continued Tissue expander pain!!

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  • Hanna60978
    Hanna60978 Member Posts: 815
    edited March 2008

    Kerry I went to the link about the book!  Thank you so much.  I wonder if I could buy it in the bookstore here.  The pictures were very tastefully done with an artistic sense like I was thinking of.  I think we should all have pictures done like this of ourselves.  I truly do.  I was able to see the photographic pieces of 4 women and read some of their stories. 

    Before my surgery, I went out and bought a digital camera and took pictures of myself.  This was the night before.  I wanted to do this to remember how I was before surgery. I tried to be sort of artistic but I was just learning how to use the camera so I got more than enough of my feet!   

    Now as things are moving along, I feel so much more positive -gratefully due in large part to you all girls I've met here.  I believe without the support and day to day stories, the struggles and the upbeat moments of this group, I would not be in as good a place emotionally.  In fact, this whole experience has brought me relationships I never would have known before.  The kindness of most physicians, nurses, technicians and so very much the real time life experience sharing that we are doing here. 

    I think without doing the expanding part, I wouldn't have had as much time to reflect and this reflection has been a good thing for me - even through times of tears.  I feel very protective of us expanding girls for some reason.  Like the mother bear!   I really care about you all very much and worry too - because you are all real to me.      

    Oh, now I'm beginning to sound like Dorothy in the Wizard of Oz when she wakes up at the end back in her own bed at home! 

    On that note, I wish you all a lovely sleep tonight!

    Hanna

  • LauraK23
    LauraK23 Member Posts: 159
    edited March 2008

    Hi Ladies,

    Thank you all for your responses.  I guess there is really no rhyme or reason.  Just that some of our muscles are tighter than others.  Does appear that the slower we go and the further between the less pain we have.  I think we all agree on that one. 

    As far as you women who are filling up to the 800's.  I just can't ever image that.  I'm expecting to be so happy to have 400 and that's half your size.  Gosh, now you're making me wonder if I'm going big enough.

    Laura

  • kes
    kes Member Posts: 559
    edited March 2008

    Hi Ladies,

    Hanna,

    What a great book and I forgot all about it. I read it back in Jan. before my mastectomy and it sure put my mind at ease. But then there are the TISSUE EXPANDERS!!!!!!! And how true, I could not have done it without the support that I have felt here for sure. Only people going through it can really understand what we are feeling physically and mentally.My PS took pictures of me au natural before my mastectomy.Hopefully they do not end up on her website.Wouldn't that be funny,I'm looking around on the net at reconstruction pictures and think that those BOOBS look familiar and low and behold they are mine.HA HA HA!!!!!!!!!!!!

    Laura,

    Yes, I understand how you feel. I am only at 335cc and wondering if I am big enough for a B cup or a small C. I will talk to the PS on Thursday and see what she says. I know that I cannot go too 600-700cc Everyone is so different in body structure and the PS are all so different also.Just have to trust the one that you have.

    Take Care,

    Kerry

  • Jani
    Jani Member Posts: 80
    edited March 2008
    Hi everyone!

    I went to the link for the book, "Reconstructing Aphrodite". This book looks so good that I ordered it. Thank you, thank you! Maybe I will have a 'gentle' picture taken as opposed to the medical front, right lateral, left lateral poses. They are a bit scary.

    It is very funny that Hanna thought that I had wrote a book. The crazy thing is that from about January on I have been playing with the idea. It really bothers me that so many women go through this process with the little information that they can glean from the Internet, feeling alone and crazy when their doctor says, 'women don't have problems with this process!' So few of us find a site like this - which has been soooo valuable to me. Last night I got a PM request for help for a woman's mother who has had this very situation occur. Maybe she PM'ed you too. Anyway, I said to my husband, 'I really should write that book', so that each MD or PS can hand it to a women before she undergoes the mastectomy. It would be just a small book that contains information about the different mastectomy and recon procedures, and the variety of experiences that women have, with women's stories and pictures and such. What do you think? Would such a book have been useful to you? Maybe this will prove that Hanna really does have some sort of ESP!

