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  • SpecialK
    SpecialK Member Posts: 16,486
    edited December 2016

    keiki - could be the Betadine wash, or the Bacitracin irrigant, or even itching from the narcotic pain meds administered during surgery, or taken orally afterward.

    grandma - not all PS will move a nipple, it is a particular skill set. Not to be a downer, but here is also a risk of necrosis with a move - ask your PS to outline the procedure and attendant potential problems.

  • Mariangel43
    Mariangel43 Member Posts: 136
    edited December 2016

    Dear ladies, I have read all the posts in this page. It's good to know how you are doing. I still have the itching and the burning sensations in both breasts. I stopped using the wipe with alcohol cause it could cause more problems than solutions. He (PS) said he did not use betadine on me (only dyna hex to wash area) but itching may come from bandages. I only know that when the nurse use the PS's office gauze and bandages, I receive the full impact of discomfort. I think those things are not latex proof. Last time I told her I didn't want the paper gown. Anyway, when I came home I got the bandage off and changed it to latex free one that I bought in right breast. She told me not to use bandage on left. It was healing nicely.

    PS told me everything was fine. I think left breast is still swollen and hurts inside. The right breast also hurts. Sometimes I feel the intermittent pain of sutures inside. He used glue in most underside areas of breasts except where he cut and put the implant in. That cut is over my seven or eight rib. It hurts a lot. There are still bruises but I don't dare to use turmeric because I don't want to bleed like last time. PS added the nipple too at the right breast with skin grafts from left breast areola and nipple.

    Artista928, I am sorry to hear that you had great discomfort after surgery. The truth is that health plans are the agents of such problems. I know physicians were capable of some economical burden on health plans but now control is on plans and deliberately are controlling every doctor's move to increase gains for the insurance company.

    I however preferred to come back home. I had bronchitis and a cold temp is the most hurtful thing in my life now. It was raining, I had to be there at 4:15 am because I was posted at 5:00 am but the lovely doc came at 8:00 am. If I weren't already tied to the table I would have jumped to his throat. Everyone started to laugh when I told him, "How great, you come at 8 while I have been freezing since 5:00 am." He changed the conversation and comes to me and says to stand up. I asked why. To measure you. Do it while seating. No, stand up. No, you did it last time when I was seated. Stand up. I stand up and says, against my will. The next bickering, drop your arms to the side. No, the gown will fall down. Drop your arms, No. I was not paid to do a striptease. I move my shoulder to the side without releasing the gown, and say now. He then says something of me been a canvas to him and I start to look down to see that the painting over my breasts just like a sail boat. He says to me that I was too curious. I respond, why not, this is my body. Well. we continued this bickering and everyone was laughing. Before going outside he asks me again, size C? and I answered yes, if you want to go back to OR today with me. When PS saw me at office on Monday he said the girls at the OR were charmed by me.

    I am not used to leave that area of my body without cleansing. Not water yet, no alcohol, NOTHING. If you know of some technique for peeling off the skin without pain, please tell me. I will led. I hate that. I feel a belt is tightening over my chest and I can't breathe or sleep right. I tried to sleep on my left side by Monday and I could not. These last two days I could be able to sleep on the left side since the left breast is less swollen than at the beginning of the week.

    Thank you, MrsB88 and Mominator, for your caring words. The burning is decreasing its intensity; the itching is full flare. I think the areola and nipple extracted from my left is not going fine on the right side. The skin is too dark to see if it is necrotic. And is covered so I cannot see until next Monday. My left areola was light tan and now is dark. Last Monday the nurse took off the sutures of right areola. Since the skin is loose, I don't dare to take off the bandages. I have a cat and I can't sweep and mop the floors so house is dirty and will be compromising the area of surgery. For pain, I am using Neurontin (gabapentin) for both right foot and boobs pains. Only once a day, the orthopedist didn't check for refills. PS recommended benadryl instead of cortizone since the latter was not being effective. And my skin is reacting to benadryl and within five minutes, the cream gets scaled and start to peel off. I JUST NEED WATER. I am allergic to my own sweat. Yes, I am crazy in a good way.

    Novmoon, can implants be filled after being inserted? Are you talking about other kind of filling? If they do, I will ask my PS to add 50 more cc to level both breasts. Size B, ladies, no more.

