DIEP 2015

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  • mefromcc
    mefromcc Member Posts: 188
    edited March 2015

    Andrea623, if I have a swelly belly, I would not know because I am down one pant size from before my surgery. I do have a small pot belly, which I like, but I had a lot of extra fat above my bellybutton before the surgery to get pulled down.

    I bought a bra today for comfort. It was a Warner that was on sale. The PS had said no squishy ones. My flaps are not being squished, but the bra is drawing in my sides against the flap. Very comfortable over no support.

    My BFF was in town today and looked at all my incisions and gave them a high mark for healing, except for my dead bellybutton. She is a wound care expert, so I feel happy that I passed.

    Let us all continue to heal!!

  • Andrea623
    Andrea623 Member Posts: 959
    edited March 2015

    mefromcc, that's wonderful that you're healing so well! It seems as though I've heard other women say their belly buttons don't heal as quickly. I wonder why?

  • mefromcc
    mefromcc Member Posts: 188
    edited March 2015

    Andrea623,

    My bellybutton didn't make it through the surgery. Turns out that some of the lapascopic surgery I had in the past had cut off the blood supply lower down and when the bellybutton was severed from my skin for the pull down, it lost the superficial blood supply and died. We are creating a new innie for me via secondary intension. So I have a hole where the dead tissue was cut out and it is healing from the bottom up.

  • Andrea623
    Andrea623 Member Posts: 959
    edited March 2015

    Mefromcc, I wonder how often that happens? I had my tubes tied through an incision in my belly button. Did thesevered blood supply show up on the CT scan?

  • Morwenna
    Morwenna Member Posts: 1,063
    edited March 2015

    The belly button is the one natural scar that everybody has. As scar tissue it has an inherently poor blood supply, so that area is often subject to delayed healing after this surgery, and any place where healing is slow is at increased risk of infection.

    This is also true of irradiated tissue, hence an area under my left arm which thankfully did not become infected but is only just about healed now .... Still fragile-looking!

  • mefromcc
    mefromcc Member Posts: 188
    edited March 2015

    Nothing noted on the copy I have of the CT scan. I think I know which surgery got the bellybutton blood supply. It was a surprise surgery when I got cholecystitis. The surgeon had problems getting my bleeding under control when he made the keyhole incision right below my bellybutton. They injected the area with lidocaine with epi to make it stop oozing. I ended up with a JP drain after that surgery. I suspect that is when the lower artery and veins got severed. It is annoying to have to clean and dress the wound every day, but it is not painful. I was actually surprised to discover that belly buttons still had blood supplies. I always thought it was just a giant scar and scars don't need blood supply. Live and learn.

  • nihahi
    nihahi Member Posts: 3,841
    edited March 2015

    Hi ladies.....just popping in to see how you all are doing. Interesting conversations here....and I recognize many of the questions/topics from earlier threads.

    As a hoped for Diep that became a muscle sparing Tram, I can tell you that long term effects of losing that little sliver of muscle has been non existent for me. Still able to do all I was doing before, in an active lifestyle....no problemo. My personal opinion...if a doctor says he NEVER thinks tram vs diep is appropriate, then he/she is not willing to consider the "uniqueness" of each patient. Even if you have a "pure diep", your ab muscle is impacted. It should be what is the best surgery for YOU, not the docs reputation. There....venting done, SORRY. :)

    Swelly belly seems to be a natural progression of the healing. Massaging the whole ab and sides of ab do seem to help reestablish the lymph drainage in the tummy area, as does.....T.I.M.E.

    If you have an incision all the way around your belly button, you had the normal recon, which is to leave your "button" attached, but poke it through when the tummy skin is pulled down, and re-attach it to the new skin location. Actually, I don't think I've heard of severing it completely before....interesting.

    Take care, all.....safe surgeries and gentle healing to you. Hope you don't mind my "two cents".




