Hi ladies,
I had a bilat mast in Jan 08 with immediate DIEP. It's been a long time since I've checked the message board but wanted to give an update to anyone currently considering DIEP.
Life is good and my reconstruction is complete. The 'girls' look fabulous and feel very natural. They've fallen into a very natural shape and I am super pleased with them. Looking back I wouldn't change one decision and have no regrets about my DIEP decision.
A few things:
The scars are still visible on my breasts but the tummy scar has faded nicely.
I had nipples done using skin from my groin. The nipples look great but the tattoo has faded. My PS said I could go back for a little refresher but it's not that important to me.
I still have no feeling in the middle of my tummy from my pubic area right up to my breasts. I have more feeling than I did initially but I'm not convinced I'll ever be able to feel 100% of the area. The numbness doesn't bother me much and certainly not enough to make me rethink the DIEP option.
After many months of itchiness the feeling finally returned to my shoulder blades. My tummy has never once itched which is why I'm not optimistic that the feeling will come back there.
Every couple of weeks I have to pluck a few hairs from my nipples. This is from the skin graft from the groin. There aren't many and it's not something that anyone else would notice. My husband would never know unless I told him.
I still experience ocassional pain under my arm and one of my breasts. This is probably just nerve damage and it's not bad enough for me to take anything. They are sharp pains that only last a minute or so and only happen maybe once a month or so.
For the first year I had extreme pain from scar tissue under my breasts. The pain would wake me up at night and keep me awake for the rest of the night. My PS told me he could go in and clean up the tissue or I could massage it regularly and see if it made a difference. I opted for the massage route and have to say it worked. My husband kneaded the 'knots' and made them go away.
I had DCIS with no rads or chemo. My BS, PS, and Primary doctor all said that no follow up is required. No scans or mammograms ever again. I do regular breast exams just to keep an eye on things but the chance of the cancer returning is very slim.
The first few months post surgery was the hardest thing I've ever experienced but I am very happy to say that after 21 months it's a distant memory. I'll gladly answer questions or share pictures with anyone who is interested.
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shadow2356 Joined: Sep 2009 Posts: 50 |
Oct 21, 2009 04:25 pm
shadow2356 wrote:
I am so glad to read this. I had DIEP 10/9 and one side failed. I am going to do a temporary implant and probablly another flap in the future. To hear from someone who is almost 2 years out and happy about the decision makes a big difference. Thank-you!!!!!!!!!!!! MaryEllen, 44, Mom to Julianna, 20 months, bilateral mastectomy with immediate DIEP 10/09/09
Diagnosis: 8/14/2009, IDC, 1cm, Stage I, Grade 3, 0/4 nodes, ER-/PR-, HER2+ |
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msdicken Joined: Jan 2009 Posts: 43 |
Oct 21, 2009 04:37 pm
msdicken wrote:
Thank you for sharing! I am 7 months out from a uni-lateral DIEP with a reduction and lift 4 months ago. I am happy with the results, but I worried that the little aches and pains would be there forever. Thanks to you I must remind myself to be patient. |
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HopeForBest
Joined: Nov 2008 Posts: 53 |
Oct 21, 2009 04:50 pm
HopeForBest wrote:
Hello Msdicken, It is nice to read your progress. Thanks for sharing. I had bilateral DIEP 3 months ago. The scar on my tummy is still painful. Not that much to take pain killer. Tummy still feels hard. I am thinking of Stage II. How long did it take for your tummy to be normal? Where have you done your surgery? Hugs, Hope |
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Leah_S Joined: Apr 2009 Posts: 666 |
Oct 21, 2009 05:02 pm
Leah_S wrote:
Noni, thank you for your post. I am in the middle of the "what should I do" phase and am seriously considering diep. Your post has been extremely helpful. Leah Diagnosis: 11/3/2008, IDC, 1cm, Stage IIb, Grade 3, 6/17 nodes, ER+/PR+, HER2- |
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Noni Joined: Jan 2008 Posts: 148 |
Oct 21, 2009 05:18 pm
Noni wrote:
Shadow, I read your story which is what prompted me to post my update. Sometimes things go wrong but most often they go right. I am sorry about the failure and hope you have great success with the next flap. Hope, I had Stage 2 four months after my initial surgery. I also had a Stage 3 and a Stage 4 all within 14 months. My tummy was back to it's new normal after a few touch ups during Stage 3. The swelling did take a while to come down and it was hard for a while but it eventually healed. I used a doctor out of Paoli Hospital in Suburban Philly. PM me if anyone wants contact info. bilateral mastectomy with immediate diep on 1/21/08
