Exchange City
Comments
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Good evening all - I had my exchange surgery on May 12. Feeling great but have two questions that I'm hoping you can help me with. First, what are you using that works for minimizing mastectomy scars; and even though I feel sooooo much better now that the expanders are gone and my implants are in (Allergan SCFs), I still feel a little tight - like even when I have no bra on it feels like I have a bra on! Does that feeling ever go away? Thanks much.
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LettyF - I sent you a private message with further details. I hope it helps!
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LettyF, thank you for the response. Maybe I don't have a leak, as there hasn't been any further change, and nothing to degree you described. I won't see my PS until pre op for my exchange and that had me concerned if there was a leak, I'd want to make him aware but don't want to make an unnecessary appt. My TE's aren't filled to capacity (due to skin being thin) and I'm guessing the saline must have shifted. I'm sorry you are needing to replace TE and exchange had to be set back a little but it sounds like you have a plan in place to move forward.
I always felt a little better after a fill. It seemed like the pressure of the TE's was lifted a little bit. I have pre pectoral TE's so that may make a difference too.
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Good Morning Sitti,
I'm glad you don't have a leak. I had my TE replacement surgery last Thursday morning and was out and back home a couple hours later with no drains and felt so much better. I could have totally returned to work Friday morning but took the day off and came back Monday morning. He was able to expand the left expander to 490ccs and get good closure and withdrew saline outta my right expander so now it has 550ccs as he said this will reduce pulling and things will be more symmetrical. I guess if I'm getting a couple fills on the left I can get a couple small ones on the right to get me back to the 685ccs. All went well, and I thank everyone for the well wishes. Just glad again that you don't have a leak and will have the real exchange soon. Best of wishes to you.
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LettyF,
Thanks for the update, I'm glad your surgery went so well and that you'll be back on track soon. I hope all of our exchanges will be as seamless (no pun intended
) as your TE replacement sounds, that would be wonderful. My PS said I could go back to work 2 days after exchange, I don't know if he was serious or not but maybe it will be similar to what you just had. Take care.
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Hi all, sorry I missed a few questions, I was on vacation with my daughter and granddaughters. 2Fun, i was looking into SGAP or LGAP, the tissue comes from the butt or love handles. I can't have the DIEP (abdominal) due to prior abdominal surgery. BC101, I get what you are saying about the anatomicals being heavy as they are cohesive. My Inspiras are also cohesive, I think they are supposed to be the mose cohesive of all. They are heavy and very firm. When I hug people I feel self concious because it feels like they are hugging 2 rocks. I haven't asked if it feels like that to them, but it does to me.
Anyhow, the consult went well, the Hopkins ps was an absolute DOLL! So sweet. He looked at my implants, said he had never seen one flip before, grasped it in his hand and flipped it back right (Sunny side) up!! I told him my ps tried that but I made a noise of discomfort so he stopped. He actually was very complimentary of my ps, who trained at Uinv of MD and they had a combined program with Hopkins. He knows him and said my results were very very good. He advised I go back to my ps and have him just tighten the skin, keep the same implants, remove an internal stitch granuloma and do some fat grafting. He said the flap surgery I was considering is 10-12 hours in the OR, 3-4 days in the hospital, leaves a dent in your butt, and I would have much smaller boobs as I am not gifted with much in the butt to begin with lol.
I tell you, I was so relieved to have that implant flipped back over. And I left Hopkins with the biggest weight off my back. I don't have a surgery date for the revision yet, but have talked with my ps and he will do the fg at the same time as the pocket work. Now to find some ladies to talk with that have had revisions, possible downsizing, pocket tightening, fg so I have an idea what to expect!!
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Letty, I also had to have a TE replaced due to leaking. It wasn't bad. Actually felt better afterward, cuz my TE coiled up inside my chest. Felt like a deflated beach ball on my ribs. I had mine replaced at 6 weeks post op from bmx and TE placement. Just another bump in the road.
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Good Morning Sitti,
I hope you're doing well. Your PS was probably serious. My PS does surgeries at my hospital on Wednesdays and he said I could totally come back to work the following Monday. He said it won't be much more than what he did last Thursday. He does any lipo and fat grafting at a later time (about 6 weeks) after implants if needed. Although the lipo sounds great (but its just a small amount they harvest) I'm hoping that I don't have to have that and will just have the 3D nipple tattoos left next Spring. Have a great day!
