May 2019 Surgery Support Group

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  • meeko1452
    meeko1452 Member Posts: 41
    edited June 2019

    Christene,

    I wish I had been much more detailed about asking about returning to my full exercise routine...specifically if they had recommendations about returning to weight lifting, aggressive stretching, and full yoga poses. Ask you plastic surgeon if he has any bra suggestions (does he recommend part time compression bra wearing, or just whatever....)

    I don't remember if you did direct to implant or not. I wish I had asked my PS what (if any) sorts of massage I should be doing to help prevent capsular contraction and what his opinion is on oral antibiotics before dental work with implants (it seems the medical community is a little divided on this).

    Good luck with the visits!

  • JulieSim
    JulieSim Member Posts: 94
    edited June 2019

    Don't know why but I couldn't get a straightforward answer about exercising so far! I got an expander under pec muscle and exchange surgery is not happening till at least February because of the radiation therapy. I've been walking a lit, but I feel it's time to start exercising a bit. Plastic surgeon says no abs or anything involving pec muscle until 8 weeks post op, his assistant says abs is fine because we didn't do the flap and abdomen wasn't involved, and PT literally said - just walk and wait until the exchange surgery is done :):) go figure..

  • Meem888
    Meem888 Member Posts: 3
    edited June 2019

    I’m not sure how to post a question, so I’m posting a reply....I had bilateral mastectomy Jan. 17th with tissue expanders placed. June 6th I had the swap out for silicone implants. Is it normal for my chest to feel so tight sometimes? Especially at the end of the day. Am I supposed to be doing some kind of massage?? And about how long till I feel somewhat comfortable in my own skin again??? Thank you!!

  • Meem888
    Meem888 Member Posts: 3
    edited June 2019

    hi JulieSim, my plastic surgeon is so laid back about exercise and restrictions it’s scary. Basically, he said, “if it hurts, stop doing it”. Not enough of a clear cut guideline for me. I don’t know I’ve done too much till the next day when my chest aches. I’m going to call him tomorrow and ask about massaging the implants. Didn’t know that was a thing...

  • Christene502
    Christene502 Member Posts: 115
    edited June 2019

    Hey Ladies,

    Have you thought about mastectomy bras?

    Have you gone to a fitting?

    I am wondering about Nordstrom's program. I just don't like the fact they are a very expensive store in my area.

    So many women have recommended the Amoena bra and Athleta's Empower Mastectomy Bra Inserts.

  • JulieSim
    JulieSim Member Posts: 94
    edited June 2019

    Christene - I am in Canada, but I was surprised how many stores actually carry mastectomy bras! I ordered mine from La Vie En Rose. They are nice and comfy, and were designed by BC survivors. I am almost sure they ship to US.

    I didn't realize though for how long I'd be wearing compression bra, it's been almost 6 weeks and my beautiful La Vie En Rose bras are still waiting :)

  • ipenelope
    ipenelope Member Posts: 301
    edited June 2019

    Ladies ask your PS for a prescription for a post mastectomy bra. When I was interviewing my PS, prior to actually choosing her, she gave me a prescription for 1 with 3 refills. My insurance company covered about $300 for the 2 I got and I paid about $55 out of pocket for them. There are stores that are around that will help you get fitted for one and work with the insurance company about them. I had mine prior to my surgery which my doctor liked as I went home from surgery in one of them. One is like a sports bra that zips in the front and the other is a cami style that also zips in the front. Both came with drain holders and the cami came with inserts for those that don't do reconstruction immediately but want to look like they have breasts.

    This is the label from my cami one. Not sure if it will help anyone.

    Regarding excercises my PS said no stretching over the head until drains were out and no weights above shoulders for at least a month as I had the aloderm placed and it's only held in place in 3 spots and those areas could tear with too much stretch causing issues. Increasing heart rate is also not re recommended... still not sure why and I'm a nurse lol, probably related to increased chance of bleeding.

    Best of luck to everyone and keep kicking cancer's ass!!!🥊🥊🥊

    ~Katie💗

  • OnTarget
    OnTarget Member Posts: 447
    edited June 2019

    Hi gals!

    A few random things- I've found great success using a rotating heads electric razor first my armpits. I won't use a regular razor because I'm afraid of nicking myself and causing LE, or just not feeling it.

    I see that a bunch of you have been assigned bras. I've been braless since the BMX which I guess makes me lucky. My scars look sort if nipply, so I sometimes wear a camisole with a shelf bra when I'm feeling fancy.

    My PS recommended Athleta bras, I'll check them out eventually. They sound very soft. Otherwise camis will work.

