Actual Post-Surgery Experience

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Seilien
Seilien Member Posts: 72
edited September 2020 in Breast Reconstruction

Hello. A lot of the topics in this section discuss the decision to have reconstruction and the after but I really would like to know the actual recovery experience.

How long was your recovery? What limitations did you have? What was staying at the hospital like? When did you resume "normal" activities? When did you return to work or start driving? Were there tubes or stitches, for how long. What were your feelings after surgery?

Recently, I feel that drs give suggested times/side effects which vary a lot so I would appreciate real people's experiences.

I am particularly interested in how people have recovered from diep flap. I am concerned about my ability to use the bathroom, feed myself, bathing, getting up. But any experiences are welcome, especially during this pandemic! Personally, I found the antiseptic smell in hospital rooms from over cleaning made me nauseous.

Comments

  • Ohthatcat
    Ohthatcat Member Posts: 25
    edited June 2020

    I agree that there are like no good descriptions of recovery. Everyone is different but I'll share mine that I wish I knew could happen. I also have tremendously bad luck in general, so keep that in mind.

    I had a BMX with six nodes removed. My cancer was in my right breast and humongous.

    I had my mastectomy and tissue expanders placed in the same procedure. They are under the muscle, which was good, given what ended up happening.

    it ended up taking about 7 hours, much longer than anticipated. It was also more complicated because I have a rare brain disease that makes anesthesia difficult and more tedious (found during chemo, lucky me!).

    I woke up fucking nauseous as hell, despite their best efforts. I was sweaty AF cuz of that bear hugger they used and didn't know about until after. Because of my brain disease (moya moya), they had to ensure my blood pressure returned to normal whcih took what seemed like an ungodly amount of time.

    I lost all track of the hours. I went in around 1 and didn't realize it was 9:30 pm when I got wheeled down into recovery. I didn't get to see my husband or five year old son, because they waited around in my room but it wasn't until like almost midnight when I got wheeled up, so they had to go. I was really sad but I wasn't feeling well anyway so it didn't matter.

    I wasn't ready for them to force me to pee hahaha so that's apparently a thing. I guess you have to wake your bladder up so it doesn't burst, so it was a joy trying to use a bedpan and then the potty chair. Lol


    the next morning at lime 7 am damn!, my BS met with me and so did the plastic. It was nice to see them!

    I was not that sleepy, but did get out of bed and walk around and sat in the chair instead of the bed. I did go home that day.

    That’s when things got fun!!


    I am going into treatment now but will update you later today! Hope this helps so far

  • Seilien
    Seilien Member Posts: 72
    edited June 2020

    Thank you for your post!

    It seems silly but I'm really worried about how to use the bathroom lol

    I got double mastectomy with expanders and that was a breeze for me because it was last year and my husband was allowed to stay with me. He basically handled getting me food, making me get up, what meds I can take but my blood pressure did get dangerously low. I really felt like a newborn animal when I tried to walk and the nurses are constantly pushing you to use the bathroom! I really struggled with that. The tubes also irritated my skin the whole week they were in.

    I also had an emergency expander removal surgery which was outpatient so it was very straight forward. I had a tube again which was irritating/itchy. Being home is the best!

    I had a brain surgery this year and it is very different from past surgeries. Wearing masks everywhere was irritating and hard to breath. Nobody was allowed to visit. Nurses and techs were very sanitary but it felt distant and cold. I was very lonely and had planned my escape from the hospital. I struggled with eating but the nurses needed me to eat on my own and have a bm (bowel movement) 1 day after surgey. I did get nauseous from the jello lol I got out in 4 days including surgery. I walked very slowly, ate well, but basically I could handle myself. The hospital staff was very disorganized due to changing policies which frustrated me. I was emotional and upset for 5 weeks after.

  • Ohthatcat
    Ohthatcat Member Posts: 25
    edited June 2020

    Promised update lol:

    The car ride hurt. All those bumps and stops! I couldn't even open the car door because I was weak as a kitten. That surprised me. Hopefully, your surgery won't be in a congested pre-quarantine city with bad roads lol.

