DIEP 2015

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  • Tmgilbert1071
    Tmgilbert1071 Member Posts: 47
    edited October 2015

    dizzparkmom- Most patients for the DIEP procedure are from out of town unless you are one of the lucky ones who has a center that specializes near you. I live in Florida and we drove to New Orleans for my DIEP surgery last Tuesday. Tomorrow is my post op. The first couple of days you are kinda in and out with the pain pump. I had a catheter in the first day so I never left the bed. The second day they pulled the catheter and switched me to oral meds. My pain is from not being able to stand up all the way. Personally, I've had a ton done. Bmx, nipple sparring. Implant failed, TE placed, implants replaced and now 2 years later I'm doing what I should have done back then. Relax and know you are doing the right thing. None of this is easy but sounds like you have a good support group and October 19th is a good day it's my bday!

  • Angelsareeverywhere
    Angelsareeverywhere Member Posts: 4
    edited October 2015

    new__me...check with the medical college. I had the mastectomy and diep flap in one 8 hour surgery. I was also out of network and it was not a problem, especially if no physician in your network offers the diep flap. Do not settle for what you do not want...you will not regret having the diep..fight for what you want. I had a ps tell me I was"unreasonable" because I would not let him scare me into implants(big surgery,you won't heal,overweight etc...). I healed beautifully and haven't looked back! Best wishes!!

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

    Dizz: I am surprised anyone would tell you to fly back for having drains removed. I had 3 of 4 removed one week out by the doctor and my husband removed the other one a few days later. The doctor showed us how to do it. I can't imagine it being necessary to fly back for that. I would ask. If you are staying in a local hotel for a few days, do you have a post op visit scheduled? That sounds like a lot of unnecessary travel to me.

  • kathy744
    kathy744 Member Posts: 12
    edited October 2015

    new_me - I am having delayed DIEP. From what I hear the biggest difference is the scarring, and of course having to have a 2nd surgery. If you do immediate there is very little visible scarring, with the delayed you end up with "football" shape like scars. I originally wanted immediate but my BS was concerned that I would need chemo and didn't want to delay that. I lucked out and didn't need chemo, lymph nodes were all clean and my onctype dx number was a 15.

    My PS says that most women that have delayed actually appreciate the results more because they know what it's like to live without a breast(s) for a while. I'd say the biggest drawback for me was having to have a prosthesis. I had a unilateral so if I didn't use the prosthesis I was lopsided, if I had a double I probably would have just gone flat until the reconstruction. The prosthesis can be uncomfortable.

    You mentioned putting off recon for a month or so, I'd check with your surgeons and see how much time they would want to wait between mx and recon, it might be more than a month.

    Good luck, hopefully you'll get a date for surgery soon.

  • DizzParkMom
    DizzParkMom Member Posts: 316
    edited October 2015

    Thanks for the encouragement! I think the last 6 months have left me very impatient. I will have a post-op about 1 week out before we fly home, but the b.s. didn't anticipate all the drains would be ready to come out yet. She said that at least some would come out 2-3 weeks after surgery. We will schedule our return trip based on drainage rate during the first week. I have flown back and forth to the clinic every 3 weeks for chemo, so the basic idea of travelling doesn't bother me. However, the idea of traveling with the drains and a major inscision does freak me out. I know it will all be worth it in the end. Breath in, Breath out.

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

    Dizz, I agree that removing the drains is simple and not worth travelling for. My hubs removed mine for all 3 surgeries and it is painless. The only tricks to it are (1) snipping the stitch that holds the drain in place, and (2) opening the drain bulb BEFORE pulling so there is no suction. When my drain output is down, I don't want to wait an extra second to get those suckers out!

  • Tmgilbert1071
    Tmgilbert1071 Member Posts: 47
    edited October 2015

    just had my post op appt today. Both breast drains out and one abdomen drain out. My husband will take last abdomen drain out in a week or two depending on rate of drainage. It was super easy. Painless and my PS showed my husband step by step what to do. My results are beautiful. Even if I never went back for a stage 2 I would be totally happy. I've lived with a mess for so long that it looks like perfection to me. I can't stress enough to not doubt yourself on this surgery. It's all worth it!

  • new__me
    new__me Member Posts: 128
    edited October 2015

    It is so wonderful to hear how well all went. I wish you continued recovery and keep smiling!

  • 39andhip
    39andhip Member Posts: 164
    edited October 2015

    Out of curiosity, those of you who mention 'Stage 2,' what exactly does this entail? My PS has not talked to me about any 'Stage 2.'

