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  • SLL101984
    SLL101984 Member Posts: 222
    edited October 2018

    I go in for my exchange on Monday and I will be keeping this in mind. My skin is super sensitive and I woke up from BMX with no wrapping. I’ll know if I start to get itchy it could be from the wrapping! Thank you for sharing

  • Gramto4
    Gramto4 Member Posts: 51
    edited October 2018

    Hey all,

    Just returned from my post op with PS. Everything looks good to them and they were able to remove my drain!!! Yaaay. So much more comfortable now. I don’t have to wear the surgical bra - just compression bras such as sports bra. Have to return in 4 weeks and hopefully all restrictions will be lifted. Have a great day everyone !!!

  • CBK
    CBK Member Posts: 611
    edited October 2018

    ReadyAbout

    Only tape I have is steri-strips. But I have this thing called a breast wrap. It looks like a strap and I have to wear it for a month nonstop. It goes under my armpits and above my foobs. It’s fabric and stretchy with Velcro.

    I was reading the nerve blocker could cause this and some anticeptics they use to clean the area pre-op, someone mentioned. Hmmmm

    I just hope it’s not that phantom itch people talk about. That can carry on for a long tine. Please no phantom itch 🙏!

    Yay Gramto4 glad to hear it’s going well for you.

    Good luck SLL101984 wishing you an easeful exchange!

    Am I the only one wearing this incredibly annoying breast wrap/strap??

  • Lanne2389
    Lanne2389 Member Posts: 229
    edited October 2018

    CBK, if the phantom itch you mention is the sandpaper type feeling some of us have, my PS described it perfectly - it feels like a Wonder Woman breast harness that circles your boobs! It can last a long time (mine was almost gone at about a year but manageable after 8 months or so). Hope you don't get it but if you do stay on your Drs until you find something for relief. It can be hard on your overall recovery. Hope you find an answer to your itching mystery!

  • CBK
    CBK Member Posts: 611
    edited October 2018

    Hi Lanne

    No I don’t feel sandpaper sensation. But it is localized to above the breasts and in the cleavage.

    What do you do for phantom itch? I imagine that would be enough to drive you insane for that long!!

    Thanks!

  • TrmTab
    TrmTab Member Posts: 832
    edited October 2018

    just back from my consult with a new PS (an hour and twenty minutes away in the next city...so that is a drag) but otherwise I had a great consult on a revision to my exchange. All questions answered and I feel comfortable with HER (first female doc in all of this).

    My question...she said I wouldn't see her for 2 weeks post exchange! On the placement of the TE and the first implant, I saw the PS the next day and then 3 days later and then two weeks later.

    She said I would not have drains...is no follow up for 2 weeks something others have had???

    Obviously if there is a problem its call right away...thoughts???

  • Mominator
    Mominator Member Posts: 1,575
    edited October 2018

    TrmTab:

    My PS sees us the next day, and then 3 days later, and then 10 or 14 days later, both for the placement of the TE and the exchange.

    My PS uses drains on all anatomical implants.

    I would be nervous about the 2-week window. I had an infection develop at 10 days post exchange.

    Obviously you can call with questions.

    Good luck 🍀

    Mominator

  • SimoneRC
    SimoneRC Member Posts: 419
    edited October 2018

    After my exchange, no drains, I did not see PS for 4 weeks. The paperwork said to come in at one week but he was out of town and I had no post surgical complications. So we just scheduled for 4 weeks

  • TrmTab
    TrmTab Member Posts: 832
    edited October 2018

    Thanks Mom and Simone...4 weeks, wow...I was "concerned" about 2!

  • CBK
    CBK Member Posts: 611
    edited October 2018

    No drains here on bilateral exchange and I even had some tweaking on right side of motor nerve and muscle.

    Saw my surgeon 5 days post exchange but I’m close by. Be viligiant on swelling, any draining, and fever. Make sure you are confident you have scripts on meds for your comfort, you probably already know now what works for you.

    Good luck trmtab


  • SimoneRC
    SimoneRC Member Posts: 419
    edited October 2018

    TrmTab,

    If there was any hint of anything amiss, there were covering PS docs who would have seen me. After exchange, assuming no complications, they are really just doing a quick check. Reminded me of when I saw the Breast Surgeon one month after mastectomy. Just checking his handiwork

    Good luck! Fingers crossed for you!

  • Shoregirl
    Shoregirl Member Posts: 375
    edited October 2018

    Trmtab, I had my consult yesterday for my revision with PS3. We are downsizing implants, fixing pockets, adding alloderm and lifting one side. He said I would need drains because he is adding Alloderm. So maybe your revision doesn't require adm and hence no drains, idk. When I had my 1st exchange I didn't get drains, so maybe that ps didn't add adm, not sure. I am happy as well. My new ps is on board with my wishes to do lipofilling in front of my smaller implants at subsequent times in his surgical suite. Probably won't get to the OR before the end of Nov but I'm okay with that. He didn't say what the follow up schedule would be. For my 1st exchange it was 1 week for 1st f/u.