    I got home, and immediately went to the couch, where I remained for the next 4 months lmao. That first week I was so immobile I was legit concerned about bedsores. I needed help getting up because surprise, I discovered you need chest muscles to get up from a supine position.

    It is a black hole of drain emptying (I had 4), showers, needing help to pee, alarms going off for medicine (I only had tramadol and Valium, and I think an antibiotic, which I ended up on for six yeast infection-filled weeks), and sleep.

    I ended up with some advanced tissue necrosis, where the entire flap on both sides of my chest completely died. I didn't even know this was a thing. I had gigantic boobs for my size, extremely saggy and I hated them, so I guess they decided to have one last hurrah and making my life miserable. This tissue death was not only disgusting but a huge inconvenience, as the death process then the healing process pushed out my radiation treatment and tissue expander fills by months (I had chemo before surgery).

    All of this now means I won't have my freaking tissue expanders swapped out until early 2021, barring no other unfortunate happenings in the meantime.

    I ended up on six weeks of abx because of the literal open flesh meat of my dying skin. I hated it because it was one more pill to take and the long course eventually caused a yeast infection.

    Amazingly, the rotting tissue didn't hurt or smell. It was just incredibly gross and I had the joy of regularly cleaning it, dressing it, then having it debrided. So nasty!

    I was quite tired the entire time, which I really beat myself up over. I couldn't lift my arms or lift anything really. I wish in retrospect I'd gone easier on myself.

    I stopped having my period then, so that was a welcome respite. I did, however, cry nonstop for like a month and I have no clue why. I was so sad. Sad I couldn't be with my small son as much, sad at how useless I felt, etc.

    Despite me looking like a legit zombie, the healing—though slowwwww—was an amazing process to watch. Seeing your body regenerate skin EVERY DAY was insane. I had to dress and care for those wounds nonstop and they would actually look different from morning to night. The body's natural pull to heal and repair was a sight to behold...too bad it was on my own body! Hahaha. Those things are best viewed from a distance.

    The drains absolutely sucked. I hated them. They pulled and I have four stupid scars from them. But man did they suck.

    I am at yet another appt and will finish this later. The difference in mood and energy once healed is astounding. Again, bodies are freaking incredible. They're capable of being outright disgusting and horrifying to amazing and wondrous.

    Hope this helps so far!


    ps—what was brain surgery like? I will likely need it in the next 5-10 years. How scary was it

  • Seilien
    Seilien Member Posts: 72
    edited June 2020

    Brain surgery is as scary as it sounds. People are constantly reassuring you but it's scary. I was told several times that it was not a "big" surgery because it is very straight forward and was 5 hrs I think. Trim your hair, cut the skin, open the skull, cut out tumors. Emotionally, I was devastated and worried that I would come out different. Physically, who cares, I'm asleep.people constantly come in to check if you can follow directions, wiggle toes and hands, smile. The recovery was fast for me. Some people get pains and headaches, I got mostly numbness. I'm like 85% back to how I was. (Dont google anything! Not many useful info out there, just depressing) I'm still recovering but it is mostly laying around. I feel very guilty now but I didnt care about taking care of my toddler or showering or eating.

    A person changes after that kind of experience but its quick to get used to the new normal (5weeks for me). I give the scary factor of 8/10 but it kind of depends on brain location, confidence in dr and your support system.

  • Ohthatcat
    Ohthatcat Member Posts: 25
    edited June 2020

    thanks for clarifying. I’ll need brain surgery for moya moya disease, so they’ll have to use an artery from my forehead to bridge the closures in my carotids!

    did you say you were awake??

  • Seilien
    Seilien Member Posts: 72
    edited June 2020

    I was not awake. I think it depends where in the brain you're getting surgery. I had it done in the cerebellum I think so it wouldnt help to be awake.

    I also have pains in my neck. I was laid in a funny position during surgery so now I have a sore neck. The skin on my head also hurts from whatever contraption they put on my head to hold it in place. It's like a bruised feeling.

    I also did have some leakage. Ended up in the ER but nothing came of it. I'm not sure what was leaking from my head. Brain fluid?

  • morrigan_2575
    morrigan_2575 Member Posts: 824
    edited June 2020

    i think I'll be the outlier.

    My recovery was/is super easy.