    I'm getting my fourth fill this coming week (6 weeks out). The last one hurt where there is apparently cording that goes from my armpit to a spot under my TE at my ribcage. I'd really been cruising along until that pain started. Luckily the PT figured it out and I can improve it with stretching. I hope this week's fill doesn't cause the pain to spike!!

    Have a great Sunday!

  • kber
    kber Member Posts: 394
    edited June 2019

    Hi OnTarget (love the name, btw!)

    I'm also finding camisoles with a shelf more comfortable, but I'll check out Athleta - I've heard good things about them. I'm having some success with Jockey.

    I'm almost 4 weeks out and still tender, but not in real pain. Some parts of me are numb, and others super sensitive, so I'm navigating that. I haven't had any fills of my TEs yet post surgery, but I'm actually kind of liking where I am right now. They are perky as all get out, and much smaller than I was, but to be fair, I was *huge*! My original plan was to get to about 2/3 of my original size, but I'm thinking that might actually be too big. I like being able to button my shirts without a gap!


  • OnTarget
    OnTarget Member Posts: 447
    edited June 2019

    Kber, my TE's weren't filled at all during surgery, so I'm probably working my way up to what you were at surgery! :) I just have to decide when exactly to stop filling!

    Choices, choices!

  • kber
    kber Member Posts: 394
    edited June 2019

    Met with my PS this morning. I decided against further fills, but will check in immediately post radiation in case I have shrinkage, which is common. We also plan on doing fat grafting to round things out, so I may end up being a bit bigger than I am, which is totally fine. In the end, I'll end up about 50% of my old volume.

    I also got the green light to move up my radiation start date - also a good thing.

    On the downside, he didn't like how my scar was healing on my non-cancer side, so he cut it out and resealed it. Not a big deal and apparently it bled well, which means the blood supply is well established, so hopefully there are no further issues.

    Finally, he squashed my dreams of finishing up my surgeries in 2019, which means I'll have to meet my deductible and out of pocket maximum all over again in 2020. I have a high deductible plan, so the cost is not insignificant, but there does not seem to be any medical leeway, dang it.

  • britgirls
    britgirls Member Posts: 59
    edited June 2019

    Sorry ... I fell off the map there for awhile. I ended up running a fever a couple weeks after my surgery and ended up staying in the hospital 3 nights with cellulitis of the right breast r/t the surgery.

    While I was in the hospital, I got my pathology report. Not from my doctor, but from the MyStLukes app which kindly emailed me to let me know that I had a new test result. A heck of a way to get the news!! Especially being in a hospital room alone and with my family 20 mins away from visiting.

    Anyway, it was quite shocking news. Turns out, I have Stage 3a breast cancer in the right breast. They took out a 3 cm and 0.4 cm mass. Of the 12 lymph nodes they removed, cancer was found in all 12. Which means more than likely it's in other lymph nodes. The left breast (where I had Stage 0 DCIS five years ago) was clear. Just this past week I had a cat scan and a bone scan and both came back clear, so I'm still Stage 3a. My husband and I were giddy with joy at Stage 3a, because after that pathology report I seriously thought I would be Stage 4 and mets to everything. I'm scheduled to get my port placed on July 5. Chemo (ACT) starts July 9, with AC every two weeks and then T weekly for 12 weeks.

  • kber
    kber Member Posts: 394
    edited June 2019

    Oh Britgirls - that's such a shock - and not the best way to get the news! I'm sorry.

    I had a port put in for my chemo and I'm oh so glad I did! It made things so much easier.

    My chemo was neoadjuvant, so I was able to get that over with prior to surgery. It was very successful and I went from 3a to no residual cancer. Chemo sucks, but it works. Best of luck and hang in there. You've got this!

  • JulieSim
    JulieSim Member Posts: 94
    edited June 2019

    britgirls - so sorry you have to through all this, and I am glad you didn't go above stage 3. I can't even imagine getting pathology report that way... (when I was diagnosed, I didn't have the app yet, and my nurse assumed I did - so they were talking to me like if I knew, and I didn't know..)

    Sending healing hugs.

  • meeko1452
    meeko1452 Member Posts: 41
    edited June 2019

    Hi everyone!

    I am 7 weeks post op, and thought I would check in to see how everyone is doing.

    Britgirls, I am sorry about your news, but so freaking happy about the clear PET scan. Kber probably says it best "chemo sucks, but it works!" I will be sending you good vibes.

    Kber, I am tickled pink that you are so happy with your smaller, perkier breasts! You deserve some happiness from all of this mess :). I totally understand where you are coming from about the deductible....I'm trying to get every possible procedure that I could need this year now that I have met mine!

    Ontarget--I am glad your PT figured out the problem, and I hope it goes away soon. Good luck with the next fill.

    ipenelope, my insurance also covered my postop bras. I don't have to wear a compression bra anymore, but I am still wearing them to yoga...they are really pretty good sports bras!

