DIEP 2014

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  • tlbradyful
    tlbradyful Member Posts: 134
    edited September 2014

    MartyJ Do you have a link for the rub ons that you prefer? I am torn about the whole nipple thing more than any other decision. It would be so nice to be "done", but I am afraid I will want further touch ups. I have heard insurance isn't as cooperative after nipples are done. I am going to let Dr. M use her best judgement next week. My anxiety sometimes clouds my judgement.

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

    Tbrady - this is a link to the site I believe I purchased them from.  I got this 3 pack in different shades.  I did nips last because Dr. M said my ins was notorious for not allowing procedures beyond the nipples.  If you def think you are going to do a tweak one more time in December, then wait and dedicate the next couple of months to wearing the rub-ons and seeing how you feel about them from both a straight on view (loved them) and a view looking down at the girls (I wanted the projection).  Recovery from nipples is really minor (though for me I had a drain because she did a bunch of work under my left arm).  If you are conflicted - wait!!!

  • Kb33
    Kb33 Member Posts: 88
    edited September 2014

    loves roses

    I am a big fan of palmers coco butter.   Twice a day!   Helps with smooth skin and scars.   There is even a special palmers oil for the same.   May be nice for a massage

  • norita19
    norita19 Member Posts: 49
    edited September 2014

    Hi Everyone,

    I haven't posted on this board in quite some time. I started reading this thread from the beginning but lost patience around page 85. I was diagnosed with IDC in the right breast in 2002. I had lumpectomy, SNB with 19 nodes removed, chemo, rads and tamoxifen/ aromasin. Between the lumpectomy and rads, the affected breast shrunk to about half the size of the other. After 2 PS consults, I'm scheduled for a unilateral mastectomy/ diep reconstruction on November 11 with Dr. Peter Korn and Dr. Pat Pezzello at North Shore University Hosp in Manhasset, NY. There, I've said it! I've been thinking about it for a while and finally got moving on it. I do have one nagging worry, should I do a bilateral? I have a mammo/sono next week and of course if anything at all shows, that will make my decision for me. It wasn't requested that I have an MRI but do you think I should do that? My last one was more than a year ago.

    I prefer to keep the natural breast and it's sensation but worry that the diep can only be done once. I certainly have enough belly for two!

  • vballmom
    vballmom Member Posts: 426
    edited September 2014

    Hi Norita,

    I just had a delayed recon on my right side and a skin-sparing prophylactic MX on my right (DIEP). I had an MRI, which was negative.  I took over 2 years to make this decision. The plastic surgeons I met with said that I would need to have work done on my "good" side to have it match, and that I would most likely lose sensation. I figured if I was going to lose sensation anyway, why not remove the breast tissue and have both sides done?  I am not sorry. I am surprised that the "good" side doesn't look nearly as nice as my delayed side, but I am only 5 weeks out.  I will need some revisions, but if I had to stop right here, I am pretty happy just as I am.

    You can only have the DIEP once, but there are other donor sites they can use if you choose to do that later.  I honestly want this to be over and done with.  I am so ready to be done.  

    And welcome back!

  • MEG2
    MEG2 Member Posts: 114
    edited September 2014

    Hi Norita,

    I had a UMX in November of last year.  Initially I thought about an implant but after further discussion with my PS and Breast Surgeon it didn't make sense when just removing one breast due to placement and symmetry issues (and challenges that radiation can create with implant).  I decided on DIEP and met with two other BC survivors who had the same surgery with the same PS; both had just one breast reconstructed with a lift on the opposite breast to create symmetry.  I was amazed at how close to natural the PS was able to get with the reconstruction and lift.  It helped solidify my decision however, this is a very personal choice.  I wanted to keep the feeling in my chest as well, at least on the "healthy" breast and decided that I would deal with any scan anxiety as it came up since it is more important for me to have the sensation than no feeling at all.  Again, everyone has varied and personal reasons for doing a single or bilateral reconstruction.  My surgery is scheduled 1 day prior to yours on November 10th, the ladies here have given me great advice on how to get thorough the process including what to bring to the hospital. I've copied the notes from previous posts so that I can remember the list, I'd be happy to share the info with you so if you're interested private message me and I'll pass it along.

