Exchange City
Comments
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I had drains for exchange - but still - two weeks off was plenty for a desk job.
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Hi Jaynerk7, Good to hear it went well for you. My surgery got moved to Feb 7th. Planning to be off the following Monday, then telework for 2 weeks. So grateful to have that option.
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Good luck, nomorekindofccuos. Exchange side feels pretty good already. Just a little sore in armpit but nothing major. Wishing you a good surgery and recovery
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How much time off might depend on your age, and your overall stamina, and what else you've been through lately. I was 62 and had just also had foot surgery, and was 2 months past finishing chemo, so I wasn't 100% when I had the exchange surgery. I would have wanted 3-4 weeks off from a desk job. Lower energy, but no pain, and quite a smooth recovery. Doctor ordered 2 weeks of LOW activity and no raised heart rate after my exchange surgery, to support complication-free healing, as did my RN husband. I had no drains, and my plastic surgeon said that they weren't usual in the type of exchange surgery I had. I had no pain after one day of mild pain. I think perhaps that's because my torso was/is permanently numb after my bilateral mastectomies.
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Thanks everyone for the real deal input on recovery time with the exchange surgery. You are giving me hope that it's an easier and faster recovery! I appreciate it...!!
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I had two weeks and no drains. Could have gone back in a week But I had a desk job. Robin
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I saw PS today, just about 4 weeks out from exchange with FG. I was told that FG is not even an option going forward because my skin is so thin there is no where else to put the fat. So I was basically told that there is nothing to do with the bilateral rippling I'm having (which is pretty noticeable). The only option was switching to the most cohesive implant although I was told it's very hard/uncomfortable and can sometimes flip. And even with that there's only a slight improvement with rippling (so really not worth it).
I had the urge to cry. I don't know why I got so emotional. I want to be clear, I am very very thankful that everything was caught early and I needed no further treatment besides surgery. But at the same time, no one really warns you about the reality of things. You are pretty much told don't worry your going to have nice implants/look great. You can't wait to get to the "final" surgery and try to begin to move on.
I am only 34 and single (the dating world is not easy to begin with) and I think that has a lot to do with it. This is such an emotional roller coaster ride and just when you think you're fine and feeling better you have another moment. Can anyone relate? Hope you guys don't mind my babbling. But I know you ladies will understand.
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You may want to consider getting a second opinion, only because you're so upset. I also have some rippling when leaning over/slouching, but I am 59 and married for 40 years. It doesn't bother my husband at all, he loves my boobs. Honestly, most guys love all boobs in any shape or form. The rippling is very common. When you think about it, there's not much around the implants but skin. I wear an underwire push up bra (which I thought I would never have to wear again!) to keep them from drooping, which gets rid of my rippling. I know exactly what you're talking about in terms of expectations. I also expected too much and was disappointed in the outcome, but I've come to accept it. Honestly, after the double mastectomy and removal of my nipples, it's a miracle they look as good as they do. The fat grafting didn't do much for me, a lot gets absorbed anyway. And it can also turn into hard lumps which we all want to avoid. And it's ok to cry, it's quite a traumatic thing to go through. We've all been there. Hang in there and good luck.
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LiveLove - I agree. Get a second opinion.
First - thin skin is a judgement call & another doc might think differently about fat grafting.
Second - I have cohesive gel implants and NO rippling - none! Assuming you have a very experienced PS who does this surgery all the time & knows how to make the pockets correctly to start with, there's very little danger of them flipping. Yes, they are a little harder, but since I had hard fibrocystic breasts all of my life I don't find them that different.
Some docs are unwilling to take over in the middle of the process (I think you have TEs??) But most would at least be willing to take a look & give you an opinion. Not sure where you live, but an NCI hospital would likely fit the bill. Also not sure if your current PS is experienced enough to do cohesive gel.
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Crossh thank you. I am not happy with the rippling but they do look natural/nice when I'm not leaning forward or moving in a certain position. I'm grateful for that. 40 years?! That's amazing!
Minustwo thanks for responding. A second opinion would not hurt. But it's still early and I'm going to give it more time. I do go to a NCI hospital and do see a surgeon with a lot of experience. My implants are cohesive but the "mid" range, not the most cohesive.
I feel guilty now for even complaining. I guess I just wasn't prepared for the rippling and have to adjust to my new normal. Maybe they won't ripple so bad in a bikini lol I'm a beach lover! I'm grateful and will try not to focus so much on everything
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A second opinion for sure. And a third or fourth if you need. I find it pretty hard to believe a 34 year old woman would have paper thin skin. It just does not compute!
The surgeon's credentials may sound great, but while there is the “best or most skilled in the department" remember that there is also the “worst or least skilled" too. Fat grafting is not everyone's forte.
