DIEP 2015

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  • cmclean
    cmclean Member Posts: 3
    edited June 2015

    Hi, 6 days post op (double mastectomy with immediate DIEP). My emotions are up and down (mostly down). I know it takes time but I'm having a hard time picturing the future and how I will feel like myself again. Just need a little encouragement. Couple of questions:

    1) Did anyone else have numbness that went all the way to bottom of "ken doll" area. Not sure if I have this or not but it is very swollen. Will any of this numbness go away?

    2) My breasts are rock hard!! Please tell me this gets better soon??

    I still have 5 of 6 drains (one came out in hospital). I hope to get these out at my appt on Tues.

    Just need to hear that there is light at the end of the tunnel!

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

    I'm 5 months out from a uni-DIEP and feeling strong, getting exercise, lifting what I want, and feeling like myself again. Hang in there! There will be lots of numbness and swelling at first, so don't even worry about this stuff yet. Just try to rest and take little walks and you'll be feeling a little better week by week (but it's not necessarily day by day at first). You will get through this! {{{hugs}}}

  • Ridley
    Ridley Member Posts: 634
    edited June 2015

    Hang in there Cmclean! Lots of light coming your way. I'm 18 months out from bilateral surgery, and feeling fine. Tattoos are my last step. Focus on lots of rest, fluids and protein and a little movement each day and you will get through this.

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

    I just got my date for my "stage 2", balancing surgery. It's not until Jan 7, which seems like a long time, but at least I know I can relax and enjoy the rest of this year with (hopefully) no dramas! The plan is to reduce the right (prophylactic) side by 1-2 cup sizes and also tidy up a little "pucker" on my left.

    I just have to work out how to manage my coagulation issues, but hopefully we will do this without another round of lung clots!

    My hematologist is arranging some genetic testing to try to establish just what is up with my platelet production. There is a test not yet available in Canada, so he wants to send it off to the states, which he said is costly but worth doing, in my case. How special am I!!

    I said, fine by me. (I'm not having to pay for it anyway!) :)

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

    cmclean,

    6 days?? Oh dear, I was one day home from the hospital and hardly able to move at that point!

    The swelling gradually resolves, but it can take weeks! Your flaps WILL soften, and some of the numbness resolves over time. I'm still numb under my axillae, and the backs of my upper arms, and an area of my tummy, from about 2" above my new tummy button just down to my incision line, and about 3" wide. Hey, I could get a piercing - I surely wouldn't feel it!!! :D

    I am over 6 months out now. I am swimming, dragonboating, and wearing a bikini for the first time in 25 years!!!! Well actually the top is a sports bra, but it works :)

    There IS light at the end of the tunnel, just take it day by day!

  • mary625
    mary625 Member Posts: 1,056
    edited June 2015

    We can have MRI's with our surgical clips in, correct? I've got a pelvic/lower back MRI tonight.
  • CatsRus
    CatsRus Member Posts: 310
    edited June 2015
    Thanks for posting your experiences ladies. I started off with no intention of reconstruction but now I'm considering Diep. I won't get my referral to a PS until one year out from my MX (which was just in March), so I have plenty of time to lurk here and read. Nice to read some stories where people are pleased with the results, mostly I've read horror stories.
  • Ridley
    Ridley Member Posts: 634
    edited June 2015


    Cats -- where in Ontario are you?   There are a few of us that have had DIEP in Toronto, so if you have any questions re: surgeon referrals or anything else, ask away.

  • CatsRus
    CatsRus Member Posts: 310
    edited June 2015

    I'm in Windsor but my BS already said she would be referring me to Toronto. Any recommendations always welcomed. I will do the consult for sure but having a hard time deciding. I guess it will become clearer as time passes and I get more information. I have one more chemo to do, just had one yesterday. I don't need radiation. Thanks

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

    I'm very pleased with my reconstruction even though I've only had stage one. It's so nice to be able to wear whatever I want and not worry. Planning on stage two either dec or March.

  • CatsRus
    CatsRus Member Posts: 310
    edited June 2015

    Sly58, Your PS is Dr Lipa at Sunnybrook, right? (I made a note from another thread 😊 ) Thanks for your input. I am glad you are happy. How was your recovery and how long? I recovered very quickly from my MX and ALND but I know this is much more errrr...can't come up with the right word...so I'll leave it at 'much more'.

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

    Cats4us, I think Dr. Lipa is the best Dr. I've come in contact with! As soon as she examined me she was able to tell that I didn't have enough abdominal fat to make up my D size left but could probably get a C on the right. I was fine with that knowing that stage 2 would reduce and lift the left. Apparently 10 minutes after being in my hospital room, at my first doppler check (reminded me of pregnancy heartbeat!) I asked for a mirror to see my new baby! I was warned that I just had major surgery, but I didn't care- when I looked for the first time I had tears of joy, I had a breast mound! I felt whole. I was so happy and not once have I missed my natural breast. Dr. Lipa visited me frequently and as I got to know her more I liked her more, she is very down to earth, takes time to listen and answer all questions and did a beautiful job on giving me a cleavage that was very much like I was prior. I can't wait for stage two to tweek things.