    Also, my PS explained that if necessary (prayers to all that never happens!!) there are other recon options beyond DIEP.     

    On another note ladies, I am going to do some pre-surgery shopping to purchase some sweat pants, and pj bottoms to wear post surgery and I was wondering if it makes sense to buy up a size due to drains and/or swelling?  If I normally wear a M should I pick of a L or since they have a stretchy waistband will the regular size be OK?  Thanks in advance!

  • MyDiane
    MyDiane Member Posts: 13
    edited September 2014

    Hi Meg2,

    Every situation is unique.  I'll share my experience.  After my Diep stage1, I couldn't bear anything on my abdomen except VERY loose, light cotton PJ pants with VERY loose, wide stretchy bands worn high.  I spent most of my time in loose dresses or nightgowns when I was home.  I'm going to have work done on my abdomen during stage2 and have thought about looking at maternity bottoms, which I imagine will work out quite well. For me, it was necessary to go a size larger.

  • jbdayton
    jbdayton Member Posts: 700
    edited September 2014

    Another option is yoga pants with wide top bands.  I agree I lived in sundresses.

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

    julieho - You've got a date! Congratulations. Of all the stuff that went down last year - getting a date was one of the most memorable. It meant that I could finally start planning the rest of my life. And you can plan to dance at the wedding next year!

  • rose111
    rose111 Member Posts: 34
    edited September 2014

    hi Meg2

    I wore white ribbed tanks  that were a size larger than I usually wear.  I could not stand anything rubbing on my abdominal incision and the tanks were  big enough to step into and long enough and snug enough wear under dresses or loose drawstring pants.  

    Best of luck to you.    Rose

  • jmb5
    jmb5 Member Posts: 532
    edited September 2014


    norita, I had a DCIS recurrence, and opted for the BMX. I was told that the left nipple couldn't be saved because of previous radiation, so I opted to have the right one removed also, thinking I'd just have a matching set. When pathology came back, the left just had the DCIS, as expected, but there was Paget's in my right nipple. My BS told me there was a less than 1% chance of having cancer in the right breast, but I still chose the BMX, just because I felt that was my best chance of never having to go through this again. I couldn't imagine the anxiety that would come with yearly scans. In hindsight, I'm so glad I did the BMX and removed both nipples. My case is pretty rare, but for me, it was a good decision.

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

    The countdown begins, one week till my bmx with diep recon.

    Thanks so much to everyone who has shared their story * advice, you've helped me keep my sanity during this ordeal.

  • MsW2012
    MsW2012 Member Posts: 226
    edited September 2014
    MEG2, I also went one size up on pajama bottoms. I got drawstring and they worked out great. Up at the waist is good because it's well above the incision. Mens boxer briefs, which are like whitey tidies but with legs, also were very comfy. I got xl size when I'm normally a size 8 on the bottom.
    Norita, about umx or bmx, it's not an easy decision. Not to give advice but just to share my own feeling: I treasure having one real, live breast. If anything more happens down the road, I'll start fresh from there, whatever the options may be at that point. I would advise what others have here: don't rush! Feel right about your own decision. Ask all the questions you need to ask.
  • Kb33
    Kb33 Member Posts: 88
    edited September 2014

    meg2

    I have just completed my uni diep about 2 weeks ago.  I had originally thought all long that I would just do both.... But after a lot of serious thinking and a consult with Dr S. Decided to keep my left to retain feeling and felt that the risk of occurrence in that breast was slim enough to give it a try.   Only time will tell, but I am greatful for whatever time I will have with it ;-)

    After surgery.... Men's boxer briefs large size was the way to go in dark colors and sundresses, skirts and even scrub buttoms.  Two weeks out and I am back into regular sweats and work out gear and feeling comfortable without drains.  Next week back to work and I am dreading trying on my work slacks.... Thinking dresses might be best to deal with swollen belly.   I found the drains and carry pouch made me miserable with rubbing regardless of what I wore.

