Exchange City
Comments
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MERRY Christmas!!!
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@shoregirl Unfortunately, the current numbers show that Allergan has the highest incidence of cases with Breast Implant Associated Anaplastic Large Cell Lymphoma. That may change as more research comes in. The current theory is that this lymphoma develops with several factors - bacterial contamination, chronic inflammation, genetic predisposition, and textured implants. Flushing the pocket with betadine might reduce bacterial contamination but it isn't going to change the other three factors. Using the 14-point plan to reduce contamination is a good idea for any surgeon and should be standard practice. The hope is that this process will also aide in reducing the risk of capsular contracture. BIA-ALCL has a lot of unknowns right now. The incidence is rising. We believe this is because of more media, public awareness, and symptomatic women insisting on accurate testing. As more women are diagnosed, the researchers will learn more. It's evolved quite a bit over the past year and a half. A recent study of Allergan 410 implants actually put the risk around 1:3,000 to 1:4,000 for that specific brand. While still rare, every woman needs to be properly informed of the risk and make an educated decision. Good luck.
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I have the Allergan 410 and nothing was mentioned about this possibility. But I have had no trouble and almost 3 years have passed.
I guess as with any medical device, there is risk. They are a foreign substance and your body goes into a defense mode. The best defense is to be proactive and tell your MO ir PS if you notice any changes.
Robin
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Robin, the ALCL news just started to really trickle down around mid-2016, right after I had gotten my 410's. Having been the "recipent" of other rare medical issues, I cut my losses and had both implants and capsules removed and replaced with smooth rounds during a revision surgery. For me it was "killing 2 birds with one stone" and if I didn't need the revision anyway, I'm not sure what I would be doing.
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Like Robin - I have the Allergan 410s. I got them in 2011, so going on 7 years. They were only available in a trial program at the time through select plastic surgeons, so I had lots of follow up. And like Robin, I have had no trouble. I do read the ongoing news, but remain very pleased. As she said, with anything that is foreign your body, there is a risk. Talk to your docs if you are concerned or see a problem.
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Well, it’s time for me to join this group. My exchange surgery has been scheduled for February 8th . I just hope I come out of surgery with big enough breasts to balance my weight. I like the way I look in my expanders but one side needs a lift and just looks smaller and flatter because of that. I’m filled to 700ccs right now. My PS will decide on 750 or 800 cc implants in surgery. I’m getting Natrelle Inspira smooth round extra high profile. Any advice I need going forward
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You will probably love those implants. I would recommend going as big as you can if you are worried about them being large enough. I'm tall, but thin and my Inspiras are over 600 cc's and don't look outrageous. I also needed a lift on one side and it turned out great.
Good luck! Feb 8 is just around the corner.
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Hi Re Breast implant associated large cell anaplastic lymphoma, I think it's important to keep the numbers of cases in perspective. The numbers were actually pretty small, and there were also cases associated with round. It's more likely that anyone of us will get something else rather LCAL. But agreed that good to know about it. My surgeon has recomended yearly US. The FDA recommends periodic MRIs but I need to check if gadolineum is used in these scans since there is a warning on gadolineum too now.
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Good luck 3bears. It will be over before you know it.
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Good luck 3bears. It will be over before you know it. Size you mention sounds pretty ok.
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HI 3bears. I have 800 Inspira TCX... I am 5' 8" and this is a little large for me...think I may downsize to 750 or 700, but this is definitely the right size range. In fact it would be perfect if I was a BMX, but it is slightly larger than may native breast and I would rather downsize the implant than do more surgery on my natural breast. Good luck, exchange was relatively easy. TT
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Happy almost New Year ladies! I don’t know about you all but I am definitely ready to put 2017 behind me. What a year! I hope you all had a very Merry Christmas with your families, I sure did & this one felt extra blessed for me.
3bears welcome & best of luck on your upcoming surgery in Feb! You will be so happy to have that behind you. Bringon2017 how are you doing? I hope healing well. My surgery was Nov 1 & I feel better & stronger every day. I think my implants are settling in better & my mobility has improved with laying on my sides or even crossing my arms over my breasts.
I want to slowly ease into excercising & strength training so I wanted to ask you ladies your thoughts. Have any of you started & how much? What are your doctors telling you? Mine just says don’t overdue but what does that mean lol. Thoughts? I hope you all are healing well & doing great! Hugs :
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Lynae:
I was told after post-op appt at one month to ease back into whatever I wanted to do. Modest weight at first. And take care with pec exercises. (Yoga/plank or push-ups.) I'm at almost four months now and just did yoga again. No issues. Although some felt a bit odd with pecs, which I think is normal. I'm not sure I'll do push-ups again.