    Jani
  • Jani
    Jani Member Posts: 80
    edited March 2008

    Oh, I was going to suggest for the women who are wondering about sizing. Do you all have your pathology reports? I got a copy of mine and it states on it exactly how much breast tissue was removed from each side. Mine said that 586 cc was removed from one side and 630 cc was removed from the other side (yes, I was slightly lopsided!). I remember my PS saying that to be exactly the same as premast we would have to put in approximately the same amount. Well, my permanent implants are 600 cc each. I do have the same projection too. So other than the fact that these don't sag the way my premast breasts did they are the same. My old bras fit well, but there just is not so much wieght pulling down in them as the muscle holds them in place. My point is that everyone is different. If you put my premast breasts on a different frame they would look large, on me they don't. So if you go by your own pathology report you should have a pretty good idea of how much fill, and how large your permanent implants should be based on how much was removed from you at the time of the mast to stay the same, or go smaller, or larger. My PS said that about 150-200cc per cup size.

    Not sure if this helps. But it figures that if you put in what was removed it should be about the same.

    Jani

  • kes
    kes Member Posts: 559
    edited March 2008

    Hi Ladies,

    Jani,

    How freaky is this book thing!!!!!!!!!!! Hanna describes a book that is already done,I read it a go WOW, Hanna thinks that you may have written the book, and you have been thinking about writing a book about breast reconstruction. All to very ESPish for me. I call it "connections". One lady at work says that I have way tooo many connections in my life.Weird stuff like that happens to me all the time.Your book sounds like a great idea.My PS said that the pain from a fill would subside in 48hrs. Boy was she wrong. Very good thing that I found this site or I would have quit the whole process. Everyone is different, in how they feel pain.

    Good idea about asking for the path report. I will see if I can get a copy of it this week as I am worried about the size and projection as I am only at 335cc.Will talk to PS surgeon on Thursday about sizing.

    Take Care,

    Kerry.

  • jaz5106
    jaz5106 Member Posts: 22
    edited March 2008

    Boy, I have been gone for a while.  Took some time to catch up on you all. 

    Jean - I'm glad your exchange is over and things are going well.

    Teri - It great to hear you are happy with the new foobs.

    Kerry, Laura - I too had my bi-lat in January (16th).  Still getting filled.  Kerry, I can't believe you were filled up so soon and so fast.  I've had 4 fills at 60 cc and 1 at 30 cc and my last two at 60 cc were pretty painful for 24-48 hours.  Popping pain pills every 4-6 hours.  I don't know what I was filled with following surgery but will find out my total cc tomorrow at my next fill.  I was a small A before bc and trying to go for a C now.  After reading all of this there doesn't seem to be an exact science as to how many cc you need to be.  I'm definitely bigger than what I was but don't want to get smaller after the exchange.  Definitely could go for the softness right about now.  As far as my pathology report I couldn't find the breast tissue in cc.  Just measurements in cm.  Laura, in regards to your survey I was a small A and have had a lot of pain and muscle spasms following the bi-lat.  Pain in regards to the fills seems to be all related to how fast and much you fill up.  The first two 60cc were a breeze and the third 60cc was very painful (24-48 hrs).  Then went to 30cc fill because was going on vacation to Mexico and didn't want to sit on a plane and be on vacation in so much pain.  That 30cc was easy.  My last 60cc last week was also painful for 48 hrs.

    Margaret, Hanna, Jani, Sharon, Sheila, RubyT, Jade, June, Denise, Sue, Anne, NancyD, Kimbly as well as Teri, Jean, Laura and Kerry (sure hope I didn't miss anyone)- Glad to have you all.  Boy this little circle keeps getting bigger.  Difficult to keep everyone straight, but I'll try not to be gone for so long and will try to post more often.  I really enjoy reading everyone's posts and find it very comforting and knowledgeable.  I know that I am one of the new ones but this is truly a great group of women here.

    Oh, by the way, forgot who posted it but I get those boob freezes too!  Weird feeling.