    I'm glad you feel comfortable with your new PS! Do you have a date for revision yet?

  • ReadyAbout
    ReadyAbout Member Posts: 211
    edited October 2018

    Met with PS today; ohmigosh, his office is run so much more efficiently and professionally than the PS I recently left! Anyway, I am currently flat on one side due to recurrent cellulitis, so next month PS is going to put in new TE on the flat side and then do the exchange surgery on the good side because I am TIRED of having the TE in. The surgery is on a Monday and I typically bounce back from surgeries quickly, so I'm thinking I could possibly go back to work on Thursday? (I'm a teacher.) I have requested Mon-Thurs off for the surgery and I know my administrator will be approve it, but it's easier to be at school than write sub plans so I try not to miss. Those of you who have gone through exchange surgery or new TE after failed TE, what do you think?

  • TrmTab
    TrmTab Member Posts: 832
    edited October 2018

    Ready - My TE deflated and I went forward with exchange.  Exchange was on a Friday and I went to school on Monday and taught on Tuesday...so if you have been okay in the past then will probably be okay again.

    Shoregirl -- the new PS office said they would call me in a week or two after they get insurance certification to schedule. The PS does surgery every Monday and Tuesday.  Given where we are in the school year and business travel already set, I would like to schedule this at the start of the winter recess. I have a break in travel from Dec 10 - Jan 24 so if I have it the first or second week after my last trip, that will give me 5 weeks before needing to travel on my own...or be able to lift my overnight bag!

    Given the distance, I will probably stay at a hotel near the doctor for a night or two after surgery so if there is any immediate reaction I am nearby.

    Once I have a date I will update my signature block. 

  • 3grlz4me
    3grlz4me Member Posts: 5
    edited October 2018

    Hi Ladies! I'm an "oldbie" here...spent my life on these boards 10 years ago during my surgeries and thankful for all the ladies and advice on here! Yep...10 years ago...but now I'm considering fat grafting, which I didn't do before. I had a bilateral and both have divets and bumps (really from the beginning actually, I just didn't want anymore surgery). But now I feel like I should get it.

    If anyone can tell me if you had the fat graft, I'll have fat taken from abdomen. What was your experience and do you feel it really made a difference in the shape and appearance? Any insight is helpful! My husband is like it's not worth it you look great, but it bothers me. I know you all can understand how I feel. Thank you in advance!

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited October 2018

    griz - Below is a link that Whippetmom started about fat grafting. It's not current, but there is considerable discussion about going back for fat grafting later down the road. Maybe it will be useful. Good luck.

    https://community.breastcancer.org/forum/70/topics...


  • Imkopy2
    Imkopy2 Member Posts: 265
    edited October 2018

    TrmTab- Here’s something I did for my last exchange which at the time sounded crazy but came in completely helpful. I bought one of those small magnifying mirrors (10 or 20 Xs) with the little auction cos on the back. Any and every time I changed my clothes or showered I slowly examined my incisions with the mirror. If anything looked funky I called (better safe than sorry) The one time I had spit a stitch and there was a pin hole. I made the hour drive and saw the nurse. She pulled a couple of others that were getting ready to come out and she had me cover them. She said any of this early little holes can harbor bacteria and was amazed I was checking my incisions so carefully. She loved the idea and now recommends it.

    3girlz FG isn’t that bad...they like to take fat from abdomen if you have it. I did it with exchange but am having it again in March. The donor site is what is sore but compression garments help.


    Shoregirl- yay sooo happy for you! I’ll keep sending positive vibes your way

  • Lanne2389
    Lanne2389 Member Posts: 229
    edited October 2018

    imkopy2 - like you, my NP asked if I was a “stitch spitter" and said to watch for small red or white bumps along the incisions/scars. They needed to be addressed ASAP to guard against infection. Your mirror idea is a good one!

  • star2017
    star2017 Member Posts: 827
    edited October 2018

    I'm scheduled for my left exchange surgery in a couple weeks. My TE is leaking and so we're doing it earlier than I had planned.

    Has anyone else's TE leaked?

  • Shoregirl
    Shoregirl Member Posts: 375
    edited October 2018

    Ready, that is great news! So happy you are feeling better and looking fwd to your exchange with new ps!

    Trmtab, I haven't heard back from ps with a date yet. They have to wait for insurance approval. We may be going at the same time!! I like Imkopy's mirror check. That is a great idea and being far away from your new ps it makes sense to be super vigilant checking your incisions.