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kingster
read your post while I was at the PS for my pre-op appointment with my deflated and rolled up beach ball TE in my chest...they put in over 500cc (had been at 800 before deflation) and I now have a very oddly shaped mound after 3 weeks of rolled up beach ball...Exchange in two weeks, I hope. I had planned on 800 Inspira...he asked if I was okay if he can only get 600..I said NO, put in another TE and we will expand again to 800...did say I would accept 750.
After they put in the 500, the pressure was so great I was leaking out from the needle hole...it is bandaged up, put hopefully that stops and I can keep some in me.
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Experienced Exchangers:
I was just on the photo site looking at implants as I prepare for Exchange two weeks from today!
Someone mentioned prepping for surgery and I thought: oh yes, gotta do all this again.
Any tips? I have Hibiclens, planning for clean sheets/towels, hand sanitizer and soaps all over the house (I have a 10 year old boy -- ha ha), extra pillows. Anything else I should plan for? I must have put BMX out of my mind because feel like I'm starting again.
I had a post-op infection the first time around so may be a bit more cautious.
Thanks!
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I should say I'm set to have a lot of pocket work and possibly expecting drains. Hoping not but maybe. (ugh)
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Eastcoast - what is Hibiclens?
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Hibiclens is a topical antibacterial liquid soap product that is used prior to and after surgery to reduce the risk of infection.
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Hello TrmTab,
My faulty expander leaked saline when the needle was removed too, I guess from the pressure??? Anyway, I had my TE replacement follow-up this past Tuesday afternoon and everything looks good. I will start back with fills 9/5 and it should only take 2 fills to reach the 685ccs and then the change out to implant surgery 4 weeks after. I'm glad to be back on track and I won't miss bow season after all!!! Best wishes and have a great day!
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EastcoastTS, remember to have larger size button- down shirts if you're expecting drains. The larger size shirts help cover them so theydon't poke out!
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Elkay, I have 800cc Silicone high profile, and at first I cried and thought they looked very odd a very square flat looking implant. However 4 months later they are actually rounding out and have more projection. I have managed to lose 22 lbs and so my belly isn't as big as it was right underneath my breast so I can tell that with every significant weight loss they're going to project more and look bigger and it is exactly the motivation I needed I was 5 foot 5 + 187 lb my goal is 140 then I will have really big TaTa's. Wait for it and try to loose some weight it made a big difference. My PS explained that us bodacious women have a much more difficult time having good projection from our implants due to the fact that they have to take so much more tissue away during our mastectomies. Good luck and I hope like me you will like yours soon!!
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Thanks, Leslienva!
Button-downs/check! Guessing we also go back to the not being able to put on T-shirts and stuff like that for a bit. Maybe it's a good thing that I've almost forgotten the BMX limitations.
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Linda (OG56) - you just made my day!!! I can see changes now but I suspected that in order to truly see results I needed to lose some weight!!! You just gave me the motivation I needed! Thank you so much for reaching out and I hope to stay in touch with everyone as I continue on this journey.
I would love to get updates on your continued success!! I will be thinking about you
Elkay
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8/15 - Campbellx5
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TrmTab, I would also leak out of the needle hole because the pressure was so great. The fluid could only go so far. I would get filled on Thursday, and be deflated over the weekend. Replacement surgery was fine though. My PS wanted to wait a full 6 months after max fill prior to exchange. I'm glad we did because I haven't had any troubles since;)
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My Exchange is next week -- and during Post-Op call, they said they don't need to do lab work beforehand because of my age. (49, which I guess is on the young-ish side -- but only in the BC world!!!).
Is this typical? I've had so much blood work this year that I'm cool with this I think. Had chest x-ray etc before BMX.
Thanks!!