  • Andrea623
    Andrea623 Member Posts: 959
    edited March 2015

    Nihahi, thank you for the info. I was going to have a diep last September, but after hearing my veins were small, did the implants again. Well, the radiated side is so thin it feels like it'll tear and I wear a bra 24/7 to hold things in place. Or at least it feels like it'll keep it from falling apart. I want the diep and would be very disappointed if it doesn't work out. I don't want a lat flap, so this is my last chance at reconstruction.

  • nihahi
    nihahi Member Posts: 3,841
    edited April 2015

    Andrea....I also went into flap recon surgery as my last chance for successful reconstruction. I talked about it ALOT with my PS, and we both reached agreement that flap "survival/success" was the primary goal. Although any kind of recon and any PS have the potential for both success and complications, statistics have shown that muscle sparing trams have a very slight edge over diep for flap survival, and a slightly less chance of fat necrosis developing. Diep is an absolutely wonderful type of recon, but having something different, even if something completely different, like implants....does not mean you have "settled for something substandard", if it turns out to be what "works for you", and lets you move on with life. (again, just my opinion).

  • Andrea623
    Andrea623 Member Posts: 959
    edited March 2015

    Thank you, Nihahi. I hope I didn't imply that I think implants are substandard, because I certainly don't feel that way. I just wish I had gone with the flap on my radiated side, instead of trying implants three times. :)

  • OVienna
    OVienna Member Posts: 16
    edited March 2015

    hello everyone,

    Has anyone heard of someone getting pregnant after a Diep flap? Does the skin around theabdomen just stretch out again?


  • Morwenna
    Morwenna Member Posts: 1,063
    edited March 2015

    Hi OVienna,

    I wouldn't think it is the skin that has the problem stretching, but there is a theoretical possibility for developing weakness in the abdominal wall with inherent risk for bulge/hernia. But having said that Google produces scientific/medical reports of successful pregnancies, although it may result in planned C-section.

    I just did a quick search of this site, and it seems that there is one lady, PinkJewel, who posted just last month that she had just discovered she was pregnant (20wks) following her DIEP last fall.

    If I may make a suggestion: possibly you will reach a wider audience for your question if you start your own thread, as many people might miss it, buried in here.

    And secondly, discuss it with your plastic surgeon and/or your Ob/Gyn if you have one?


  • OVienna
    OVienna Member Posts: 16
    edited March 2015

    thanks so much Morwenna! I will send a msg to pink jewel and perhaps start a new thread. I see my PS this Fri..

  • Hopkins2015
    Hopkins2015 Member Posts: 13
    edited March 2015

    My surgery date has been moved up from the 25 to Friday March 20. The nerves are starting to kick in!

  • Morwenna
    Morwenna Member Posts: 1,063
    edited March 2015

    Timeline adjusted accordingly Hopkins.

    It's all good, the sooner the better (queue-jumping!) ;p

  • slv58
    slv58 Member Posts: 1,216
    edited March 2015

    Ok Ladies, I need a group support, my surgery is tomorrow! Thanks to everyone, I believe I have everything ready!

    Feeling a bit nervous and a bit sad, but I know that will pass! I can do this! I can do this !

  • Ridley
    Ridley Member Posts: 634
    edited March 2015

    Slv - good luck tomorrow. Just show up and let your team take care of everything else!

  • nmh35
    nmh35 Member Posts: 96
    edited March 2015

    good luck slv58!!

  • Butterfly53
    Butterfly53 Member Posts: 23
    edited March 2015

    slv58, all the luck in the world tomorrow. Everything will be great! Keeping you in my thoughts and prayers. Keep us posted (:

  • LAstar
    LAstar Member Posts: 1,574
    edited March 2015

    I thought this thread had gotten very quiet, and then I realized I must have accidentally removed it from my favorites. Lots to catch up on!

    Violet, I felt just like that at 6 weeks post BMX+Stage 1. Having both done at once is a big surgery. I had mine at the same time as two women in my town who'd had their MX's 2 years earlier, and they were back in action at 6 weeks and I was still on pain meds. Just when you think you can't take another day, you start to turn the corner. These recoveries are so long, and just when you are feeling better you have a day or two down. It's better to look at weekly progress than daily progress. I hope you have turned that corner!