    3grlz, I def feel the fg made improvements not only in appearance, but in FEEL. It "cushions" the implant and provides some warmth to the skin. As Imkopy said, compression garments worn on the donor site are very important.

    Imkopy, thanks so much for the good vibes!!

    Star2017, wishing you good vibes as well on your upcoming exchange. I didn't have TE leak, but perhaps someone who did will chime in.

  • Pippi103
    Pippi103 Member Posts: 2
    edited October 2018

    Hi!! New to the group andI'm trying to figure out about what size I will be after my exchange on Nov 6..

    I am 5' 4.5", 117lbs, rib cage 29.5inches. I was a small 34B prior and I want to go bigger

    I have Allergen 300cc 133 MV-12 expanders. They are currently expanded to 570cc and will be having a slightly smaller implant placed. I believe they are naturelle and he is placing an S style (I assume the S stands for slim) so I will have more projection.. The expanders look pretty big on me but I am nervous I stopped too soon to end up at least a C..

  • VegGal
    VegGal Member Posts: 507
    edited October 2018

    "S" stands for smooth. 

    Natrelle Inspira are the ones with the great projection. 

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited October 2018

    Pippi - Below is a link to post your specs for WhippetMom on the implant sizing thread. Be sure to read the header and provide all the info requested. She is a true gem.

    https://community.breastcancer.org/forum/44/topics...


  • SLL101984
    SLL101984 Member Posts: 222
    edited October 2018

    just had my exchange surgery Monday, left the final size up to my ps and I woke up with mentor 235cc high profile smooth rounds. I was surprised so small but when researching the actual implant size that’s what could fit in my pocket (projection would have gone up a mm or two if a larger implant could fit the pocket so not that big a deal. I was a small b prior and I will probably be a b again. Anyone else end up with implants this small? Feel like I haven’t come across anyone yet!.

  • Shoregirl
    Shoregirl Member Posts: 375
    edited October 2018

    SLL101984 congrats on your exchange! I am surprised you didn't have some idea of what the ps would use as it is my understanding the projection is a bit less for an implant vs the TE. Larger implants are heavy, especially pre-pec. I am downsizing from 440s to somewhere in the 300 range in the hopes of more of a B cup. Maybe after you are healed you could get a bit of fat grafting to plump things up a bit? Sending good vibes and wishing you a speedy recovery!

  • CBK
    CBK Member Posts: 611
    edited October 2018

    Anyone ever develop a hematoma after exchange surgery? A few days after exchange it started to develop.

    I went back to surgeon today, I’m just two weeks post-op. Bruising getting better but still swollen and uncomfortable! No fever!

    I’m so frustrated with reconstruction it’s been such a rollercoaster.


  • TrmTab
    TrmTab Member Posts: 832
    edited October 2018

    Well I now have a date, Dec 17th.  Plan is to exchange current TCX800 for SRX 700-800 depending on symmetry with native right...which is what I actually expected the first time out except the PS wanted to try out the new TCX on me!  If I had been a double MX it might have worked out, but the highly cohesive has never settled and I can't get my 57 y.o. native breast to be that round on top!

    Excited, nervous, hoping for a smooth surgery and then I can enjoy Christmas and have the winter recess from school to recover. TT

  • Shoregirl
    Shoregirl Member Posts: 375
    edited October 2018

    Congrats on the scheduling of your revision Trmtab! That is exciting!! Sounds like perfect timing for your schedule. Hoping you have smooth sailing!

  • rachelcarter35
    rachelcarter35 Member Posts: 368
    edited October 2018

    I'm 4 weeks out from my exchange and am worried I'm bottoming out on my right side. My right side is a little lower than the left and I can feel pulling in my right armpit and along my collar bone. I did some research online and this seems to be the only con in choosing pre prectoral implant. Larger implants can cause bottoming out too and mine are bigger than I wanted. I've been wearing a supportive bra 25/7 since surgery and am supposed to for another 2 months. I hope it will heal in place and won't be a worry for ever. My scars under my breasts is about 1 inch above the crease and I'm worrying they are both bottoming out. I started exercising this last week. 4 days of cardio leg work and one day of light free weights 3-5 lbs. I decided the weights were too soon oops. I hope I didn't screw things up. I have an appointment for tattoos on Friday so I can talk to my PS about this then.

  • Maggie2
    Maggie2 Member Posts: 247
    edited October 2018

    rachelcarter, I hope the PS says everything is fine, that it is just part of the healing. Did you have alloderm placed as part of exchange surgery? I’m 8 weeks out from exchange and still wearing a support sports bra all the time

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