Ask around for recommendations on your area. Check out their websites and online reviews and go from there.
Hugs,
C
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Thanks for your input VegGal. I am going to give it a few more months and if I still feel the same I def will seek a second opinion.
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Week out from my exchange surgery. Was just sitting on couch two days ago and I felt something feel like it came loose. Assumed it was my nerves waking up. Now there’s a bit of dumpling. Anyone experience this? I see my PS Tuesday so i will ask. Just get paranoid.
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Jayne, I don't think it would spontaneously start leaking. Don't worry until there is a reason to worry.
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Thank you, MC.
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Jayner never had anything like that happen. But I know how it is to worry about every little thing. How are you feeling otherwise?
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Feeling very well, livelovelaugh. Few stabbity stab pains every now and then but the tissue expanders get you prepared for that. Healthy breast that had mastopexy is healing well mostly. Seems I can't type well though, writing “dumpling" rather than “dimpling" in earlier post!
Wishing you and everyone a good rest of weekend and a positive week ahea
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lol...those darn typos. Well glad you're feeling well otherwise. I'm four weeks out and I get those pains as well or get pains when I over do it but otherwise okay. Thank you, same to you.
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I'm now 3 days out from exchange sx and a little fat grafting. I switched to Tylenol yesterday - so much easier than BMX. Just a lot of bruising. And hurray to the end of the TEs!!
The one thing I really found a problem though is the tape they used everywhere for the gauze pads. The adhesive is super strong, and I ripped 2 areas of skin off(!) before googling how to remove it. I finally got all the tape off using moisturizer, but was still covered in sticky adhesive residue. Second visit to google ended with my extra virgin olive oil and a washcloth.
I hope this helps if someone else is "stuck" with this predicament. Pardon the pun. ;-)
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I always tell them they can only use Medipore of Hypafix tape. There's a thread on BCO for those of us who have had continuing tape issues.
BTW - Light Day panty liners inside your bra work great instead of taping gauze pads.
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Thanks, MinusTwo, I'm going to check out that thread and. I've never had issues with tape before. I'm kind of concerned about the raw skin (it's on my hip - pads taped for the bruising from fat grafting). It's still draining pus, though it's just been a day... I've got polysporin on it and a gauze pad with the wimpy paper tape we used with drains last time. Maybe tomorrow I'll let it just get some fresh air. I vaguely remember skinned knees that benefited from that, you know, many decades ago!
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Here's the link. Not very active gut TONS of good advice. I also bumped to get it up on the active list.
https://community.breastcancer.org/forum/91/topics...
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Nomore same thing happened here. It was way worse than a wax! I had red marks for days but thankfully didn't break the skin. Ouch, sounds like that hurts! Keep it clean and hope you have a speedy recovery.
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Thanks, LiveLoveLaugh! After sending them pictures, I just got off the phone with my PS's staff and they said that the paper tape is now further irritating where I've put the gauze pad. So no more tape. Just putting vaseline all over the area and the gauze pad, and since it's on my hip, my underwear should keep it in place, but this should take a week or two to heal. The main wound seems to be weeping a little less, so I'm taking that as a good sign. And I'm thankful I'm not trying to go to the office while dealing with this.
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NoMore - it might feel silly, but the Kotex pads or Light Day Panty liners really work much better than gauze pads - especially since there's adhesive on the back side that will hold them to your bra or underwear.
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In the future, list a tape allergy with new docs. I went through 4 breast surgeries and a foot surgery with no tape used at all. It kind of makes me wonder why anyone needs it.
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Yup VegGal - I do list tape allergy. If there's a box, I check Latex to get their attention, but that's not really the whole issue. At least it starts the conversation.
I always carry either Medipore of Hypafix tape in my bag when I go to see docs in case they don't have any. Most hospitals, surgery centers and infusion centers have one or the other but not many doctor's offices. The OR convinced me to try the new silicone tape at my latest cataract surgery. Oops - just about ripped my face off when they were removing the 'drapes'.
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Thanks for the advice, everyone! I did start using the panty liner against my hip and adhering to the panties. I think my skin is going to like this much better.
MinusTwo, that is a super scary thing you went through!!! I hope you're all healed from that. Wow.
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What did everyone use on their incisions to help with healing?
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I took 1 week off for my exchange surgery, although I was ready to work after 4 days. I wasn't supposed to drive, so I teleworked. I did not have drains.
I just had a second surgery (1 implant switched, capsule and pocket work, and fat transfer). I have a wound vacuum on this time. The lipo on my legs is the most painful part, but it isn't too bad. My PS said I'll feel great in 3 days. I hope to be cleared to work from home 1 week from surgery.
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