    Slv, I am still using a pillow under my knees when I sleep (6 weeks out). My back is not happy that side-sleeping is still not comfortable yet. Your wait is nearly over! Best wishes for a smooth recovery!

    Andrea, I have not gotten the "swelly belly" yet. I kind of wonder if the skinny women think their bellies are swollen and the women who had more generous donor sites are thrilled with their new flat tummies (but both are the same!).

    I'm at 6 weeks today and feeling sooo much better. I still have a little tightness in my abdomen and my left arm doesn't feel quite ready to carry much weight yet, but I can clean my house and make some dinner and be a functional human again! Yay! It's so nice to be back. I've been out for dinner and a show in heels with some lipstick, and I'm enjoying my new silhouette. Feeling thankful.

  • Trvler
    Trvler Member Posts: 3,159
    edited March 2015

    Best of luck and a speedy recovery, SLV58!

  • Lolis197138
    Lolis197138 Member Posts: 512
    edited March 2015

    SLV good luck today!!!

  • Andrea623
    Andrea623 Member Posts: 959
    edited March 2015

    SLV, good luck today!

    LAstar, it's good to see you back! I'm glad to hear you're recovering ell and no swelly belly

  • Moderators
    Moderators Member Posts: 25,912
    edited March 2015

    Best of luck with your surgery slv58,

    We're thinking of you!

    Hugs xoxo

  • annieb4
    annieb4 Member Posts: 106
    edited March 2015


    Good Luck to you SLV.

  • Scwilly
    Scwilly Member Posts: 489
    edited March 2015

    Slv58 hoping all goes well today and your recovery is speedy and comfortable. xo

  • Hopkins2015
    Hopkins2015 Member Posts: 13
    edited March 2015

    Speedy recovery slv!!

  • WalleGator
    WalleGator Member Posts: 102
    edited March 2015

    I head into surgery this Friday the 13th (lucky day?). Sounds like Slv and Hopkins and I will be on the same path to healing. I wish both of you the best of luck. I'm tired of feeling like a boy with my flat chest and super short hair and pray the surgery goes well for all of us. Thank you to Morwenna and everyone else who have posted what to expect and how they're healing. I am so appreciative of you ladies giving us an inside look at what to expect. Bless you all!

  • mefromcc
    mefromcc Member Posts: 188
    edited March 2015

    Slv58, my thoughts are with you.

    Wallegator, Friday 13th is only unlucky if you are a Knight Templar, so your doctors will do fine.

    LAstar, your post came at just the right time for me. I'm at 26 days since surgery and I still need pain meds which made me feel discouraged. I'm going to go and take a pain med now and not feel like a wimp for needing one.

    Let's keep on healing sisters.

  • Morwenna
    Morwenna Member Posts: 1,063
    edited March 2015

    slv you will rock this! For everybody yet to come ..... Warrior faces on, its a battle worth winning!

    9 weeks out now, and I've been able to lie flat and sleep on my right side for a while now. Lying on the left is a little uncomfortable yet. My slow to heal area just has a little crusty area right in the centre. Not really a scab even, and I'm being very good and leaving it alone (I'm a picker!!!)

    Is everybody doing scar massage? What about the tummy? I do what I can for myself, but wondering about visiting a masseuse .....

    I walked 7 laps (1km) on the track at the Y in under 10 minutes yesterday, and celebrated by running one lap to finish off! Still more breathless than I should be but damn its improving! I tried paddling for a couple of minutes, but that is still a bit strong for my tummy, and my PS will be pi$$ed at me if I damage myself!

    Feeling a little bad for asking the student phlebotomist to find someone experienced in tricky veins for my bloods this morning. I know they have to learn, but I'm fed up with multiple pokes, so they can jolly well go practise on somebody else! ;)

    Happy Tuesday everyone xxx

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