    I had a BMX on Friday 6/19 it was performed as an out patient procedure. They also removed 3 Sentinel nodes.

    I had a nerve block in each side and over the muscle TE placed. I had no pain at all. I haven't taken any of the pain pills they gave me. I took Tylenol 2 nights right before bed and, that's about it. The most uncomfortable I've been was in the surgical bandage/vice i had to wear for 2.5 days. This is normally exchanged the next day but, my surgery was on a Friday so I didn't see the nurse until Monday morning.

    I have 2 drains and, they're both at the 30cc/24 hours rate so I should be able to get rid of them tomorrow. That will be 1 week post op, which is awesome because I hate the drains.

    I am fully functional and able to take care of myself, I do my own drains, get in and out of bed, take care of my cat and my plants.

    I took 2 weeks off but, I feel so good I'm going to go back to work Monday. Granted "back to work" is working remote with a laptop.




  • AmyCinny
    AmyCinny Member Posts: 21
    edited June 2020

    I had a super easy recovery from a bilateral DIEP. I only needed Tylenol and Ibuprofen for about 2 weeks. Because of the drains, I couldn't lift my arms above my head, so I did need help, but other than needing more sleep than usual and extra protein, I felt fine. From the first day post-op, I was able to get up out of chairs by myself and out of bed as well. I showered, dressed, and walked without any issues. I did wait to drive until about 6-7 weeks after surgery since I felt a bit uncomfortable with bouncing in the car. In addition, I slept in a recliner which was very helpful - I didn't need to arrange all sorts of pillows in bed to support me. Once I got back into bed (approx. 3 weeks after surgery) I did find that I couldn't roll over. Rather, I had to sit up and turn over. But that lasted only about another week or so.

    I took pajamas, robe, and slippers to the hospital and once my catheter was removed (Saturday morning after surgery on Thursday) I wore the pajamas and was comfortable. I did purchase camisoles with pockets before surgery so I could manage the drains more easily.

    The one side effect I experienced which no one told me about was that post-op, I had some trouble seeing both near and far. Apparently, the cholinergic drugs they put in your eyes will cause that, but it does wear off within a few days.

    My biggest problem - which according to my surgeon, he'd never seen before - was that my inner elbows were extremely painful from the hours during surgery of having my arms straight out. In fact, that pain was the only pain I felt during recovery at all and it took a solid 8 weeks to go away. I think my elbows were unintentionally hyperextended.

    It turned out that my DIEP - which was the first surgery I ever had - was the easiest part of my cancer.

  • Floral
    Floral Member Posts: 41
    edited August 2020

    I had a BMX and two nodes removed plus tissue expanders. This was my first general anesthesia surgery. I was supposed to be staying two nights, which I found reassuring when it turned out I didn't have my surgery until 1:00p. It took four hours and I think the first time I saw the time it was 5 or 6 something. There were no problems. Once I was pretty conscious they wheeled me back to my room. There was some issue with letting them know as soon as I had to go to the bathroom. Whatever they said made me worried and I was constantly conscious of NOT having to go. I got hungry and all they could give me was jello. Finally I had to go and they helped me to the bathroom. It was a scary trip, because I was SOOOO not right when it came to balance. I felt like I was on a pitching ship. I couldn't have gone without help. Then I get in the bathroom and, oooops, I feel sick. But no, false alarm. When I got back to my bed they took the opportunity to tell me that I would probably be going home that next day after surgery. Considering I couldn't even walk, this had me scared. Meanwhile, I had very little pain at this point.

    Making a long story short, I did go home the next day and it was not a problem, I could walk fine. Had it not been for the drains, I would have needed nothing more in the way of pain management except a couple Tylenol every now and then. Unfortunately, the drains, particularly on the cancer side, made it a whole 'nother story. Once home I had a nurse coming out and a PT, both of whom were great and were able to give me all kinds of tips and answer all kind of, "Is this normal?" questions. They only gave me 12 real pain killers when I left the hospital and I was afraid that once I ran out they wouldn't give me more, so I hoarded them and only used them when I absolutely had to. (This is wrong, by the way.) Every time I needed one it was the drain, which was excruciating.

