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Jul 6, 2009 10:54pm YearoftheHat wrote:
Carol, Fortunate, Meg - Wow! I didn't see any responses at first. I didn't realize anyone had posted here until today! I'm so glad I am not alone with the one-step. It's not so common yet apparently.
I saw my PS just after I first posted this. He said that all he really did with the first procedure was create the pocket and place the implant. He did not do any 'trimming' of the outer tissues at all. He said with healing sometimes those tissues will remold and take shape, and that if they do not it can be taken care of afterward.
I do not know how to link this but there are 5 of my mastectomy photos on photobucket. If you search "mastectomy" you'll get only about 30 photos total. You can see who posted them by letting your cursor rest over the image. Mine are all by 'coeurquibat' and you can double click to see my comments. One is of my very large natural breasts after my lumpectomy but pre-mastectomy.
My left breast has sunken down a little and he's going to create a better and higher fold on that side to lift it up. That should help make the scars more symmetrical too.
I'm also having him go with 600ccs. I have 450ccs now and I feel flat. I know it's tacky but I'm used to having more size. He assures me that my insurance will cover that.
Otherwise, there is a lot of extra tissue along the sides which he will remove.
He'll also sit me up partially and will use Alloderm to create the nipple and areola. He will tattoo there during the same procedure.
He said my recovery will be about two weeks and he is not sure if I'll need drians. There will likely be an overnight stay but he does not have to do this in the hospital. There is a facility at the medical center where he's located where I'll have this done.
I'm so happy I didn't have the expander hassle but I'll feel better when the final results are in, assuming they are good! Losing your breasts makes you happy just to have your life but I'm glad I opted for reconstruction. I'm very wary of flap procedures. Muscles do very important jobs and shouldn't be taken out of commission, especially muscles that support the spine!
Thanks for the responses! I didn't think anyone would ever answer!
Dx 10/1/2008, ILC, 1cm, Stage IIa, Grade 1, 2/10 nodes, ER+/PR+, HER2-