    Sandy

  • denise1956
    denise1956 Member Posts: 59
    edited March 2008

    Jani ,

    What confuses me is that  with the skin sparing surgery, In my case I  thought that they also had to not only remove the inside but I had extra skin removed . I think because the cancer was close to some areas near the skin . So thats why my boobs are much smaller than my old ones were.

  • denise1956
    denise1956 Member Posts: 59
    edited March 2008

    Jani ,

    What confuses me is that  with the skin sparing surgery, In my case I  thought that they also had to not only remove the inside but I had extra skin removed . I think because the cancer was close to some areas near the skin . So thats why my boobs are much smaller than my old ones were.

  • denise1956
    denise1956 Member Posts: 59
    edited March 2008

    Jani ,

    What confuses me is that  with the skin sparing surgery, In my case I  thought that they also had to not only remove the inside but I had extra skin removed . I think because the cancer was close to some areas near the skin . So thats why my boobs are much smaller than my old ones were.

  • kes
    kes Member Posts: 559
    edited March 2008

    Hi Ladies,

    I was wondering if anyone can feel their muscle contracting over the tissue expander, like when opening a pill bottle. A while back I remember reading this, but I cannot remember if it was on this site or not.Does anyone with implants feel this also. Feels weird.

    Sandy,

    Now I can't believe how soon and fast I was filled up also. No wonder why I was in soo much pain. I didn't have any time to recover between fills.I'll see what she says on Thursday about size.

    Take Care,

    Kerry.

  • rubytuesday
    rubytuesday Member Posts: 2,248
    edited March 2008

    Kerry, Yep, I can feel my pec muscle if I have to exert pressure on something. It has gotten somewhat better but if I REALLY have to strain to open a jar or bottle, I can feel it.  (1yr.+ post exchange).  Best wishes!

  • suemed8749
    suemed8749 Member Posts: 1,151
    edited March 2008

    Hi all - I'm one of the newbies on this site and got the schedule today - unilateral mast with immediate reconstruction (expander) on Wed., March 19. Woo hoo - what a spring break I have planned! I know I'll be back after surgery with lots of questions - glad I have this place to come. Any recommendations for post-surgery????

    thanks, Sue

  • lewisfamily503
    lewisfamily503 Member Posts: 621
    edited March 2008

    OUCH!!! I am in pain again! I had a fill yesterday (65 ccs) and they are "guessing" that I am at 400-450 ccs. The first plastic surgeon moved back east and my new guy can't find the exact records of my fills!!!!!

    So, percocet, here I come! Anyway, my question is this: How big would a 360 implant be as far as cup size? I feel much bigger than a B cup which is what I was hoping for. What do you guys think? The new plastic surgeon measured me across to find an implant size that he thought fit my body. But I REALLY want to be a B cup! I would love to have any and all input regarding this!



    Also, there ARE a lot of teachers on here! Do you think we are too stressed out? (ha ha!!)



    Thanks you guys!

    Anne

  • suemed8749
    suemed8749 Member Posts: 1,151
    edited March 2008

    Hi Anne (my daughter's name):

    My best friend at work (we teach h.s. English) was diagnosed in July. I got my dx in Jan. After school today, I learned our nurse has been called in for a biopsy. I know of at least two other survivors at our school. What's the deal with teachers and bc????????? It's a good thing they give us insurance!

    Sue

  • suemed8749
    suemed8749 Member Posts: 1,151
    edited March 2008

    Hi Anne (my daughter's name):

    My best friend at work (we teach h.s. English) was diagnosed in July. I got my dx in Jan. After school today, I learned our nurse has been called in for a biopsy. I know of at least two other survivors at our school. What's the deal with teachers and bc????????? It's a good thing they give us insurance!

    Sue

  • lewisfamily503
    lewisfamily503 Member Posts: 621
    edited March 2008

    Hi Sue! I know, there ARE a lot of teachers in my district who have been dealing with breast cancer. Thankfully, I can think of only one person who actually didn't make it. Most of us caught it early, thank GOD! My particular district has incredibly great health insurance. My brief hospitalization and treatment cost over $25,000 but I didn't have to pay a penny!



