Exercise After Breast Reconstruction Surgery

Going in DIEP! Exercise after breast reconstruction surgery is a tricky game. You must clear it with your plastic surgeon. Your incisions must be completely healed so that you do not compromise the healing process. One question I asked my PS, Dr. Minas Chrysopoulo of PRMA at my pre-op appointment before the final phase of my reconstruction was when I could get back to swimming. We have a pool in our backyard and I felt it would be good rehab as a post-surgical exercise. His answer, “When you are ready and when the wounds are all healed”. New Sensations and Healing I’ve been working up to this moment today. I emailed the nurse at my plastic surgeon’s office a couple of weeks ago and told her I was feeling some interesting and strange new sensations in my breasts. I couldn’t really put the feelings into words but I think she Continue Reading →

DIEPflap Breast Reconstruction: Aesthetic Questions to Ask Your Plastic Surgeon

DIEPflap Breast Reconstruction: Aesthetic Questions to Ask Your Plastic Surgeon DIEPflap breast reconstruction & aesthetic questions to ask your plastic surgeon involves more than  you may have given much thought to.  You have had a mastectomy due to breast cancer. You have tested positive for the BRCA gene and are facing the decision to have a prophylactic bilateral mastectomy to significantly decrease your chances of getting breast cancer. Perhaps you are even going in for a consult to repair damage done at another practice and are looking for better results.  Now you’re researching and thinking about breast reconstruction options. You found a board certified plastic surgeon with great skill and a high rate of success. The consult appointment has been set up. You write down as many questions as you can and hope beyond hope you will be given the time to have all of them answered.  Your main concern Continue Reading →

The Perfect Breast Shape and Plastic Surgery

How I got to the “Breast” Shape Ever Twitter is such a valuable tool for me. A year ago my Twitter account was full of nothing but educational websites. I returned to school to attain my M.Ed. and I used it for the sole purpose of gathering information about the latest “speak” in education. I did not tweet, like, retweet, or DM (direct message). I only lurked and learned. The lurking and learning changed in October of 2014. School ended for me to focus on my health.  My Twitter account went from education to all things breast cancer and breast reconstruction. I entered the world of plastic surgery as a breast reconstruction patient after undergoing a double mastectomy following a second breast cancer diagnosis. It was a world I was unfamiliar with and had much to learn about both on an academic and emotional level. I was now following, being Continue Reading →

Surgical Drains

A Bit of Self-deprecating Humor Never Hurts Surgical Drains – A Necessary Evil I hope you get a Friday laugh out of this post!  Surgical drains are a necessary evil for many surgeries and they certainly are for DIEP flap reconstruction.  Drains are an important part of your healing but no patient I speak to likes them.  But, hey, they are temporary.  I even had one of my abdominal drains become infected the week I was out of the hospital after phase 1.  But, it was taken care of within 12 hours when my doc upped my intake of anti-biotic.  Things happens when you’re healing and the infection was short-lived, just as the drains are short-lived. You can read why they are so important to your healing at the PRMA website. This #FundayFriday,  #FlashbackFriday post is to hopefully evoke a giggle, smile or laugh.  Just remember to grab a pillow and Continue Reading →

DIEP flap Surgery Phase 1, Returning Home

There are several steps and preparations to be made for DIEP flap surgery, phase 1.  We spend a lot of time preparing for the actual surgery but it is important to think about what it will be like when you return home.   I will share my own personal experience and give you some helpful hints and preparations if this is the type of reconstruction you have chosen and what I did after DIEP flap surgery, phase 1, and returning home. Protect the Work of Art It does not matter if you travel to have your reconstruction, as I did, or if you will be having it done in the same town that you live in. You are going to need support from either friends or family when you return home from the hospital after your surgery. Remember, you are going to have an abdominal incision that runs from hip bone Continue Reading →