    Recovery for me was hindered by the fact that sleeping on my back was hell. I just can't do it so I think I was sleep deprived. As soon as I was healed enough to gently lay on my side my recovery really quickened. It was exactly one month and I felt about 75% better.

    I found using a shower seat really helped with showering for the first couple of weeks as you can't lift your arm higher than shoulder until your follow up apt. Doing prescribed exercises help with range of motion. I found through someone's suggestion here, that putting masking tape on a door frame and marking how high I could raise my arm showed me progress and kept me motivated. I'd say I'm pretty much back to normal now.

    I would definitely do it again in a heartbeat. People can't believe I had a mastectomy when I wear a bathing suit so I'd say it's a success even though I know I'm a cup lopsided! Recovery for me was hard for a month, but it's been worth it to have a breast that is all me, warm and familiar. Best of luck with your decision. If you have any other questions, feel free to ask.


  • Ridley
    Ridley Member Posts: 634
    edited June 2015

    catsrus - my PS is Dr. Hofer at Uhn/princess Margaret. I was originally referred to Dr lipa, but didn't hear back, and was able to get a consult with Dr Hofer. He is great as well. The first time I met him, I felt within a couple of minutes that I was in the right place and had made the right decision. No regrets.

  • ssteacher
    ssteacher Member Posts: 22
    edited June 2015

    Getting a bilateral mastectomy next month and then diep surgery. Any advice?

  • ssteacher
    ssteacher Member Posts: 22
    edited June 2015

    Thanks for the info about the drains. Trying to prepare myself for everything!

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

    Be prepared to sleep on your back with both knees and back elevated. Although we have a recliner, I found sleeping in my own bed with lots of pillows much more comfortable. I purchased a long body pillow which initially was used for my back with lots of regular pillows but as I healed I used it to gently start sleeping on my side.

    My drains were out by the time I left the hospital so I was very lucky. I purchased an inexpensive bath stool which was used for a couple of weeks- it was amazing how tiring a shower was even sitting down. You won't be able to raise your arm higher than shoulder so you have to bend your head down to shampoo but it's doable. I was surprised that I wasn't able to bend downinitially to pick things up if I dropped something but that improved after about a month. Brushing your hair will be awkward at first because of arm issue.

    Bring step into slippers to hospital so you don't have to bend. A long housecoat as they get you walking right away and those hospital gowns leave nothing to the imagination! Lip balm, eye mask (my hubby had to buy me one as they leave the lights on and all I wanted to do was sleep) music (drown out hospital noise) maybe an iPad for when you start to perk up!

    Good luck ladies, it will be a tough few weeks but well worth it!

  • Scarlett152
    Scarlett152 Member Posts: 175
    edited June 2015

    I got this foam topper for my sofa and got a remote controlled lazy boy in bedroom. Both were great. Could have gotten away with just the foam topper. http://www.bedbathandbeyond.com/store/product/contour-living-reg-backmax-plus-enhanced-wedge-system-in-tan/1040540085?Keyword=Wedge

  • TallyLassie
    TallyLassie Member Posts: 56
    edited June 2015

    Hi Ladies: I've taken some time away as I'm feeling so much better 3 months out from surgery I took my first non-medical trip since this thing began. Went to visit my husband's family in Pittsburgh and also crossed the Rolling Stones off my bucket list--fantastic show! Yes, there is life after DIEP!

    I'll second sly58's excellent advice: You will be pretty out of it in the hospital and won't need much. I had a little fanny pack by my bed with eye shades, ear plugs, Ipod for music, lip gloss, my phone that I used for Facebook and email, and a charger.I didn't get out of bed for the first two days (was in for four days) and I hated to lose the catheter that allowed me to just lay there in a morphine fog.

    Can't emphasize enough the need to have ROOMY button down the front clothes in the first weeks to access drains easily (you need lots of extra space to accommodate them) and to avoid over the head moves when changing. I also had a compression belt and bandages for awhile that required roomy clothes. I bought a roomy shirt dress that I kind of lived in for awhile. I also had an elastic waist skirt that I was able to fold down or pull up over the bandages and wear with a roomy button up shirt. I bought some cotton button up pajamas that were handy. I, too, used lots of pillows to prop myself up. I still sleep on my back for the most part, even 3 months out, and I'm getting more used to it, but also starting to sleep on my side. I did not use a shower stool, but I happen to have a wheelchair accessible shower with grab bars that was easy to get into and out of.