    TrmTab, I am so sorry about your change of plans. However, you will be satisfied and feel peace of mind if you do the right thing. The PS can wait; he will not die from hunger. Credits to whom said first; if she has SS benefits, maybe the SSA office can send you an aide to help you take care of her when she is back at your home. But they will send her first to a rehab center where they can provide physical therapy until she is capable of moving again. Sorry, dear, can I pray for her?

    Congrats to all who recently did the exchange and have had a wonderful experience. My first two surgeries were almost painless. The last two were troublesome. This last one was less painful than the TE but it hurts, itches and burns. One cannot win them all. I am fine, it could've been worse. I need to add the dates of surgeries and the system does not let me.

    See you tomorrow or on Monday.

  • Artista928
    Artista928 Member Posts: 2,753
    edited December 2016

    You're right Mariangel about insurance driving it all. How sad. I fear it will only get worse. There are some procedures now that used to be a night stay are now outpt. I truly hope it's technology that's changing this and not insurance companies..

    My foobs aren't much of a prob right now other than I think there's still swelling despite my wearing a mastectomy sports bra. It's the damn drain sites. Oh man there are some pains from time to time and of course always discomfort. Tired of lying on my back. My bum hurts now too. PO on Wed to check them but I'm still over 30 on each per 24 hours so doubt it. He does 30 or less, but I see some ps do 25 mil or less. Not that I want them in any longer than I must but last time drains were in 5 weeks on 2 of them (2 on 2) and a month later I got infected bad that pills did nothing, had to do hospital and home IV abx before starting chemo. So I'm a bit scared. The left drain has always been orange/yellow after the first couple of days but this right one has always been cherry drink red and is now starting to lighten some. I want so bad to get these things pulled but I fear Wed won't be my day.

    Hope you all are doing well, esp those who just had the ex and those who have it coming up. Can't believe it's almost end of 2016! I never thought time would fly when I started this crap end of May 2015 but it has now looking back! Thank God for that at least! :)

  • willa216
    willa216 Member Posts: 165
    edited December 2016

    Hi All:

    I've been reading a bit and am thankful for all of you here..

    I have a question about capsular contracture.

    I had a UMX in July. It's an over the muscle saline implant. Everything started out fabulously well and then I had chemo and 6 months have passed, and now I have a grade 4 contracture. It's painful and I have limited range of motion, plus there are few clothes I can wear without feeling self-conscious because the implant is high and barbie-like. I'm pretty depressed after all this other BC loveliness. In any case, I have an appt for exchange and removal of the scar tissue at end of January.

    Has anyone had experience with contracture and surgical correction? I'm just worried that it's going to be a never ending cycle. The surgeon says most people do fine after the correction but I keep reading otherwise.

    Have a good night, everyone.

  • StaceySue2U
    StaceySue2U Member Posts: 281
    edited December 2016

    Hey ladies - I'm on here all the time, reading everything but just not posting that often. I'm wondering if you could share some of your experiences with fat grafting? Does it make a real big difference in how things look? Does it just smooth things out or would it be possible to do enough of it to get more upper pole fullness? How many sessions did you have to have? Did you notice any change in the shape/size of the donor site?

    I really don't like my implants AT ALL but don't want to go through another 6 weeks of light duty again so I'm kind of hoping that fat grafting might fix all my problems with ripples and with my implants being too small.

    Also, I'm wondering if fat grafting makes the overlying skin healthier at all. My skin is just so so thin.

    BigBlueFish, I'm curious about your abdominoplasty. I may go for one this coming winter, and I was wondering if you've already had yours or scheduled it, and if it's worth it. I originally wanted DIEP but they said I didn't have enough fat to make decent sized breasts with, which is funny considering I'm a bit obese.

    It seems like so many people on this site are thin - which is funny, considering how they say being overweight is such a big risk factor for breast cancer. I'm on the heavier side (5'4" and 170#) and I think that's a big part of why my results just don't look pretty.

  • marketingmama
    marketingmama Member Posts: 161
    edited December 2016

    Willa, I just had my right implant replaced because of capsular contracture. In my view, it's absolutely worth the risk. Although I know I may go on to get it again, I couldn't live with things the way they were. I'd suggest you give it a shot and if for some reason it recurs, cross that bridge if you come to it. Did you PS mention not using saline or going under the muscle? I wonder if there are increased risks if you stay with saline. If memory serves, I think saline is not ideal if dealing with CC.