    Basically, all was going very well, I'm not in pain most of the time, I can sleep in my recliner, I'm walking each day it wasn't freezing out, incision looks good, I had all my aids that I learned about on here, I'm measuring the drains, etc. About four days after surgery I go downstairs to feed my cat. In the middle of this the one drain started giving me what I called a pain storm. I now know what a 10 on the pain scale feels like. I started to feel like I was going to pass out and I didn't really want to fall down on the kitchen floor, but I couldn't move, because the pain was off the charts when I did. So I yelled for my mother, whom I was staying with, to please bring me a pill, which she did. Five minutes later I could move. And that was the worst of it.

    I NEVER thought I would stop draining. I had the drains for a full three weeks, but once they are gone things are much better. I still have my expanders because I had radiation and they like to wait six months after that. They really don't bother me that much, although I will be glad to have the implants because I am ready to start buying a variety of bras to go with different clothes. I don't want to spend a lot of money now, because I will probably change. I can actually fit into my old bras, but they are uncomfortable because although my size is exactly the same, my body is arranged differently.

  • Fwb2020
    Fwb2020 Member Posts: 4
    edited August 2020

    I am having the diep flap reconstruction surgery on Wednesday. Due to COVID my husband can only stay until I wake up from surgery then pick me up. I am worried about not being able to do things for myself and pain involved. I also don’t know how long I will have to stay in the hospital. Any suggestions on what to bring during this pandemic surgery To make the stay betterare welcome.

  • Seilien
    Seilien Member Posts: 72
    edited August 2020

    I was in the hospital when covid was the first in the beginning and honestly I found my stay so uncomfortable. I brought only my phone, charger comfortable clothes and tried to leave as soon as possible. I always had to wear masks and the antiseptic smell was nauseating. Everyone was also very sensitive due to covid. But this was in IL. Also a flap surgery would take as long as 5 days and pain management is great but make sure to have a button close by. Masks. For some reason the hospitals I go to won't just give me 1 I have learned the health care personnel are super awesome but yes getting home was such a relief.

  • AnnC2019
    AnnC2019 Member Posts: 203
    edited August 2020

    I did fine and now I developed an infection about 4 weeks after surgery. I had my drain out about ten days ago and my first fill. A week later skin started to get red, so doc skipped fill and put me on antibiotics. Fast forward about three days, I am in the emergency room with a foob red as scarlet that wasn’t getting better on the antibiotic. Now I have to get an infusIon and maybe surgery to remove the tissue expander. It looks like I will then need a total of three surgeries before this is over.

  • Seilien
    Seilien Member Posts: 72
    edited August 2020

    this is really 2nd rime I have my expander remove. The 1st 1 had a skin perforation so I was in Generals anesthesia and got home and same day the result looked terrible. Radiation damaged my skin until it became what Dr called "red and angry" which wasn't salvageable. Plus there was a hole looking in.

    I had 1 expander for 14 months and it looked weird and it kept rotating. So there was mild discomfort every now and again. Finally i got it removed today, all the water was syringed (this took like 10 min) out while i was on a low dose of Xanax(2mg?)

    The surgeon made a small incision and pulled it out. I'm feeling minimal pain next day but I'm tired.

    I have to say I hate Local anesthesia, general anesthesia you sleep but in local you are aware or everything happening. Something hurt, something is weird pressure, I don't know where to focus or think. People ask if I hurt YEAH. Do I feel that stitching YEAH. I guess I just don't like surgeries.

  • benal
    benal Member Posts: 1
    edited August 2020

    I'm new to this forum and I'm glad I found it. I'm at a loss here. I hope someone could help me and tell me if what is happening to me is normal.

    Diagnosed on September 2018 with Invasive Breast Cancer grade 2 on my right side, a follow up MRI discovered a secondary cancer in the same breast, we decided on a Bilateral mastectomy with placement of tissue expanders for future reconstruction done on November 2018, all was going well fills every 2 or 3 weeks, But on September of 2019 i got a little scab on my breast and Plastic surgeon got me into surgery to remove the expander, clean up the area and he placed a new one. That was the beginning of my nightmare, this happened 3 more times all within months of each other, I had a total of 4 surgeries with removal of tissue expander and placement of a new one, in between I had similar issues and plastic surgeon did debridement in his office, he cut the bad tissue and stitched it back together.