  • trying2staypositive7
    trying2staypositive7 Member Posts: 96
    edited October 2015

    Hi 39 and hip,

    Stage two usually entails the surgeon going back in to perfect what he/she did in stage one. Stage one is usually nust the doctor attaching the tissue from your stomach to the breast area. After swellinggoes down, the doctor will perform a stage two to shape tbe tissue and perform any necessary lipo. The doctor will tell you exactly what he's going to fine tune in step two. Some peeps don't have a stage two. I'm having mine done in December. I was a uni, so my doctor has to match the two sides. I'm sure someone will come along and give a more detailed answer. Hope that this helps! Wishing you continued healing! 

  • 39andhip
    39andhip Member Posts: 164
    edited October 2015

    trying2staypositive7 - Thanks, that's what pretty much what I thought. I guess my PS doesn't get as technical with me. He just told me at the beginning that I had to give him a full year before I was allowed to get mad over a result. LOL. I also had a uni, but it matches the other side pretty nicely right now. I'm trying to decide if it is worth it to let my PS go back in and polish his work. I'm soooooo over surgery right now.

  • Tmgilbert1071
    Tmgilbert1071 Member Posts: 47
    edited October 2015

    39andhip-stage 2 is the perfection stage. Stage 1 is about making sure the vessels take and stay working. By 2 1/2-3mo stage 2 is performed and yes they wait until swelling is down and then they critique it to see what will need to be done. At my post op yesterday the PS said he would adjust my scar line lower (it looks amazing to me now). He also said he would adjust the amount of tissue that's on the sides of the breasts and do a small lift on both. I know what I looked like before and I can honestly say I would be thrilled even without stage 2 at this point. I too am soooo over surgeries (with stage 1 =5 surgeries) I will say that 3 months tops if that is all you need to know if your happy with results not 1yea

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

    Any idea if they can lower a belly button? Mine is about 1.5 inches too high. I am happy if they can't but I am curious.

  • Carol99
    Carol99 Member Posts: 116
    edited October 2015

    It's so great to hear all the positive feedback, not only with the results but the surgery too! I can't wait until January!

  • BigSister-2015
    BigSister-2015 Member Posts: 342
    edited October 2015

    I'll also be a five-timer after my bilateral DIEP. What is frustrating is that each time I finally start feeling better with return of range of motion in my arms, it is time to hit it all again, and this next one will be a doozy.

    I just got a date (12/10/2015) with Dr. Chu at IU in Indianapolis for a bilateral DIEP. I am grateful to have my bs help me vet the PS for this surgery, but now that the date is set, the terror begins to rise.

    I'll be looking forward to this time next year when it should finally be done

  • Tmgilbert1071
    Tmgilbert1071 Member Posts: 47
    edited October 2015

    big sister-this one is a big one but if your results are anything near mine you will be amazed.


    Trvler- I'm sure they can. I'm sure if the PS is lowering my scar in stage 2 (don't ask me how but he is, I didn't even know that was necessary and honestly it sounds like even more stretching of the skin to me)but I'm sure with that comes a new belly button that's lower to me.


  • Sablanut58
    Sablanut58 Member Posts: 12
    edited October 2015

    I have been reading this forum but this is the first time I 'm writing. Today i got the day of my diep: December 21st. To introduce myself I tried to fill out my dx and tx. I couldn't find how to add that I had 7 surgeries in my RB! Hope the diep will be the 8 th and last one. I'm really looking forward to reconstruccion as an end of 5 yrs of overtreated!

    R mx was 3 weeks ago; now dealing with fluid build up, Anny recommendations: do or don't exercise? Compression bra? Ice?

    Also waiting for genetic test results. Thank you all!

  • mefromcc
    mefromcc Member Posts: 188
    edited October 2015

    Sablanut58,

    Welcome to our group. I had seromas after my BMX. The doctor treated them with compression and periodically draining the fluid with needle and syringe.

  • SA8PG
    SA8PG Member Posts: 371
    edited October 2015

    Carol it looks like we are both Jan. surgeries. 😊. Looking forward to this holiday season not attached to drains and recovering like last year.

    Welcome Sablanut58. I'm learning so much from these ladies. They are a wealth of knowledge on this type of recon. Lots of love, prayers & hugs that this indeed will be your last surgeries for recon.

    G

  • kathy744
    kathy744 Member Posts: 12
    edited October 2015

    Welcome to the group Sablanut58!

    Your surgery will come quick, I've had mine scheduled for a couple months and now it's next Wednesday, I can't wait to be on the other side of it.