    Stacey, I just had fat transfer (with my CC surgery). I had significant rippling in the normal breast. I'm only about 1 week or so out from surgery so not sure how much will stay with me but I'm hopeful. I didn't attempt to go bigger though--just to cover ripples, fill in a divot and cover sternum. I am 5'2", 140 pounds so I hear you regarding not being skinny. I often think the same when I read these boards as it does sound like many are quite slender. There are threads on here that discuss fat grafting so if you don't hear from many ladies, suggest searching for them. Tons of input on it. Oh, regarding your implants being too small. Why not replace with bigger ones? Perhaps that might solve the problem versus doing fat grafting. For sure I wouldn't count on fat grafting to get significantly bigger.

  • JessieJake
    JessieJake Member Posts: 233
    edited December 2016

    Hi StaceySue, For what it's worth, my donor site is different after fat harvest. I noticed this after the first time and it made me seriously consider if it was wise to do it a second time. Although, I did do it again, but I'm still healing so I can't comment on how much difference I may notice this time. I can say that my first look at the area was not pleasant. Lumpy droopy, but after speaking with a nurse I believe that may be in part from the saline they put in the donor area to help with taking the fat. It most likely hadn't all absorbed yet.
    I do recall others saying you wouldn't notice much of a change as they don't take a significant amount of fat. I'm sure it depends on where on the body they take it from and body shape.

    My goal was for upper pole fullness. I loved how I looked after first attempt with exchange but a fair amount did not take. Again, I like the fullness I have at the moment from this second round of fat grafting, but it will be a waiting game again to see how much stays. I can tell you that I'm treating this fat with precious care - no compression, sweet talk and eating well.

    I can tell a few ripples were filled in, but if I slouch I can still see some.

    I was so uncomfortable the first few days - hold my breath while I would sit down. However, I seem to be bouncing back quicker that that level of pain would have led me to believe. By day 3 I made a huge leap forward in comfort. I'm not sure why or how that happened seemingly overnight, but I'm not really thinking about it too much. Just can't wait to switch to spanx from this lovely girdle and get a regular bra on instead of the surgical one.

    Good luck!

  • grandma3X
    grandma3X Member Posts: 759
    edited December 2016

    I just had my follow up with the PS. She was thrilled that my left implant had not migrated up my chest the way the TE had done. We talked about nipple placement (my right nipple is pointing down and toward my arm) but she was reluctant to do anything about it. I asked about grafting a piece onto my left side, where I had to have it removed because of close margins, but again she was not sure that would be best. We are going to table it for now and see how things look after the fat grafting. I asked about taking fat from my thighs but she said the flanks (love handles)have better fat - less "wobbly" than the thighs :)

    Anyway, I feel much better now that this appointment is over with. Fat grafting will probably happen in Feb. since I have some traveling to do in January. Thanks for the suggestion to look at the fat grafting thread!

  • MrsB88
    MrsB88 Member Posts: 83
    edited December 2016

    Willa - I developed capsular contracture in my right implant but it was 5 yrs. out from BMX. I had silicone implants under the muscle & finally had both implants removed (the left had collapsed inward & was distorted) in June 2016. I've mentioned in previous posts that my new PS is a perfectionist & wouldn't just remove & replace them because they wouldn't be aesthetically acceptable in her view. So I had 2 surgeries - the 1st to remove both implants & remove the scar tissue on the right side & place expanders again. The 2nd to go from EX to implants. She convinced me to go with Mentor anatomical implants because the textured surface, in her view, helps prevent capsular contracture & she believes anatomicals look more natural in a mastectomy patient. I am very happy with my outcome & look more like I did pre MX. From what I've read, capsular contracture is a fairly common problem so I'm crossing my fingers that it won't happen again! Best wishes for a successful outcome on your upcoming corrective surgery!

  • StaceySue2U
    StaceySue2U Member Posts: 281
    edited December 2016

    Thanks for the info, Jessie. If I remember right, you didn't have a whole lot of rippling did you?

  • Artista928
    Artista928 Member Posts: 2,753
    edited December 2016

    What exactly is capsular contracture? My silicone implants are under my pecs which ps says it's good. He did mention this but I didn't think to dig into it. What are the stats?

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited December 2016

    Artista - here's the definition from the web. I expect there is a thread on BCO that addresses just this issue.

    Capsular contracture is the term used to describe scar tissue that can form around breast implants which may cause the breasts to harden, may cause the breasts to look or feel different, and may cause some discomfort from the tightening of the capsule.