  • vballmom
    vballmom Member Posts: 426
    edited September 2014

    I know my case is different, but I was surprised that the sun dresses and loose fitting tops were of no use to me. I ended up going out to buy dark colored, soft camis in a size smaller than usual because I need to keep gauze on and I am not allowed to wear a bra or compression anything.  The camis give me some light support.  I wish I had more dark colored and printed things to wear.  I am five weeks out and still have some drainage on one side and have much healing to go on the other. I also wish I had more really soft, warm, zip-up sweatshirts. It is chilly here. Again, dark colors.

  • brendarj
    brendarj Member Posts: 72
    edited September 2014

    I had a message from Dr.H's office Friday which said if I hadn't heard anything I should assume CT was fine and that I could go ahead with surgery. ?????? So OK she was referring to scan before the recon. I'd lol but at this point getting frustrated. Called again this am talked to an actual person YEA. She read findings to me including big words but what it boiled down to is definite bulge, possible hernia could require repair. I suggested that if it was still there in Jan. I would call and book appt. but she said that there were no notes from Dr. H.  on the file so she is going to get him to review findings and get back to me. Progress

  • jmb5
    jmb5 Member Posts: 532
    edited September 2014

    I lived in drawstring pajama pants and tank tops and lightweight zip up hoodies (from Kohl's) after surgery. The pajama pants were from Target, and sooo comfortable. When I started leaving the house, I wore black yoga pants from Target. They have long length, which I need. I lived in them again after stage 2 liposuction since jeans weren't comfortable.

  • brendarj
    brendarj Member Posts: 72
    edited September 2014


    I still pretty well live in yoga pants but I did find jeans that are pull on with wide waist band and have a bit of stretch also some dress pants same type of design. Not as comfy as yoga pants but they look good and are fairly comfortable. Buttons and zippers still hurt and to get a size to fit over swelly belly they are way to big everywhere else

  • Tan72
    Tan72 Member Posts: 52
    edited September 2014

    week and a half out of double mastectomy and DIEP reconstruction, doing better than I expected. Did anyone else use their own nipples and areole during stage 1? My ps said that is what they prefer so they try it (if skin test comes back clean in that area, which mine did) and if it does not take they go with a different approach to creating the nipple. I was able to use the full nipple and areole on the right and just the areole on the left (they will create the nipple at a later date) currently they are covered and are suppose to remove the dressing on Wednesday when I go in for the first follow up. 4 of 6 drains where removed after a week and the other two should come out at my follow up, can't wait for that! For clothes I went one or two sizes up depending on the style, very glad I did. Good luck to anyone going into surgery the days leading up were far worse for me than after it was done. That may change when I actually see results, but I am trying to remain positive and happy to have this piece behind me.

    I read in an earlier thread before I had the surgery about phantom feeling of hardness when it was cold, glad I read that, I had gotten a chill and it was a little freaky to feel knowing the nipple was completely removed and reattached and will have no feeling, amazing what our bodies do.

    I still have throat pain I am going to ask my ps about this during my follow up as well, did anyone else have throat irritation after surgery that lasted longer than the expected couple of days?

    Best wishes to everyone and thank you all for being here you are truly amazing and strong individuals!

  • Kb33
    Kb33 Member Posts: 88
    edited September 2014

    Did anyone have tons of sutures sticking out after surgery?   I am two weeks out and find these darn sutures are popping out of my skin everywhere and rubbing and annoying me.   One is digging into my breast and I fear it is not starting to go from red irritation to white,,, ugh

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

    KB33 - did you receive instructions from the Center for dressing your incisions?  Dr. M had me swabbing them with betadine, which helped prevent infection.  Call for clarification before you have a problem.  Each doc has their own thing.

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

    Getting ready for my surgery next week and wondering about pain meds after. What do most docs prescribe? I don't really like pain meds, hoping to start with the least potent and work my way up if necessary, but haven't discussed this with my PS.

