Peau D'Orange After Mastectomy With Immediate Reconstruction?

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LeslieErin
LeslieErin Member Posts: 22

Hi there-

In June, I had a bilateral mastectomy with immediate reconstruction and implants, as I had DCIS. Recovery has been brutal- I have had some bumps in the road, but definitely not complaining.

I am experiencing peau d'orange of the right breast, pores just look magnified, and of course my brain is like WTF. Does anyone know if this is common occurrence-experience this, themselves? And of course, if I google it, we all know I am told.

Obviously my breast is swollen, having such major surgery, but peau d'orange?

-Leslie

Comments

  • macb04
    macb04 Member Posts: 1,433
    edited July 2017

    It might not really be Peau d'orange, but might be more likely related to how how your skin looks when stretched tighter than normal by the remaining PostOp swelling, along with any residual bruising which can look yellowish. Have them evaluate you for a possible mini lymphedema of your breast. Are you using a compression bra still to help decrease the swelling?.

  • LeslieErin
    LeslieErin Member Posts: 22
    edited July 2017

    Thank you for your reply, mac!

    I am not using the compression, but more of a sports bra without an underwire to it. Definitely not supportive like the compression bra for sure, as I was finding it to be extremely uncomfortable.

    I have an appointment Monday with my plastic surgeon, who I did speak to the other day via phone, and reassures me this is 'fine'. I am sure it is, but my brain cannot help but wander.

  • Icietla
    Icietla Member Posts: 1,265
    edited July 2017

    I had that skin effect after my most recent chest surgery. It was from excess fluid in the tissues.

    --------------------------

    Aug 27, 2016 09:27AM Icietla wrote:

    [...]

    There were only two drains installed – just one on each side – in my flattening surgery. The flow from the right side one ran only slowly after a couple of days, and it never lightened from opaque dark blood appearance. Blood and lymph apparently built up in the right side tissues – that side developed appreciable swelling, peau d'orange skin effect, and a broad purple band all around the incision seam. [...]

  • LeslieErin
    LeslieErin Member Posts: 22
    edited July 2017

    Thank you for your response, Icietla-

    It is a bit more relieving to know others have expierenced this, as google is no help, and definitely fuels the anxiety.

  • Icietla
    Icietla Member Posts: 1,265
    edited July 2017

    You are welcome. Understand, that skin effect is from fluid congestion. You have been seriously injured, and that is enough to account for your swelling.

    If the googling results nag at you, interfere with your sleep, anything like that -- Take a deep breath. Remind yourself that your tumor was removed in your surgery. Consider that it was DCIS, presumably incapable of shedding tumor cells that could cause congestion in your fluid circulation channels. But because of the injury (your surgery), some (previously) usual routes for fluid circulation have been altered, so that area of your body needs time to work out how it will circulate fluid from now on.

    It may take a long time -- weeks and weeks, or maybe months -- for all of the swelling to go away.

    I am glad you checked with your Doctor and will be examined soon. You should feel much more at ease if the Doctor finds nothing unusual going on.

    I hope and expect that you are well on your way to full recovery.


  • kcat2013
    kcat2013 Member Posts: 391
    edited July 2017

    Leslie, both my breasts had that appearance after surgery for several months. My PS told me it was caused by swelling/inflammation from surgery and would gradually go away as everything healed. And it did :)

  • LeslieErin
    LeslieErin Member Posts: 22
    edited July 2017

    Thank you for the responses!

    I think my anxiety is just on overdrive. I originally did the mastectomy as a prophylactic, due to ADH, ALH, and a Radial Scar, only to come back with DCIS afterward. I am sure my anxiety has been heightened and am currently on alert for anything-something to go wrong!

    I appreciate the feedback, it is reassuring to not only have others who have expierenced the same happenings, but to have people who care.

  • Mom1515
    Mom1515 Member Posts: 5
    edited July 2020

    Hi Leslie, I realize this post is from a few years back, but I’m experiencing something similar and wanted to see what the outcome was for you. Did this end up going away on it’s own? If so, how long did it take? I had a mastectomy with immediate reconstruction in December 2019. My implants were way too big and had a small revision done (smaller implant and different shape) a few weeks ago. I noticed this skin issue after the initial reconstruction but attributed it to the size of the implant stretching my skin so much. However, I am still experiencing hardened skin and when I press down I can see bigger than normal pores. I think there is some every sound advice in the comments below about the trauma done during surgery and it’s likely to resolve itself, but wanted to hear your experience being a few years out. Many thanks

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited July 2020

    Mom-Leslie has not posted since November 2017. Most people who drop of the boards finish their treatment and move on. Or are diagnosed benign in the first place. Very few people hang around. I'm answering since it will bump it forward one more time, but don't be surprised if you don't hear. Hang on to your attitude that this is likely surgery trauma, since your second replacement surgery was only a couple of weeks ago. It it looks the same in two weeks, call your doc.

  • Mom1515
    Mom1515 Member Posts: 5
    edited July 2020

    Thank you MinusTwo, perhaps someone else has experienced this and will comment. I appreciate you trying to help and for your reassurance.

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