  • willa216
    willa216 Member Posts: 165
    edited December 2016

    Marketingmama and MrsB88 - Thanks so much for relating your experiences with capsular contracture. I have to do something but now I feel more positive about doing it! Marketingmama - yes, silicone is better than saline in terms of avoiding cc (or so I've been told). I just had saline acting as an expander.

    Best of luck to everyone asking contemplating fat transfer. I wish I had something smart to say about that but I don't. I'm sure that will come later...

    Arista - MinusTwo's description of capsular contracture is exactly my understanding. My PS says the contracture happens anywhere from maybe 7-30% of the time, depending. She explained that the cause is unknown but the general thinking is that some people tend to develop scar tissue any time their body is "hurt" (I actually don't - so can't help but wonder about that one). Another suggested cause is that some type of low grade infection sets up in the "pocket' that is formed to hold the implant. It's the perfect place for bacteria to find a comfortable home.. such a pleasant thought. Anyway, I guess I'm a little bit nervous about it because if they don't know what causes it how can it be avoided? On a positive note, I did see another doctor today who confirmed that surgery to correct the scar tissue is usually successful.

    Take care, everyone. Peace.


  • Artista928
    Artista928 Member Posts: 2,753
    edited December 2016

    Thank you ladies! :)

  • Artista928
    Artista928 Member Posts: 2,753
    edited December 2016

    I'll be 2 weeks out po X this Fri. I've been dealing with some higher temps but then again Tamox can be blamed. For the past hour I've been 100.5 - 101.3. Up and down between this. Sheet says call doc if over 100.5. How long do you give it before you call? I'm thinking pop a couple advils and call in am if still issue. 1 drain was out tues and 1 still in. It looks ok.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited December 2016

    Artista, I would call. After my LD flap I suddenly ran a fever and PS had me come in to get looked at. Since things looked fine, I was given a scrip for an antibiotic and told to fill it if things changed and I was told what to watch out for. The fever turned out to be unrelated, but was good to have going into a weekend. With this being the holiday, it would be good for you to touch base with Dr beforehand.

  • Mominator
    Mominator Member Posts: 1,575
    edited December 2016

    Artista, agreeing with Wildtulip. Call your doctor, get seen if needed, have a plan before going into this holiday weekend.

    Your doctor would much rather deal with this today, Thursday. On Friday, the office may have shortened hours or be closed altogether!

    I had an infection that started about 10 days out from EX. It started with a low-grade fever and then spiked. No fun.

    Please check in after your call or visit. Best wishes, Madelyn

  • Artista928
    Artista928 Member Posts: 2,753
    edited December 2016

    THanks ladies. I was all over last night from 99.8-100.9. Popped 2 Advils and this am 98.4. Going in in my robe to hopefully get final drain pulled since average is 20 a day now. Doc is out so it's his PA in.

    I've been down this road before. I didn't have a fever at 99.4 but because of redness I was on abx for a week which did nothing then hospital IV then home IV. This caused big delay in getting chemo. So seems the chance of infection is higher after the drains come out as it was a couple weeks after for me at least.

  • Keiki
    Keiki Member Posts: 51
    edited December 2016

    SpecialK and all:

    Just returned from post op EX. I love my breasts. Not perfect, but symetrical and soft.One nip is still eclectic, but incisions were revised a bit and some additional work at EX, still very sore.

    All in all, 4 months from NSM till today, no major complications, I'm very happy. Implant sizing a mystery, check my postImplant Sizing 101 if interested

    I had a procedure using a new technique, a Duoderm bra. Has anyone else had this? If I get access to photos I will document this.

    Mominator, I will continue to monitor my temp just in case. One incision is achy.

    Wonderful holiday wishes to all of you.

  • Artista928
    Artista928 Member Posts: 2,753
    edited December 2016

    Some redness but PA thought it's ok overall after I told her everything. Took pic of the breast that was radiated not sure if it's the rad redness I still have or new. Sent to ps since he's out.

    Came home and 1/2 hour later call from office to start bactrim and keflex. Not sure if infected but wants to nip it in the bud, esp my history nightmare of last year tough infection.

  • MrsB88
    MrsB88 Member Posts: 83
    edited December 2016

    Lovely Exchange City Ladies - Just wanted to wish all of you a very Happy Holiday & best wishes for a happy, healthy 2017! I am so glad I found this site & I'm grateful for the support that you have provided to me & to each other! Blessings & peace to all!