Healing Scars

Healing Scars Healing scars after any surgery is a frequently discussed topic for those of us who have been through it.  The word scar derives from the Greek eskhara, scab. In the present day English language it can be both a noun and a verb. Noun – a mark left on the skin or within body tissue where a wound, burn, or sore has not healed completely and fibrous connective tissue has developed. Verb – a lasting effect of grief, fear, or other emotion left on a person’s character by a traumatic experience Scar – Noun The first definition, a noun, describes fibrous, connective tissue developing. When you think about it in those terms it implies building and getting stronger, fibrous/connective. I still have very young scars from the three surgeries that I have had this past year. The mastectomy scars were the first of those three surgeries. The scars Continue Reading →

DIEP Flap Breast Reconstruction Surgery: Phase 2

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My hope is this blog will help other women who are anxious about DIEP Flap Breast Reconstruction Surgery: Phase2. I had my surgery at PRMA in San Antonio, Texas and traveled for it. No matter where your surgery is performed I hope the information helps in your planning and the questions you might have going into this part of your breast reconstruction.

DIEP Flap Patient Stories

Surgical groups across the U.S. often share patient stories. This helps other women connect to a real experience. At PRMA they provide patient stories on their website. When other women can see and hear first-hand the successes of patients it is a direct reflection of the commitment that this Plastic Surgery group has for women as they rebuild their lives after cancer.

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I have to chuckle a bit looking back at this photo of me the day of my phase 2 breast reconstruction. 

You will likely be turned a bit on the surgical table that day because of where the surgeon may harvest the fat, in my case, from my thighs.  I jokingly told him I’d be turned like a rotisserie chicken.  I remember a very strong looking surgical tech named Nelson before I was put to sleep.  He’s the one to the far right in this picture!  That was the best team ever!!  I just wanted to look at him, knowing he might be the muscles in the group that day and say, “Turn me gently, Nelson, turn me gently!”

Returning Home after DIEP Flap Breast Reconstruction Surgery: Phase 2

Phase 2 is so much easier than phase 1.  It is the icing on the cake.  I flew in to San Antonio on a Wednesday, had surgery on Friday morning and returned the following Tuesday.  I flew back home by myself.  My sister flew in and was there for this surgery but she had to travel back to her own home town. It is very possible to fly out a couple of days after your surgery.  I personally don’t recommend flying home the day after surgery.  Check with your plastic surgeon’s office and discuss this with them if you are driving or flying.

The only discomfort I experienced was from the bruising due to the liposuction from my thighs. I was told this would be the case. I describe it more as soreness rather than pain. It was completely manageable and walking and moving helped with the soreness.  You will have a weight limitation post-surgery of ten pounds for a week after surgery, as is the case with most surgeries.  I was out taking walks again after being home just one week. 

You cannot sleep on your stomach or side for 4 weeks so get those pillows ready for when you arrive home.  I was driving again a week after surgery, but please note that you must be off pain medication when you return to driving.  In fact, I did the grocery shopping by myself.  Just ask the clerks to “lighten your bags” for you.  Take them in one at a time after you get home. Other than the usual post-surgical fatigue and wearing a compression garment for three weeks it was a relatively seamless procedure for me.

Other Details and Reminders after Phase 2

I showered the day after surgery.  You will have some swelling in your legs as the fluid and bruising gravitate downward and your body works to absorb the extra fluid from surgery and healing.  Wear compression stockings home on the plane or in the car if you are traveling to reduce the possibility of blood clots.

You will likely feel so much stronger after phase 2 than you did coming home from phase 1 but a word of caution…. DON’T OVER-DO IT!!  Guilty as charged on that one.  I had a bit of a set back at week two and just had to tell myself that I had just been through surgery again.  I slowed down week two. Continue to take walks, drink lots of water, and eat healthy meals. Allow yourself to take daily naps to let your body rest and heal. Take it easy, ladies and take my advice and don’t go back at it too fast.

Thank you for allowing me to be a part of your success stories, PRMA!