I think if you're careful and move into it slowly...you can go back to exercising.
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Hi 3bears, congrats on getting your exchange date, it will be here before you know it!! If you like the way you look w/your expanders the Inspira extra high profiles are a great choice. I had them, they looked great but were a bit too much projection for my body type and very firm. Since we are all different body types, what works for one may not work for another so the ps is the one to listen to here. The best advice I received on this thread is "just because you can, doesn't mean you should". Meaning don't do too much too soon after your exchange. Allow yourself plenty of time to heal. This surgery for most is so much easier than the mx. We feel better, stronger, less pain and can tend to jump into activities before we should and can then have a setback. It is still an invasive procedure with lots of internal stitches so just be mindful of that and don't try to be superwoman! The other thing is "step away from the mirror". Of course we are going to look, but don't be discouraged if things look a bit wonky at first. It takes a good 3 months maybe more for swelling to subside and implants to drop into the pockets etc. In my case it looked great at first but months later it became evident I would need some fat grafting. It is definitely a process, but the hardest part is behind you!
lynae great to hear you are feeling good!! My revision was Nov 29 and I am feeling good too, def ready to start working out. For now I have to start pt though due to frozen shoulder.
Have a happy new year everyone!!
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Maybe this is a crazy question....but...do any of you ever see your PS with clothes on, or at least in a bra? Especially for the UMX crowd, this is big.
I never am seen in clothes/bra which for me makes the discussion of happy with where I am or changing size more difficult. Of course without a bra my implant is high and tight and my native breast is 56 years old...so the difference is big and the immediate response is unless we do more surgery on my native breast there is nothing else for me.
Well, in a bra, I am close but clearly different and it seems like a smaller implant would make a huge difference of bringing the two closer together...like downsizing from 800 to 700.
Any comments???
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Take some photos and show them to the doc.
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Hi Lynae I am feeling well. Thanks for asking!No complaints really. I have Replicon extra high profile 665 (textured tear drop). It's been pretty smooth so far. I had visit with my surgeon on Monday and he's pleased with the results, as they're symmetrical and the surgery was minimal and uncomplicated. I have just small incisions within the previous scars. I now am slowly recovering at home for a few weeks. And I need to wait and see how they drop. I do hope they will sink a bit at least. They already feel softer and squishier than those awful turtle shells!
How long did you wait before lifting arms up, side sleeping and using the postop bra with strap ( if you used it) ?
TrmTab at my preop visit (before exchange) I made sure my surgeon saw me in a bra so that he could see that I look ok in a bra! I have a plain padded bra that I looked and felt ok with in even with the turtles! And yes I made sure he saw that too. To be frank tell him how you feel and see that he sees what you are thinking. Taking photos may be a good idea too. But I think I woul literally make him see what you want him to see. Is that difficult because of the set up? I'm not in the States so maybe it's different there to here.
So nice to know so many are doing well. Glad things are fine for you at last Shoregirl and its great you're doing well Eastcoast!
Happy New Year to you all. At lot of you have unknowingly played a big part in boosting my morale both pre and post- operatively, and I thank God for the gift of your presence in my life!
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Happy New,Year to all!
I remain on vacation with my sister. It has been wonderful. I return on New Year's Day and back to work on Jan 2.
I think that I have missed some messages but I tried to review as this morning because my sister is still sleeping.
Let's see...
Someone asked about details on my implant. It is Allegan 445 round highly cohesive..moderate projection...SCM 445...the relatively new Inspirias.
As for exercise, I will be full tilt after my return from vacation. I have been doing cardio but held off on Pilates. I was cleared to do everything bit my Pilates can be intense. I just wanted to wait. My surgery was Nov 2 so I think I am ready. I will ramp up slowly with Pilates though. I am certain that I have lost some strength.
I hope all is well....I will check this thread more regularly once vacation ends!
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I am new here, and I am glad to find this thread. January 12 I am having my exchange surgery. I am really looking forward to getting rid of this heavy and enormous tissue expander. I could not hate it more. I stressed to my PS that if there was to be any inequality, that the implant is to be smaller than my real breast.
In terms of recovery, is there a difference with the under the muscle and over the muscle implant? I am dismayed to read that I would have to wait a month to start weight training. I was not a big weight lifter before cancer, just small weights, but I have not done anything since surgery in May, and chemo and my muscles are so sad.
