The Most Difficult Part About Deciding to Have DIEP Flap Breast Reconstruction

I always appreciate hearing patient stories and true feelings about why women choose to have DIEP flap breast reconstruction. The decision is not an easy one to make with many factors involved. I recently asked the women of the private Facebook group DiepCJourney, what was the most difficult part about deciding to have DIEP flap breast reconstruction. Here is what they shared. Consideration of Family and Work During Diep Flap Breast Reconstruction Many women who choose to have DIEP flap are mothers, wives, and working full time either at home or outside the home. Imagine their thought process prior to surgery. “How will I handle activities of daily life knowing I will have incisions from hip to hip and at my breast area?” For women with children there are going to be limitations from those activities we do frequently as mothers, bending, lifting, and twisting. When we are used to Continue Reading →

Sexual Health after Breast surgery and Breast Cancer Treatment

The words, “You have breast cancer” can be very difficult to come to terms with for women and men. Added to this and what follows is the aftermath from treatment, surgeries, and loss of body parts. Our bodies are physiologically designed for sex with nerves to sexual organs in both male and female bodies. Sex is often associated with an emotional experience for many. For those affected by breast cancer living with scars, loss of body parts, debilitating changes to sexual function, self-image, fatigue, vaginal dryness, loss of libido, to name a few, changes in sexual health after breast surgery and breast cancer treatment are often left to the patient to grapple with. Our guest, Liz O’Riordan, is a breast surgeon, breast cancer survivor, and author who discusses and writes about the topic of sexual health. We invited her for an interview. Liz tells us her medical background and shares Continue Reading →

Perfusion Monitor: Flap Monitoring in Microsurgical Breast Reconstruction

Plastic surgeons use medical devices in reconstructive surgery to optimize patient outcomes in breast reconstruction. I receive a number of inquiries from ladies asking how a flap is monitored after tissue-based breast reconstruction. This is a concerning topic for patients who know the intricacies of microsurgery but do not always think to put it on their list of questions to ask their surgeon during their consult. I would like to present this information about a perfusion monitor used for flap monitoring in microsurgical breast reconstruction. I reached out to Dr. Minas Chrysopoulo of PRMA in San Antonio who performed my DIEP flap breast reconstruction to tell me about the monitoring system they find great success with. The information I was given about flap monitoring at my consult gave me and my husband a great deal of comfort. We felt having Dr. C being able to monitor the flap all evening Continue Reading →

Dealing with the Aftermath of Breast Cancer and Surgery

There is no instruction book for this. You are diagnosed with a potentially life-threatening disease. Yes, I know, our survivor rates and treatment have both improved over the years. But what those years mean to a person going through treatment or healing from surgery has an entirely different meaning. It is a difficult Journey dealing with the aftermath of breast cancer and surgery. Dealing with Breast Cancer Emotions Take a bag of rocks, all different sizes, colors, and shapes. Put them in a box and shake them. Shake them loud and hard. It is sometimes the internal noise, like shaking this bag of rocks, that gets to you after a breast cancer diagnosis and surgery. Anger, fear, unknowns, disbelief, shame, guilt. There is your bag of rocks. You feel all of these emotions, sometimes more. Were you equipped to deal with this? Did you expect this to happen in your Continue Reading →

What to Have for Recovery at Home after Breast Reconstruction

Many women ask what the essentials are and what to have for recovery at home after breast reconstruction. Women share tips frequently. I would like to provide some of my favorite items and preparation combined with suggestions from others. The Recovery Care Basket after Breast Reconstruction This has to be at the top of my list. A dear friend of mine suggested it after she had her reconstruction. You will have a recovery spot the first week or two after you are home. It may be your recliner or favorite oversize chair with ottoman, as was the case for me. Find a large, pretty basket or storage bin to hold the following items. Just make sure they are within an easy arm’s length reach beside your chair, so you do not have to bend over. Hand cleanser or wipes Bottled water or your favorite water bottle Eye covers for resting Continue Reading →

How Do You Maintain Your Health After Breast Cancer?