    This site has given me the confidence that I can handle the surgery and recovery, I'm sure it will do the same for you. And hopefully this will be your last surgery.

    Kathy

  • Evegibb
    Evegibb Member Posts: 20
    edited October 2015

    Hi everyone,

    I'm having surgery a week from today! I'm so excited to finally take this next step. I have a couple of questions: Pillows? any suggestions on how many pillows I should have? Or any special pillows that work well while in recovery? Also, advice on what worked best for constipation? Any feedback is welcome! Thanks everyone!

  • lynn85
    lynn85 Member Posts: 16
    edited October 2015

    I'm having stage 2 revision on the 29th of this month. I put so much planning and thought into the first round I really knew what to expect and was very prepared.

    However I haven't even thought about preparing for stage 2 recovery!

    Can I get some input on what to expect for recovery? I'm getting both breasts reduced and lifted, 1 dog ear fixed, and liposuction to fill in some deep 'holes' at the top of my chest on both sides.


    Thanks for any advice you can give!!!!!!!

  • lynn85
    lynn85 Member Posts: 16
    edited October 2015

    Evegibb,

    I slept in a recliner for several weeks and used squishy pillows and/or folded blankets to support my head while I slept. I also slept with a pillow over my abdomen for protection.

    Once I moved to the bed, I used several pillows to support me in front and back. I'm still sleeping with 5 pillows! Two pillows each in front of me and behind me to keep me supported on my side, and then one under my head. Each time I turn over or get up it's a major event getting tucked back in 'just right'.

    I've seen some people using body pillows, which would probably be better . . . but I just went with what we had.

    Good luck!

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

    EveGibb, I made a nest out of 6 pillows. I had 3 behind my back stacked in a triangle like this =- so I could lie at an angle. I had a pillow under each arm and a pillow under my knees. I only had to move the arm pillow near the edge of the bed to get up. It took a little time to get nestled back in but I was always so glad to get back there!

  • SA8PG
    SA8PG Member Posts: 371
    edited October 2015

    ladies how are you able to sleep in bed comfortably? Are you not in any pain that you can roll over? I am still not sleeping through the night and my bmx surgery was way back in December of last year. This is one of my biggest concerns of having this surgery (stomach & back pain & knowing that this is not reversible like having expanders or implants removed).

    I appreciate all of you. 😊

    Xo

    G

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

    I have found a cure for constipation once and for all. Magnesium. Start taking 250 mg after your evening meal. I have been constipated my whole life and this is the only thing natural that works. I skipped my dose last night because I was out and yep, you guess it. Constipated today.

  • phoebe58
    phoebe58 Member Posts: 193
    edited October 2015

    hi Evegib - how exciting! Re pillows, I did exactly what LAstar did [after the first 10 days in a rental power recliner]. An assortment of firmer and squishy so you can nest your own way! Expect to feel like a turtle on your back for a while struggling to get up. I also found a couple of those softer airline C shaped neck pillows helpful and surprisingly versatile and not too big -- under armpits while reading, in the car to have under seatbelt to protect new incisions, behind head sitting in living room chair, and it's also handy resting a plate on it if you are having a meal not at the table......

    SA8PG I have become used to sleeping on my back with my head elevated with the 3 triangle at 8 weeks out. Side sleeping still not comfortable, but I tell myself I am still a bit tender and healing -- still early days....hoping to return to side snuggling one day!

    Re constipation, I learned a lot from the 2014 ladies! Start early -- a few days before with colace or restoralax stool softener to get things moving prior, and keep using it daily as long as you are on codeine type meds. Get them to give it to you in the hospital - you may need to ask. I was fine with that routine, but some people struggle and need a bit more. You really don't want to strain anything!


  • mefromcc
    mefromcc Member Posts: 188
    edited October 2015

    See my post from December 22 in this thread on how I positioned my pillows.

  • lessharp
    lessharp Member Posts: 122
    edited October 2015

    I am dong DIEP immediate reconstruction after left mastectomy and right prophylactic. Scheduled on Wednesday, Oct 21st. Super nervous. I have Paget's and underlying BC. I was just diagnosed on Oct 6th.

    Any tips or advice on do's and don'ts?

  • lynn85
    lynn85 Member Posts: 16
    edited October 2015

    hi, Lessharp. The best thing I did to prepare for my bilateral mx and immediate reconstruction was reading through the 2014 and 2015 Diep topics and making notes. I asked some follow up questions and got excellent input.


    The best advice I can give you from my experience this summer is to heed the advice on constipation!!! That was my biggest struggle.


    Where is your surgery?

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