  • Kb33
    Kb33 Member Posts: 88
    edited September 2014

    Debian

    I had a choice of whatever I wanted.  They were open to my discresion.   In the end, I never really had pain.. Only discomfort, so after a few days went to muscle relaxers.... Wish I had only taken them to begin with after my little constipation episode.... Not worth pain meds...lol

    Martyj

    Yes. I can swab... But nothing is really open so I am not worried about infection for open wounds  The glue has almost all peeled or flaked off.. So every other stitch is sticking out on the belly.   The Brest has a small line about 4 inches with sutures and all of them are sticking out and rubbing.  One stitch is almost an inch long and rubbing and poking.  Very frustrating.  Not sure beta dine will resolve that.  Lol. I just want to pull them out.  Might have to trim them instead... Not sure they will dissolve out of the body

  • norita19
    norita19 Member Posts: 49
    edited September 2014

    Ok, so I got my letter from the PS office with my whole schedule and instructions! Have to call my PCP to get my medical clearance. I went to Target yesterday and picked up some of the Gilligan and O'Malley pants including a pair that looks OK to go home in. Also a body pillow and some really soft covers. I'm getting some extra regular pillows when I go to Costco. I need some button up PJ tops, has anyone used Soma brand? Are they worth the price? Can you recommend anything good and comfy that's cheaper?  I'm tall so I like that some of the bottoms come in long. I don't think DH's shirts will be comfortable for me because they'll be too big and itchy. Oh, i did get the "wife beater" shirts too. Hate that name. And about a robe, I have either a lightweight short one or a long fleece heavy one. Should I buy something in-between for the hospital? I'm almost always hot, except when I'm freezing :p .

    When the going gets tough, the tough go shopping!

  • Tan72
    Tan72 Member Posts: 52
    edited September 2014

    I found that Sears and JC  Penny's had good PJ's and ran long, I am 5'10 1/2 and finding tall clothes isn't easy. I brought both long and short robe and so far only used the short lighter one and once out of the hospital only button up PJ's and use a light sheet while on the chair to cover up in case I get a chill, I run hot as well and it's covers on, covers off, so the sheet seems to work well for me. My recommendation is oversized PJ shorts and button up shirts, I couldn't find many soft shorts so I bought cheaper soft Jammie bottoms and cut them into shorts, life saver!

    Good luck!

  • annieb4
    annieb4 Member Posts: 106
    edited September 2014

    Norita, when is your surgey scheduled?  I haven't gotten anything for my surgery yet since it isn't until January, but I know I will be wearing the hospitals gown and robe..I actually like the weight of those, since I am usually cold unless I am flashing.  Plus, I have read they like to keep you quite warm. So I will not worry about anything except to come home in.

  • Ridley
    Ridley Member Posts: 634
    edited September 2014


    Norita -- I found my favourite pjs for recovery at Walmart.  I wanted some cheap ones so that if I got drain "stuff" or incision "stuff" on them, I wouldn't care.  They ended up being really soft and comfy -- pull on pants and button up the front tops.  Not sure if they come in tall (I have short legs!)  I didn't end up having any problems with drain or incision stuff on my pjs, but I washed a shirt with a chapstick in the pocket while I was off recuperating-- that turned into a bit of a mess!  I found the hospital really dry, so chapstick was my one must have.  Everything else, I probably could have lived without.  I did bring a light robe, but could have used another hospital gown put on backwards and would have been fine.  Actually, I used my slippers quite a bit, so chapstick and slippers (and something to wear home)! !  I brought a lot more, just in case, but really didn't need it.  I'm a stress shopper too.

  • tlbradyful
    tlbradyful Member Posts: 134
    edited September 2014

    Debiann - They should talk to you about what has worked in the past. Do no be afraid of pain meds in the beginning. Your body needs rest to heal and you may need pain meds to rest. 

    Norita19 - Shopping does give a sense of power! I love Soma! Typically I will buy a favorite at full price and then add in some of the clearance. I feel like Soma is totally worth it. I bought button up night shirts so I didn't have to wear bottoms. The lounge dresses are great too. I used a light-weight robe with pockets. 

    Slippers and chap stick

  • Kb33
    Kb33 Member Posts: 88
    edited September 2014

    so today.. Week 3 began and I hit my first down day.   Pain in my chest like knives stabbing me, armpit like a bad case of razor burn and didn't feel like working or getting off the couch.  Hoping tommarrow was better.. Wish I knew where the chest pain was from.  Every time I move or breathe.  Ugh

  • norita19
    norita19 Member Posts: 49
    edited September 2014

    Annie, my surgery is November 11th.

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