  • robinblessed54
    robinblessed54 Member Posts: 578
    edited December 2016

    Merry Christmas to all the wonderful ladies here on this thread. Have a happy, healthy New Year! Loving my new tattoos! God bless,

    Robin


  • Moonflwr912
    Moonflwr912 Member Posts: 6,856
    edited December 2016

    Hoping everyone is doing great. Wishing all Winderful Holidays

  • Bluebirdgirl
    Bluebirdgirl Member Posts: 115
    edited December 2016

    Quick question! I will be getting my exchange hopefully sometime in February, gummies. Might need some pocket work for "side boob". How long is the recovery after an exchange? Surely nothing like the recovery time after a BMX! Just curious. I had to take a break from my fills as I ran out of sick leave at work, so resuming fills in January and haven't been able to talk to my PS for awhile to ask him this question. Thanks!

  • robinblessed54
    robinblessed54 Member Posts: 578
    edited December 2016

    Hi bluebird! Welcome to this thread. Lots of great women with good input. I have gummies. Filled to 420 with 475 implants. It will be 2 years in March.

    I had pocket work done above IMF to even them out. I took 2 weeks off over spring break but could have gone back in a week. I have a desk job. Much easier than BMX. You will still have lifting restrictions. I was bound for 1 week like BMX because the gummies need to adhere to your muscle and chest wall to prevent rotation. I was also told to wear a sports bra 24/7 for 6 weeks. After that I still wore a bralette all the time for a year. I just felt more secure. I am very happy with my results.

    R

  • Bluebirdgirl
    Bluebirdgirl Member Posts: 115
    edited December 2016

    Thanks, Robinblessed54! I am trying to get mentally prepared for it all. Will be so glad when I am done with this! I read in your bio that you got nippletattoos. That is my plan as well. Are you happy with them? Did you get them done by someone who specializes in nipple tattoos? Just curious! Thanks again for your response and input.

  • robinblessed54
    robinblessed54 Member Posts: 578
    edited December 2016

    Bluebird, I had my tattoos done in July 2015 in the PS office. I was not happy with them after about a year. They didn't have a 3D look at all! They looked like the Target store logo! I went to a very talented and famous tattoo artist in SoCal, Cory Miller. They are my west coast "Vinnies". Doctor offices use a cosmetic ink that doesn't last. Tattoo artists use regular ink that is permanent. They look amazing!! So happy I had them redone!

    Let us know wgen you have exchange.

    Robin


  • Molly50
    Molly50 Member Posts: 3,773
    edited December 2016

    Hi ladies, it looks like my exchange will be March 20th. I spoke to the PS scheduler and she said it should not be a problem that far out to schedule. I will hear back from her in January. I am getting anxious because suddenly my radiated TE is getting very tight.

  • Artista928
    Artista928 Member Posts: 2,753
    edited December 2016

    My radiated TE was tighter than the other non rad TE. Did they overfill the TE? Mine just did the max fill of 900 in both in anticipation of some tightness after rads. I wanted smaller but he said it's easier to just take the excess out rather try and expand.

    I'll be 3 weeks out on Fri. Am on 2 abx as it was looking like infection. Was told 6 weeks is full recovery. Even though weight restriction lifted at 3 of 8 lbs, I'm just going to continue on with it-- make grocery bags smaller. I really don't need to be lifting like that thankfully.

    Had 2 drains. Both out last week. One hole is taking longer to heal as it was bigger and have to put neosporin on it with a gauge.

    Pain comes and goes but it's not bad. Haven't used pain meds since after 1st week.

    For me, the bmx was harder because of the nodes taken out as well and getting used to TEs. But this one wasn't fun as much malaise and just friggin tired all the time.

    It'd be min 6 mo if I decide to have any nips and tucks as it's not "perfect" and I still have some dog ears. We'll see if I really care in the summer. I'm overweight anyway so it's not like it'd make a huge diff.

  • Molly50
    Molly50 Member Posts: 3,773
    edited December 2016

    Artista, yes he overfilled both sides but honestly my radiated side is smaller because it shrunk with radiation. It is not painful but definitely can tell the tightness has increased recently. Maybe from the extra fill. My non cancer side annoys me because it is lower since it was not radiated. Is it realistic to hope to return to work with restrictions at two weeks PO?

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