    In total I had 7 instances where I had an infection, 4 of them resulted in surgery. I asked my Dr. what what's happening and I never got a concrete answer. He said he was baffled as to why it happened months after surgery.

    I'm so tired of all of this, in this last surgery they had to remove the tissue expander and the left me with a whole where my breast once was, because the infection was so bad that my breast exploded leaving the tissue expander completely exposed, I can't even explain to you how painful that was.. After all this pain for almost 2 years, I feel He should have done something about it, He could have I don't know refer me to a Dr. to investigate the cause of so many infections. Needless to say, after this las surgery on August 20 2020 I am changing Dr.

    Have anyone have somethin like this happening to them?

    Please, I need to understand.


  • Moderators
    Moderators Member Posts: 25,912
    edited August 2020

    Oh benal, that sounds really terrible. We are so sorry to hear all you've been going through! It is definitely not unusual to have infections. We are happy you are seeking other opinions about corrective breast reconstruction. You may also want to read out content on Infection after breast reconstruction. You may also want to check out this Topic: Reconstructive options?

    We're all here for you!

    The Mods

  • Seilien
    Seilien Member Posts: 72
    edited August 2020

    Something like that only happen to me once and if I were you, I would think its the dr or medical staff because that is a lot of infections to be coincidence. Was it done in an office? I got 1 taken out at a hospital and it felt way more sanitary. After my incident, I am considering another PS too.

  • WC3
    WC3 Member Posts: 1,540
    edited August 2020
    I had a BMX with immediate expander placement. My recovery went very smoothly. I was not in any pain when I awoke from surgery. I was, however, groggy and annoyed that people wouldn't let me sleep.

    I was in the hospital for a night or two...I don't recall exactly. The room was small and there was a misunderstanding that lead to them refusing to give me medication I take occasionally for another condition which did cause me pain.

    During the recovery process, I had two drains and was unable to raise my arms or use them to push myself up. This necessitated a bed wedge and I required assistance of another person dressing.

    My pain during this time was generally moderate and easily managed with Tylenol unless I attempted to use my arms in a way that was contraindicated. I also had some pinching from the drains which necessitated that I move with caution. I spent most of my time in bed for the first week, as I was also still very weak from chemotherapy.

    After the first week, my drains were removed which gave me more mobility. One of them leaked but my care team determined it was not a concern.

    My incisions were covered by surgical strips which were covered by gauze pads. I think the outer pads were removed after the first week. I don't recall exactly. The surgical strips stayed on for a while. I don't recall the instructions for showering but having had healing incisions in my chest from the time of my biopsy 6 months previously, on account of port issues and some unrelated procedures, I had become pretty good at keeping incisions dry while showering.

    It took many weeks before I could safely raise my arms and my range of motion was restricted due to the tightness of the skin. Due to the surgery, maybe chemopause,and some unrelated issues, I developed a frozen shoulder on the cancer side.

    Today I have regained 95% of my pre surgery range of motion on my non cancer side and maybe 70% to 90% on the cancer side depending on which way I try to move my arm.

    My expander fills were uneventful. The left expander poked me and was uncomfortable but not extremely so.

    I had exchange surgery a few months later. I actually had a more difficult recovery from that than the BMX. They did more pocket work and I was in a lot more pain on the cancer side when I woke up.

    I felt like my arm was stiched to my side in my armpit.

    I was kept overnight because I was not prepared to need to have someone stay with me and in case I needed better pain management than could be provided at home.

    I was sent home the next day, and made the mistake of thinking I did not need the bed wedge. I woke up the day after in pain and stuck on my back for 30 minutes.

    I think the feeling that my arm had been stitched to my side had something to do with internal sutures and maybe also my port, which was on that side. I implicate the port because the pain stopped when my port was removed. I'm not sure if the port was just causing tight clearance with the implants in there or if an internal stitch from the exchange surgery was too tight and I managed to break it when I was numbed up from the port removal. In any event, my post exchange pain issue stopped when my port was removed.