    As for my name Anne, it is a family name, handed down from generations ago, but I am okay with that!



    Anne

  • kes
    kes Member Posts: 559
    edited March 2008

    Hi Ladies,

    Anne,

    Ask your PS what size cup he thinks that you would be with a 360cc implant. Everyone is so different and it must depend on body shape and bone structure. The sizing thing has me baffled. I am expanded only to 335cc and my PS said that now she can put an implant in and make me a B or small C. Also must depend on what type of implant that will be used.Someone else said to ask your PS to draw a picture of your profile, which I thought was a good suggestion. I printed pictures off the net of breast augmentations and showed them to my PS to give her a rough idea of what I wanted to achieve.Hope that helps.

    K

  • lewisfamily503
    lewisfamily503 Member Posts: 621
    edited March 2008

    Thanks K! I do know that my guy said the new implants (silicone that resembles "jello" --you cut it and it doesn't leak?--) will not project as far out. I am okay with that. He showed me Mentor high profiles, but he prefaced that with the comment, "now these won't be like the expanders, because they are softer and your muscles will do a number on them." I really am not into great breasts, I just want to look somewhat normal. I DON'T want to be big again--DD!!!!!!



    Anne

  • Jani
    Jani Member Posts: 80
    edited March 2008

    Hey Kerry. Wait till you get the permanent implants. They are nice and soft and squishy, but what that means is that the pec muscles really do move them around when you contract them. It is a very strange feeling. I keep thinking about that muscle man on an old commercial where he ‘pops’ his muscles in time with music. I can do that! It looks hilarious! Yah, not very sexy, but my husband hurts himself laughing!


    Sue, welcome. I am glad that you found us. The women here are so supportive and helpful. Here’s hoping that you are one of the lucky ones who breeze through this expansion without a hiccup or hitch. I would suggest you find ways to treat yourself really well, take ample time to recovery and go slowly on your fills. I have found my bed that sits up to be invaluable. I was sleeping flat on my back for most of the expansion process (2.5 months) and for the recovery after the exchange. Being able to sit up, recline and lay flat changes the pressure points so that you can manage stretches of sleep given that you have some good pain and muscle relaxant meds. Good luck. We will be waiting to hear from you.


    For sizing, I really think if you get a hold of a copy of your mastectomy and/or pathology report. They tell you how much tissue was removed. I believe that 1 gm = 1 cc = 1 ml. So you can figure out what your cup size was before and then 150 – 200 ccs = 1 cup size. Ask your PS about these conversions. I think they are pretty standard, but not entirely sure.


    I had lunch with a friend yesterday, she is a linguistics professor. I talked with her about writing a book that can be made available to all women maybe through their PS offices. But in thinking about it the cost of making and distributing seems daunting. I would have to find donations and that is way out of my time and energy resources.  So the idea of an online resource seems much more doable. Is anyone interested in contributing ideas, stories, advice, and information on such a site??? I just worry that it is mostly chance that we find ourselves on this thread. There must be so many women who don't find the information or support that this site provides.

    Jani 

  • kes
    kes Member Posts: 559
    edited March 2008

    Hi Ladies,

    Jani,

    I didn't expect the pec muscle to contract over the tissue expander or implant. I wonder if this is permanent, probably is, it just gives me a creepy feeling. Saw the PS today and I am going with the anatomical shaped silicone gel implants.Told her hopefully a B or small C.She thought that she would order a 275cc implant,seems awfully small to me.I am expanded to 335cc and this is about a D on me.Now I will worry about this until I have the exchange done, as everyone seems to have way bigger expansions done and way bigger implants put in and are coming out with cup sizes  smaller than predicted. Good thing I don't want to be large, as I would not have made it through the expansion process.Jani, check out www.breastreconstruction.org I found it on another thread here and it was very helpful.

