"), the implants will settle down into the pockets and an under breast crease will slowly develop ("drop").
As I mentioned before, most of the dropping and fluffing occurred for me in the first year after the exchange.
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Thanks for the explanation, Sassa. I kind of figured out the drop part, but fluff wasn't intuitive.
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i had my TE exchange on May. My PS recommended to wear a bra. He said even though he put them under the muscle, the weight of them can still cause sagging over time. I wear a bra 24/7 bc it makes me feel better right now. Maybe over time, Ill go without one to sleep
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After BMX and during fills, I LIVED in my Genie bras.
After Exchange to 700cc saline implants (and no Alloderm), the PS wanted me in a non-underwire but supportive bra 24/7 for a few weeks (LOTS of pocket work).
Then I wore underwires during the day and nothing at night. Finally he said it didn't matter what kind of bra I wore as long as I didn't go braless.
I do notice more ptosis 2 years out, but I have VERY stretchy skin from a big weight loss, and I'm 63. They still look way better than the Original Girls.
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I feel better without the bra too.
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I often go without a bra when it's very hot outside but I do feel more comfortable with some support in the crease under my breasts... so what I usually do is cut the bottom part of the cups out of the bra, ( leaving the underwire or band under my breast) to get as much of a natural shape as possible.
Yaniza
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