    I am healing well, and back to doing planks and down dogs in yoga. I still sometimes have some nerve type pain along my incision, but it isn't bad. I am still waiting on my Oncoscore (I got notice last week or the week before from my insurance that it was approved, so I assume we will have the results any day). My current plan involves no chemo, so I am hoping the oncoscore will not throw any ugly surprises at me. However, one thing I have learned is that cancer LOVES to throw you for a loop, so I am prepared for the worst while hoping for the best!

    I am using silicone sheets on the scar...the evidence on them isn't really compelling, but it isn't going to hurt anything (except my wallet) so I figured I would give it a try.

    My cancer breast was quite a bit larger than my healthy breast before surgery. It is still a little bit bigger, but I am really wowed by now natural it looks and feels (other than the scar and lack of nipple, of course). I didn't want any surgery on my healthy side, but now I am toying with the idea of talking to PS about maybe adding a little implant to the healthy side to make them match a little better. I'm not sure...again, it is really hard to imagine choosing to have a surgery that I don't really need.

    I've lost 20 pounds since my diagnosis at the end of March (I needed to lose weight, so that is a good thing). I just find that I'm not hungry.

  • britgirls
    britgirls Member Posts: 59
    edited June 2019

    kber, thank you so much ! It's so encouraging to hear that you went from 3a to no residual cancer! Absolutely fantastic!

    Re: expanders. I had my first fill this past Monday, 50 mls each side. No pain, but an achy feeling on and off afterward. I was 36C prior to surgery and I only want a perky little 36B this time and no more! My PS said it would be late next spring or early summer before the exchange surgery. I have to go through all the chemo and radiation first.

    OnTarget: you've been braless since the surgery? You lucky duck! My PS has wanted me to wear the surgical bra 24/7. Lately I've been taking it off at night, though.

    Re: exercise. My PS gave me a 20lb weight restriction and said no exercise whatsoever for at least another two weeks (that'll be about 6 weeks out from surgery).

  • ucfknights
    ucfknights Member Posts: 102
    edited June 2019

    hi girls! I’m wondering for my mom, how long did you girls wait to have surgery after chemo? My mom finishes chemo July 23rd and we have an appt with BS July 10th to discuss the MX and MRi. Curious how long Thewait is between end of chemo to surgery. Thanks!

  • kber
    kber Member Posts: 394
    edited June 2019

    I waited 4 weeks and 2 days. Basically I was told to wait at least 4 weeks, but not longer than 60 days At first I was scheduled for 6 weeks out, but then a date opened up earlier on the schedule and I grabbed it!

    I'm 4 weeks post surgery now and I've moved from compression / sports bras to softer, wireless jockey bras. The fact is, with the expanders in place the girls aren't going anywhere! At night I wear camisoles with a shelf bra built in.

    My PS and I had a discussion about bras at my visit yesterday. He'd have liked me to keep the compression bras another 2 weeks. I lobbied for an early release - they are uncomfortable. He examined the jockey bra and said it was OK, but reluctantly.

  • ipenelope
    ipenelope Member Posts: 301
    edited June 2019

    Britgirl- Technology is wonderful unless your medical app gives you info before your doctor can talk to you about it! Sorry that you had to find out the way you did. Yay about the scan showing no systemic changes!!

    Ok ladies having blonde moment over here...I keep seeing people talk about onco scores.. what and where do you find that out?? I've done the generic testing and have recieved patho results from BMX so guessing i have it just not sure what I'm looking for.

    Thoughts and healing hugs to all you cancer kicking women!!!🥊🥊🥊

    ~Katie💗

  • OnTarget
    OnTarget Member Posts: 447
    edited June 2019

    IPenelope, the Oncotype score is to tell node negative people their risk of recurrence with or without Chemo. If you are node positive, I think they just give Chemo.


  • ucfknights
    ucfknights Member Posts: 102
    edited July 2019

    hi!

    For anyone who has had a MX here, how often are you seeing your BS? When is usually the first follow up appt to discuss path results after surgery? I am a planner and i have so much anxiety bc ofthis :(

  • ipenelope
    ipenelope Member Posts: 301
    edited July 2019

    ucf- I met with my BS 12 days after my BXM. And after that it went to every 6ish months. Ive only seen her 2 times.

  • Christene502
    Christene502 Member Posts: 115
    edited July 2019

    ucfknights

    I am very pissed at my Breast Surgeon, he has yet to call me on the Path results nor how many nodes he removed... I had an appt and was shocked to see his nurse not him... She told me to come back in SIX Months... I guess my breast surgeon doesn't care about me any more being I had both removed... he is no longer needed by me...



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