    Wondering how Jean is doing post exchange and if she has had her dressings removed.Hope she will let us know soon.

    Take Care,

    Kerry

  • rubytuesday
    rubytuesday Member Posts: 2,248
    edited March 2008

    Anne, Unfortunately, there is no magic formula for cup size.  There are a ton of factors that weigh into it like:  height, weight, shape and size of your rib cage, the type of implant used such as anatomical or round and also the profile (moderate, midrange or mod plus, high).  I was expanded to 370cc and that was a full C on me.  (5'4"/113lbs).  My implant is round, midrange projection silicone cohesive gel 421cc.  It had pretty much the same dimensions as my expander (which is what I wanted) and on me, that is a small D.  I don't think I look like a D....probably more like a full C.  Best wishes!

    BTW, my PS won't use contoured/anatomical implants because they can turn making your new foob look rather funky and would require another surgery to fix.

  • michele4mom
    michele4mom Member Posts: 12
    edited March 2008

    hello to all of the amazing women on this site. my name is michele and my mom is struggling through reconstruction. she isn't computer savvy so thats why i'm here representing her. we are in a desperate situation that seems to be getting worse each day. she had a bi-lateral mastectomy w/expanders on february 18th. she has been experiencing severe pain in her ribs and in her back. she has always felt pressure but today she feels like she has a boa constrictor wrapped around her chest. she is now unable to eat and feels that something just isn't right. she hasn't had much sleep and she is completely worn mentally and physically. she has always been a very stong, determined woman that is now reduced to tears and despair. she has said today that she doesn't think she can go on like this much longer. its been 4 weeks and things are clearly getting worse. she has tried muscle relaxers (valium, soma) painkillers (ultram, dilaudid) anti-inflamatory drugs (celebrex) and there is no relief. she can't bear the thought of not having breasts (i think that would destroy her) but she can't bear this pain much longer.

    the docs have said they have never seen anyone have this much trouble. we are going to a new PS tomorrow for another opinion.

    i spoke with a woman tonite who had a bilateral mastectomy and then had gummy bear implants with no expanders immediately following her mastectomy. she had great results and no discomfort from the implants. does anyone have any insight into the gummy bears?

    i would appreciate any advice that you have to offer. she's in bad shape and i am completely helpless.

    thanks to you all.

    michele

  • Wren
    Wren Member Posts: 324
    edited March 2008

    What a kind, caring daughter you are!

    I'm so sorry this is hurting your mom so much. It can really be that painful, so I am not surprised...

    I didn't even get my first fill until almost six weeks after surgery for various reasons, pain being one of them. However, when I did get a fill it lifted the expanders off my ribs a bit and to my surprise relieved the boa constrictor feeling a bit--by the second fill the horrible rib pain for me was gone.

    One things also that helped me was that I asked for physical therapy to help with the pain and tightness. I think the stretching that they helped me do really made a difference. 

    Tell her to hang in there as best she can--I can't say that the pain lessened for me all the time, but it changes with each fill and lessens between them as the body adjusts.

    Please print my comments to your mom. I want her to know that I took and still take a lot of pain meds to get through the rough days.

    I am sensitive to pain and don't have much of a tolerance for it.

    I will send you a PM with my email so check your 'my home' for a message from me.

    Oh, gentle massages help too sitting up, leaning over a desk or table... and sometimes a low setting heating pad on the upper back.

    Hugs to you both!

  • lvtwoqlt
    lvtwoqlt Member Posts: 6,162
    edited March 2008

    Suemed, about post surgery, on the surgery thread there are several conversations about what to expect after surgery and hints to help. I will find the threads and bump them to the top for you to look at.

    Kes, I also can flex my boobs. I don't try to do it on purpose but it is a great conversation starter. I don't find it uncomfortable but interesting.

    Sheila

  • Jani
    Jani Member Posts: 80
    edited March 2008

    Hi Michelle:

    Welcome to our little group. So sorry to hear about your mom. Please let us know what she finds out from the new PS. I have heard about women getting the single stage surgery. I asked my PS about it and he said that there are more complications (like capsular contracture) form the single stage. But it sure does sound attractive given the expanders from hell alternative.  Please tell your mom that we are sending good thoughts her way. Hopefully this will become more manageable for her.