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travelhound, I wondered this same question! Good luck on your exchange surgery. Happy New Year
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I'm not sure about under vs over pros/cons but can say that mine were under the muscle, and I was advised no weights etc for more than a month. However, I had a lot of pocket work and I wanted to protect that pocket as long as I reasonably could. Plus I had some minor discomfort for weeks after as I healed (nothing like BMX or bad at all but persistent). Others can chime in with advice but you will feel so good (likely) after Exchange that you'll be tempted to do more than you should. Ask you PS.
And yeah to dumping the sucky TEs!!!!!!!!
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hi travel hound, I had pre pectoral implant, and my retrictions were no lifting for 2 weeks, nothing more than 2 pounds for 2 weeks, no more than 4 for two weeks, then 5 to 10 pounds after that. Remember that most tissue needs 4-12 weeks for the first stages of healing, and you need to not stress the tissue so it can heal in the right way.
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hi everyone. I'm having my exchange surgery this Friday Jan 5th. I'm nervous. I know I shouldn't be as I've gone through worse I had lat flap in 6/2017. But I still am nervous. I just hope my breast feel a bit more like breast cuz these TEs are hard as a rock. Just can't wait to get this done , heal and do my finishing touch which are my nipple tattoos. Anyways. Hugs
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Hopefull2
Have no worries. For me, this surgery was far less painful than the MX. I also was really ready to have the TEs gone and, being 2 months out from the surgery, my implants feel softer and more natural everyday!
Wishing you the best!
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HI, everybody. I’m feeling very uncertain about how to proceed and wonder if you have thoughts.
Background: I had appts scheduled with my BS & PS then my chemo ended 3 weeks early. This moved up my bilateral mastectomy surgery date 3 weeks as well. I ended up mtg the PS just a week before surgery. I had diep flap in mind but she said that I don’t have enough tissue and that I’m not a candidate. So we put in TE’s and said we would decide about lat dorsi w/implants or just implants down the road.
Does anybody put in implants after TE w/o flap surgery or alloderm type products? The PS definitely pushed lat dorsi and said she sees more complications with alloderm. This is total opposite of what my sister was counseled at diff med center 3 years ago. Implants w/o flap surgery or alloderm didn’t seem to be an option.
How long is recovery after putting in implants or implants w/ alloderm? I’m feeling very hesitant about lat dorsi and I’m stressed that we started down a road I wasn’t prepared for. I have my 1st expansion tomorrow- we are doing tumor side 1st, radiation, then other side, then reconstruction. So, I do have time to get other opinions. That said, i’m also a little worried about doing reconstruction out of toand how I would handle with 2 young children at home.
Any comments would be appreciated!
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Flynn, if DIEP is something that you are still curious about andwant to look into further I would suggest going to a PS that actually does them. My first PS didn't, I didn't even know all of the options then, she suggested a Lat Doris as well but that's because that what she did. She wasn't qualified for DIEP and never even mentioned the option. Maybe you truly aren't a candidate but I would have a DIEP surgeon tell you that. JUst my opinion.
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Thanks, TWillis, that’s an interesting thought. I know she does diep but it’s possible another PS might think I’m a candidate.
I’m thinking of meeting my sister’s surgeon up north. I’m over in Tampa if you recommend anybody local!
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Oh, well hi neighbor lol. I hadn't heard anything overly great about anyone in our area for DIEP so I opted to go over to Orlando to Dr Klein. It's his specialty and is dedicated to it as well as lymph node transfer. If you don't mind me asking, who was it that you saw?
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Hi Flynn, I have 440cc pre-pec implants w/Alloderm. I don't think the pre-pec are done without Aderm, as the skin on its own would probably not be able to support a larger implant. My exchange recovery was different each time. The 1st, from TEs to smooth round 470cc Inspiras, took a good 6-7 weeks before I was feeling pretty good, but I still had a lot of tightness and discomfort even 7 months later. I ended up getting a new ps (long story). She exchanged the 470s for 440cc Sientras and did some fg. My recovery was so quick!! I was out shopping 4 days later. Turns out she discovered hardly any Alloderm was there on the right side. So my guess is the discomfort was due to the implant not being supported, moving around. When I would lean over, it hung off my chest. Eventually started flipping over backwards.The new ones are anchored to my chest and so much more comfortable with an Alloderm "cuff" under lower edge for support.
Personally, I don't see the reason to do lat+implant. So invasive! Maybe look into smaller implant+fat graft as an option. The fat really helped me like my implants so much more. Cushioned, warm, softer, more comfortable.
Wishing you all the best!!
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Flynn - I have implants with no flap or diep and no alloderm. They were done in 2011. I had a really experienced and exacting PS who created just the correct size pockets with the correct TEs. I know a large portion of reconstructions are done with implants only.
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