    While I still need some more work that I have held off on due in part to covid, I am very happy with the results of reconstruction so far.
  • WC3
    WC3 Member Posts: 1,540
    edited August 2020
    I had a BMX with immediate expander placement. My recovery went very smoothly. I was not in any pain when I awoke from surgery. I was, however, groggy and annoyed that people wouldn't let me sleep.

    I was in the hospital for a night or two...I don't recall exactly. The room was small and there was a misunderstanding that lead to them refusing to give me medication I take occasionally for another condition which did cause me pain.

    During the recovery process, I had two drains and was unable to raise my arms or use them to push myself up. This necessitated a bed wedge and I required assistance of another person dressing for about a week.
    My pain during this time was generally moderate and easily managed with Tylenol unless I attempted to use my arms in a way that was contraindicated. I also had some pinching from the drains which necessitated that I move with caution. I spent most of my time in bed for the first week, as I was also still very weak from chemotherapy.

    After the first week, my drains were removed which gave me more mobility. One of them leaked but my care team determined it was not a concern. After my drains were removed I had an easier time dressing on my own. I was limited to button up shirts though, which I managed to get on my putting my arm through one sleeve and hooking the other end to an IV pole I had left over from from my cat's kidney disease treatment, and using it to pull the shirt around to my other side so I would not have to reach my arm back. I did this for a few weeks.

    My incisions were covered by surgical strips which were covered by gauze pads. I think the outer pads were removed after the first week. I don't recall exactly. The surgical strips stayed on for a while. I don't recall the instructions for showering but having had healing incisions in my chest from the time of my biopsy 6 months previously, on account of port issues and some unrelated procedures, I had become pretty good at keeping incisions dry while showering.

    It took many weeks before I could safely raise my arms and my range of motion was restricted due to the tightness of the skin. Due to the surgery, maybe chemopause,and some unrelated issues, I developed a frozenshoulder on the cancer side.

    Today I have regained 95% of my pre surgery range of motion on my non cancer side and maybe 70% to 90% on the cancer side depending on which way I try to move my arm.

    My expander fills were uneventful. The left expander poked me and was uncomfortable but not extremely so.

    I had exchange surgery a few months later. I actually had a more difficult recovery from that than the BMX. They did more pocket work and I was in a lot more pain on the cancer side when I woke up.

    I felt like my arm was stiched to my side in my armpit.

    I was kept overnight because I was not prepared to need to have someone stay with me and in case I needed better pain management than could be provided at home.

    I was sent home the next day, and made the mistake of thinking I did not need the bed wedge. I woke up the day after in pain and stuck on my back for 30 minutes.

    I think the feeling that my arm had been stitched to my side had something to do with internal sutures and maybe also my port, which was on that side. I implicate the port because the pain stopped when my port was removed. I'm not sure if the port was just causing tight clearance with the implants in there or if an internal stitch from the exchange surgery was too tight and I managed to break it when I was numbed up from the port removal. In any event, my post exchange pain issue stopped when my port was removed.

    While I still need some more work that I have held off on due in part to covid, I am very happy with the results of reconstruction so far.
  • Fwb2020
    Fwb2020 Member Posts: 4
    edited August 2020

    has anyone had blisters on the edge of their DIEP incision ? I came home from hospital yesterday , no major pain or on any meds - but I noticed today that I have a blister on either end of the incision site. I did call drs office and they said to let it have air - but I have never read about anyone else having this issue ! Has anyone else had blisters?

  • Ekojio
    Ekojio Member Posts: 26
    edited September 2020

    Ironically I have blisters next to my belly button from whatever they originally put on for dressing. And two days ago the nurse noticed yellow ish colored blisters next to the left breast incision site and instead of using that yellow dressing stuff they switched to just putting Bacitracin on the blisters and incision sites on breasts anf my belly button and blisters next to it.

    My recovery sucks... had double mastectomy 8/21 and diep with belly fat/tissue 8/25 and been in hospital since second surgery. Pain is horrible. I also had a hernia repaired so that is causing its own painful site internally. But tomorrow transitioning to rehab center because i can't walk up stairs yet and live on second floor..

    You seem to be doing fantastic after yours. I wish i was.. ugh.. i planned everything and didn't think it would be this bad.

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