    Hey, Hanna! Where the heck are you? Haven't heard from you for so long.

    Jean, how is the post exchange coming along? Are you feeling comfortable and happy with the outcome?

    Jani

  • kes
    kes Member Posts: 559
    edited March 2008

    Hi Ladies,

    Now we can also flex our foobs along with the foob freeze in winter and probably the "HOT" foob in summer.Tell me ladies, can life get any more interesting for us? And only you guys would understand this!!!

    Sue,

    After surgery just take it easy if you can and take pain meds. I had bilateral mastectomies done and the one thing I wish I had done was to strengthen my abdominal muscles before surgery to help me get in and out of bed. I only spent one night in hospital. I was out of commission for the first 3 weeks due to the expansion process.DH took one month off work to help around the house and he was a great help. I was unable to do very simple things, like push down the handle on the toaster or open a jar of jam, stuff that you take for granted.Hope that helps.

    Michelle,

    Sorry to hear that your mother is having such a terrible time.The expansion is a very difficult process. What did the new PS have to say. How many cc's does she have in each side? My PS only took 25cc off of each side and I had instant relief. Maybe they are going too fast, too soon. She needs time to recover between fills, so maybe longer between fills would help and small amounts at fill time.Some women can only tolerate 30cc at a time.Let us know how she is doing.What she is feeling is sooo uncomfortable.Tell her to hang in there.Hope that helps.

    Kerry

  • michele4mom
    michele4mom Member Posts: 12
    edited March 2008

    Hi Jani and everyone!

    thanks so much for the kind words. i am honored to be in the company of so many amazing women. you have no idea (well, i guess maybe you do) how much it means to have you here.

    ah, the events of today. 

    wait until you get a load of this one.....

    so, we go to a new PS today. (As background...we live in NJ and go to philly for medical care. mom had surgery at pennsylvania hospital. we went to jefferson university hospital for a second opinion. jefferson is just a couple of blocks away. it is a major teaching hospital in philly). The new PS comes into the room dripping with arrogance. we explain what has been going on over the past several weeks and the extreme pain that mom is having. he basically says thats its only been 4 weeks and there really isn't anything that he can do for her. she should go back to her first PS and discuss with him. he says surgically the first PS did nothing wrong. this guy doesn't even examine her! mom explains to him that she doesn't feel the first PS is understanding what she is telling him with regard to her pain. he actually says: "you're just here because you're mad at the first PS". we were stunned. what a putz.

    i have a sneaking suspicion that the two of them are friends. i can't imagine any other reason for his behavior.

    so, there you have the events of the day. i'm thinking we may need to find a female PS who can relate. so far we are a big O for 2 in the PS department. if anyone knows of a PS in the philly/nj area who can understand the definition of debilitating pain and has some degree of compassion, i'd appreciate the referral.

    still we plod forward. mom (donna is her name) has an appointment with a physical therapist on tuesday. perhaps that will help.

    i would like to ask you guys question about using heat. the first PS says do not under any circumstances use a heating pad. i've read so many posts where women have in fact done just that. can anyone clarify? 

    as always, thank you.

    you rock!

    michele 

  • kes
    kes Member Posts: 559
    edited March 2008

    Hi Ladies,

    Someone please clue me in and tell me, are the gummie bears the cohesive silicone gel implant where the inside is like a jelly bean if you cut it open.And then there are the other silicone ones that are not cohesive. Is this right?

    Kerry

  • michele4mom
    michele4mom Member Posts: 12
    edited March 2008

    hi keri-

    thanks for you reply. mom hasn't had any fills yet. surgery was 2/18. we had 25 cc's taken out and it didn't help at all. just keep looking at the calendar waiting for the day when things will loosen up, or the pain will subside, or i'll wake up and find that i've only been having a bad dream...

    :-) 

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