    Like sly58, I had that moment after surgery when I looked down and saw a breast there and was elated. That made it worth everything. I am attaching a photo to show you what a uni looks like 3 months later--still lots of healing to go, but in clothes (including bathing suit), I look and even feel normal. I go in for phase 2 next month for a little fat grafting and nipple. It is hard to match a uni, and I feel like my "foob" is a little bigger and saggier than the natural one, but I'm not sure how much my surgeon can do with it. Before surgery he said he could lift them both, but after surgery when I asked him about it he asked me if I really wanted an "anchor" scar on my natural side, which is what they would need to do (cut and lift). I'm opting to leave well enough alone.Also, the shape is flat on top without contour, so it looks a little funny, but it's all me (though still and maybe forever kinda numb).

    It seemed like a long recovery for me--at least a month before I felt more like myself--and I still feel both numb and tightness across my entire waist and some pain from the sentinel node biopsy scar. However, I am doing yoga, swimming, walking, working out, all the things I did before. I'm just still very aware of the abdominal scar, which will take some time to heal.I am massaging the scar lines every day but not sure how much that helps.

    I had zero complications, which is probably true for the vast majority of us who contentedly go on about our lives.So I'm writing all of this to give you hope tempered with the reality that this is major surgery and takes some time to heal from.I would do it again without question.Good luck to you all and keep in touch.

    image

  • Dogbiscuit
    Dogbiscuit Member Posts: 10
    edited June 2015

    STACKED DIEP?

    Hi, has anyone out there had a stacked DIEP? I had a double mastectomy 7 weeks ago with SGAP reconstruction. One flap failed. PS said the only option I have is a stacked DIEP. I have been working on eating a lot more junk food trying to gain fat in my stomach for the surgery that is in 3 weeks. I am scared because I already had one flap fail, and I am scared about having my stomach cut open and not being able to get up and down or in and out of a car. It was hard enough after a C section and this will be 10 times worse. I understand the doctor will take tissue from both sides of my belly button, but I am not understanding that they will make me a new belly button.

    Please someone explain this to me and please let me know about the recovery. How long will those dang drains stay in. I still have a seroma in my left butt cheek from the SGAP procedure.

    I will have the second stage surgery in December, if this works. Insurance deductible is met, so they are the driving force on having three surgeries in a 7 month period.


    Thanks for your help!

  • trying2staypositive7
    trying2staypositive7 Member Posts: 96
    edited June 2015

    Hi all! Thanks all for all of the helpful info! I've been reading all of your posts like crazy trying to absorb it all by Monday, June 29th (my surgery date). Now that the date is fast approaching, I'm getting a little nervous! I know that it's all worth it in the end but I still have those little nerves jumping around! Thanks Morwena for adding my name to the list! Gentle hugs to all! And to the others that have a surgery coming up..good luck!

  • mefromcc
    mefromcc Member Posts: 188
    edited June 2015

    Best wishes to our 3 sisters having surgery June 29. May your recovery be uneventful.

    I was someone who needed to see my foob results as soon as possible. I was thrilled to see the mounds where before was deflated tissue from my skin sparing mastectomies. I didn't get to see them first, though. My PS showed them to my husband while I was still asleep in the Recovery Room.

  • CatsRus
    CatsRus Member Posts: 310
    edited June 2015

    Thanks for all your input ladies, Sly & Ridley especially for the info on the Toronto docs... I've made notes. I'm interested to find out who my BS refers too, I respect her very much and I am pleased she was my surgeon for the MX and ALND. TallyLassie, thank you for the photo... you look great. Scarlet, the foam topper looks amazing :-) Must admit the recovery time still scares the bejeebers out of me, and the thought of drains again ugh.. but I'm only 3 months out from MX and as I was dead against more surgery right after, I find that is fading now so who knows. I intend to keep an open mind and keep reading. Thank you so much for sharing your successful surgeries and hints & feelings about doing it. I think you are correct Tallylassie, most people who are happy with their results just go on with their lives.... much like the old adage that if you have a bad experience you are more likely to tell a lot of people but your don't tell so many about good ones. Thank you all, and good luck to those of you with surgeries upcoming. Please come back and tell us your stories, hopefully all good ones.... but if not then we need to hear them too. Take care and good luck. I'll be reading and asking questions until I make my final decision... and I will let you know what that is.

  • oceanwaves718
    oceanwaves718 Member Posts: 3
    edited June 2015

    Hello, all. I am new and this is my first post to this forum but you ladies have already been very helpful. I am scheduled for a uni DIEP/free tram surgery in a few days on June 30. I've been feeling very anxious and nervous as my surgery date is coming up fast, but reading many of your posts has made me feel much better. My last attempt at reconstruction was unsuccessful because my radiated skin did not agree well with the implant. I am now hoping this will work out as I (like many of you I'm sure) am getting tired of having surgeries.