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Good Morning EastcoastTS,
When I had my tissue expanders placed originally on May 3rd they did not do any blood work or an EKG as they did prior to the Mastectomy because they said they could use the previous since it had been recent. The morning of the exchange of a faulty expander they did an EKG in pre-op but no blood work while I was awake at least. I guess the time between surgeries, age, and hospital preference plays into protocol/procedures. Congratulations on getting your expanders changed out. Best wishes your way!!!!!
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LettyF:
Thanks! I'm feeling it's a fine decision -- just always want to check in with my crew.
I learn more here than I ever have from my doctors!!! LOL
I'm not really nervous, however, am prepping for a little downtown/pain. I'm set to have lots of pocket work. My TEs are far/far/far apart and...fun times...the cancer side one has also dropped recently. Kinda nudging down into the IMF fold area. Ugh. So guessing that will add to the experience.
I am a little excited, too, to get rid of the TEs!!!!!! Joy to release of Iron Bra/turtle shells/baseballs. Pick your term.
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good luck east coast!
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EastcoastTS, Yay for exchange surgery! On the question regarding blood work, I realized that I never did have any pre-op bloodwork done, not even before the BMX! I've been wondering if that's normal but it was after surgery before I even thought about it and of course it wasn't on my mind to ask the question when I went in for follow up with BS. I find that intersesting since I've always had blood work previously before surgeries. I'm wondering if that is a newer philosophy. No EKG either, nothing...maybe I seem healthy? lol. Wishing you the very best with your surgery next week. Keep us posted. (We still need to do a Charlotte meet up)
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I have exchange on Sept 8...they used my Aug 7th blood work from the MO and I separately did an EKG...so I guess it is Dr's choice?
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Hello EastcoastTS,
I started to say the surgery itself shouldn't be too bad as my PS said I can expect the same pain level as I experienced during the TE changeout. It was a piece of cake, I didn't even fill the pain meds/valium. I think I took two advil that night and its because I had a horrible sore throat (this was the only time - not impressed with that hospitals anesthesia group) from the intubation tube I guess. I had coughing for like 3 days/nights afterwards and the outside of my neck was really tender and red (it didn't bruise though). I'm sure with all the pocket work you're expecting their will probably be more discomfort and pain. I'm glad that you're nearing this journey. I'm excited myself for November. You're description of TEs was hilarious.
As far as learning more on this site; I think we get to combine the information from many doctors and even procedural practices by different hospitals according to geography. You think that with medicine, the plan would be the same for everyone with a like diagnoses and situation but I guess they adapt with the differences everyone presents with??? Who knows. I do appreciate everyone's willingness to offer a shoulder, kind words, and share their stories and offer advice. Have a great evening, a great surgery, and a speedy (limited pain) recovery. Best wishes your way.
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Hello wonderful ladies! I currently have tissue expanders and I am scheduled for my exchange surgery on 9/21. WhooHoo!!! I will also be having some pocket work done and a lot of fat grafting. (I had fat grafting with my mastectomy/expander placement too) Pain at the donor site was minimal however I looked really bruised, hoping for the same thing as this time they are taking from stomach. I had decided on Inspira silicone smooth round implants but my PS wanted to check into some other brands to see if any of them had more projection. I will find out at pre-op next week which she recommends.
I am trying to put together a list of questions I should ask at my pre-op. Anyone have any suggestions?
Thanks,
DizzyGirl
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Hi All,
I had exchange surgery, yesterday. And, woke up from surgery with a very uncomfortable surgical camisole on.
I guess I'm supposed to keep wearing it until the PS says ok to take off. But I feel like it is pushing into my breasts, especially where the Velcro attaches down the middle. I feel like my breast area is very tender! Of course my kitty decided to walk across it! Ouch!!
I couldn't take it anymore and put on a surgical bra (from my mastectomy days).
Does anybody have experience with extreme tenderness and very uncomfortable cami?? I put a call into my PS's office and hopefully the RN calls back soon...
Also, how soon can you shower after the exchange surgery? And, when is it OK to raise your arms up? I didn't get very much info before they discharged me (or maybe they did tell me but I can't remember it!!)
Thanks
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Did you get sent home with any info? My PS sent me a 90 page (yes 90) packet of info via email.
Every surgeons recommendations are different. I would suggest calling your surgeon's office and getting everything answered before the end of the day today.
Happy healing!
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