Exercise has been part of my routine throughout my life. I am a middle child of three daughters. Dad always called me the tomboy in the family. I was the one he would throw the football to across the yard when I was growing up. He taught me how to throw a pretty good spiral. My family attended my high school track meets. When I was on a collegiate rowing team, they cheered on the sidelines of the river when I had a regatta in our hometown. But as an adult, I have been diagnosed with breast cancer twice. It stopped me in my tracks during various surgeries, chemotherapy, and radiation treatments. Now a healthy Nanna with all of that behind me, it is even more important for me to exercise and maintain my health after breast cancer. My Formula for Maintaining Health after Breast Cancer There are so many Continue Reading →

Nutrition and Diet after DIEP flap Breast Reconstruction

Are you more aware of your nutrition and diet after DIEP flap breast reconstruction? I certainly am and I hear the same from many women. When breast cancer is the driving reason behind having this intricate surgery, it is little wonder nutrition and diet become a focus for so many. At the same time, I hear a lot of inquiry about what is the best way to eat a healthy nutritious diet after breast reconstruction.  The one factor that changes this is the “tightening down” of the tummy during this surgery. With the tummy tissue being used to reconstruct the breast, the tummy area is pulled down similar to a tummy tuck. Many women talk about the feeling of having less room, filling up quicker, and feeling like they can’t eat as much after DIEP flap breast reconstruction. Where do your Food Values about Nutrition and Diet come from? The Continue Reading →

Breast Surgery Recovery Shirt I Wish I’d Had

Here it is, the breast surgery recovery shirt I wish I’d had and you can order it right here: from the Healinincomfort site. Healincomfort will pay shipping. Now that’s a deal! One part of my job as a patient advocate and Founder and Director of DiepCFoundation.org is finding products making healing and recovery from breast cancer easier for patients. I have been through six different surgeries for breast cancer and breast reconstruction. My double mastectomy and DIEP flap breast reconstruction both required surgical drains. They were not my favorite part of recovery but necessary to drain out accumulated surgical fluid. The amount of time a patient has surgical drains can be a couple of weeks and sometimes a little over a month. It really depends on the individual healing mechanisms of each patient. This is why I am happy to write about the Healincomfort breast surgery recovery shirt I wish Continue Reading →

Why Should I Ask About Physical Therapy After Breast Surgery?

I feel extremely fortunate my breast surgeon and plastic surgeon both recommended physical therapy for me after the breast surgeries they performed on me. My breast surgeon, Dr. Michele Ley, prescribed it for me about six weeks after she completed a double mastectomy due to my second occurrence of breast cancer. Dr. Chrysopoulo, my plastic surgeon, prescribed it for me after my DIEP flap breast reconstruction. I hear from many women who have not had the same physical therapy opportunity I did. So, I encourage them to ask their surgeons, “Why Should I Ask About Physical Therapy After Breast Surgery?” Physical Therapy after Mastectomy Surgery I began experiencing shoulder pain about three to four weeks after my double mastectomy. I went in for a follow up appointment to my breast surgeon around the same time. The shoulder pain occurred mainly when I was on my computer. This was during a Continue Reading →

Healing After Breast Reconstruction is a Journey

Women and men can choose three different types of breast reconstruction. There is implant-based reconstruction. Another type is when a patient can choose to use a variety of skin flaps to rebuild their breasts. This is called autologous, using your own tissue, breast reconstruction. A combination of both autologous and implant-based reconstruction is sometimes chosen and performed after a mastectomy. Any of these type of breast reconstruction options requires time to heal, both emotionally and physically. Healing after breast reconstruction is a Journey. The Unknowns You don’t know what you don’t know. A patient can sit in an initial consult with their plastic surgeon with all their questions in hand. The hope is the consult is done in a shared decision-making fashion where both parties, the patient and plastic surgeon, listen carefully and with intent to each point of discussion then come to the best decision for the patient’s health Continue Reading →