    So I have a question about NERVE BLOCKS. Has anyone had a nerve block? How and where was it given to you? Would you recommend it? Any negative experiences? Any input will be greatly appreciated.

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

    Dogbiscuit,

    I am copying and pasting my reply to Brodie for the same question, posted on the previous page of this thread:

    When they cut to harvest the tummy tissue, they take an elliptical piece from below the belly button. Then they loosen the skin right up to the rib cage and stretch it down to cover the defect, like pulling down a window roller blind! There are internal stitches used to give the displaced skin some stability on the underlying fascial layers.

    The belly button is adhered to the deep abdominal wall tissues, as it is the scar from the umbilical cord, so obviously it cannot move with the skin! (Plus you wouldn't want it on your bikini line!) So they cut around it before they stretch the loosened skin down, then they make a hole in the skin that is now going to cover that location, poke the belly button through, and stitch it in place. It can be slow to heal as, being scar tissue originally, it doesn't have a great blood supply!

    This is my take on what they do, maybe not the textbook answer! ;)

  • GraceB1
    GraceB1 Member Posts: 213
    edited June 2015

    Dog Bisquit - I ended up having a stacked DIEP, not sure why. I thought my belly was plenty big . I do have a wide rib cage so I guess that's why. It just means instead of throwing one side of the belly away and only using the other side they put both sides in on top of each other. It's a little more complicated technically as they have two sets of arteries and veins to attach to your chest. I'm a little over three weeks out and doing so much better than I dreamed I would be. It's much faster than a c-section to recover from as they don't cut into your stomach muscles. My last drain came out at 11 days. I was driving short trips after two weeks. I started physcial therapy last Wed as I had a lot of scaring from the MX and radiation. My PS doesn't do compression and she encouraged me to stretch my arm as high as it would go from the beginning. She said it was all stitched down good and nothing would fall apart. She did say no really bouncy activities like horseback riding and boating. I will be going back for a check up on Tues. We will start talking then about a lift on the other side and if we can remove a crease I have on the inside on the flap. I'm still a bit sore and have no energy due to blood lost. They didn't make a new belly button so much as cut around the one have to free it from the skin they were using. Then when they pulled the skin down to cover what they had taken and used they made a hole and stitched my belly button in place. Weird, right? I do have an anchor scar but this is how you get projection and not just a flat mound. Kinda like a dart in blouses.

    TallieLassie - Thanks for checking back in. Your results look great! I just want to look normal (even size and height) in clothes.

  • TallyLassie
    TallyLassie Member Posts: 56
    edited June 2015

    Sorry I don't know about nerve blocks... Just wanna say best wishes to those who are having surgeries tomorrow and the next day. I hope that it goes as smoothly for you all as it did for me. I'll be thinking of you and look forward to hearing how things go once it's all over.

  • ssteacher
    ssteacher Member Posts: 22
    edited June 2015

    Thanks Tallylassie and everyone else for all of your input. Tallylassie-were you able to start exercising after 3 months? I was recently diagnosed with osteo of the spine and exercise is a key component in keeping me off bone meds. I'd like to try to exercise as soon as it is safe. My surgery is 7/21 and I am a nervous wreck. I am also trying to gain more weight in my stomach hoping to have at least a b cup --I am getting a bilateral mastectomy. This thread has really been helpful.

    Thanks

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

    I was advised not to do "strong abdominal work" until 3 month mark, but you can do pretty much anything else that you feel up to .... just work up gradually. You can do poolwork once all your incisions are completely healed and solid.

    I had my surgery Jan 6, and unfortunately developed clots in my lungs which slowed me down a bit, but I still started "dry land training" for my dragonboat race team in early March!

    Walk as much as you can in the early stages. Aim to get your arm range back over the first 6 weeks, then add graduated strengthening for the upper limbs. Do lower extremity work as tolerated. I did, and still do, find that my abs tend to tighten up like I'm going into labour when I try to run! ... and I cannot do a sit up, but then I always did have difficulty with that! ;)

  • websister
    websister Member Posts: 1,092
    edited June 2015

    Thinking of Oceanwaves with her surgery today and the three ladies who had their surgery yesterday. Hope all went and continues to go well. Looking forward to hearing from you when you are able.

    SSteacher - I have osteoporosis of my spine - I am 5 1/2 weeks out and agree with Morwenna's advice. I am currently doing lots of walking and gradually picking up the pace. My back is feeling really good. I am starting the light abdominal work this week as per my PS approval at last week's visit.

    I got my phone call yesterday from PS's office - Stage 2 including exchange of TE for implant on left side - scheduled for October 7th.


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

    ooh, my stage 2 isn't until January! You'll be "finished" before me at this rate, Websister!

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