Diagnosis: 12/5/2007, DCIS, <1cm, Stage 0, Grade 3, 0/6 nodes |
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NativeMaine
Joined: Mar 2007 Posts: 765 |
Oct 21, 2009 05:46 pm
NativeMainer wrote:
Noni, thanks for sharing. It's a great reassurance to me to hear from someone who has found the light at the end of the tunnel. Sometimes I have nightmares that the surgeries never stop, that it's never "done" or "over." Now I have something to hold on to--it WILL get better, I WILL heal, I WILL have a life outside of bc again. Thank you so much for reminding me of that! dx 3/07, Stage 2, Grade 2 IDC, 2.8cm, ER+PR+, Her2(-), SN-, lumpectomy & rads, mastectomy 8/15/08
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HelloFromCT
Joined: Jun 2009 Posts: 70 |
Oct 21, 2009 05:57 pm
HelloFromCT wrote:
Thank you very much for your post. I am scheduled for PBM with immediate DIEP on January 5 and I'm very happy to hear you are doing well almost 2 years out and happy with your decision. Good for you! |
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She Joined: Aug 2005 Posts: 145 |
Oct 21, 2009 06:08 pm
She wrote:
Noni, thank you so much for posting. I'm six weeks post bilat mast with immed diep (including lifts/reductions). It looks like I won't need any revisions and I can get nipples in mid Dec. My ab incision is re-healing, I had a small fat necrosis removed a week ago. I will be soooo happy when the iron bra & girdle feeling starts to go away, and the tummy swelling goes down. I agree it isn't the easiest surgery and recovery, but I too would do it again in a heartbeat. I'd previously had rads to both sides and consider myself very lucky to be healing so well. Horray for no more mammos ;) All the best for continued good health! She |
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Noni Joined: Jan 2008 Posts: 148 |
Oct 21, 2009 06:09 pm
Noni wrote:
NativeMainer, I have to say that one of the best feelings ever was NOT having a planned surgery in my future! When I first met with my PS he said the entire process would take a year. My first surgery was Jan 08 and the last one was March 09. I could have finished up quicker but you really need down time to relax and heal. I didn't want to spend the whole summer or the holidays recovering from surgeries. A word of warning tho, that very last appointment is a bit of a tearjerker! bilateral mastectomy with immediate diep on 1/21/08
Diagnosis: 12/5/2007, DCIS, <1cm, Stage 0, Grade 3, 0/6 nodes |
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gelati1201 Joined: Aug 2009 Posts: 15 |
Oct 22, 2009 07:41 am, edited Oct 22, 2009 07:45 AM
by gelati1201
gelati1201 wrote:
Hi Noni, I also live in suburban Phila. I also had DCIS and am having bilateral and DIEP next month. I actually saw the ps for the first time yesterday and am waiting on a date. I am excited and of course a bit anxiouis about the surgery as well. Where did you have it done? I will be at U of P. I would love the opportunity to contact you directly if that would be ok with you. Diagnosis: 7/28/2009, DCIS, 4cm, Stage 0, Grade 2, 0/0 nodes, ER+, HER2+ |
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gelati1201 Joined: Aug 2009 Posts: 15 |
Oct 22, 2009 07:58 am
gelati1201 wrote:
Leah, There is no worse time than the "what should I do " stage. I has lumpectomy and was planning on radiation and then tamoxifen. My margins came back clean but narrow and I was scheduled for a re-excision and then the rest. After scheduling the surgery , I just felt uneasy as if my gut was telling me to reconsider. Four days before the surgery I called and cancelled and just yesterday met with the plastic surgeon and scheduled to have bi-lateral mx and DIEP next month. I felt like the weight of the world was lifted from my shoulders when I made up my mind once and for all. No one can really tell you what which path to take . It is a very personal one. I was looking for a doctor, a relative , my husband, someone to tell me what to do but everyone understood that only I could decide what was best for me. I went from overwhelmed and stressed back to my old self once I decided. I know that it is a rough recuperation and not a quick one but for me I feel it will be worth it to put this whole ordeal behind me. Our son is getting married the beginning of January and I WILL be walking down the aisle! Last year this time, I was packing for a wonderful trip to Israel. This year I am packing to go to the hospital. We never know what lies ahead. Take your time and go with what you feel is right for you. I believe you will know it when you have come to the right decision. Take care. Diagnosis: 7/28/2009, DCIS, 4cm, Stage 0, Grade 2, 0/0 nodes, ER+, HER2+ |
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Noni Joined: Jan 2008 Posts: 148 |
Oct 22, 2009 11:16 am
Noni wrote:
Gelati1201, I just sent you a PM. bilateral mastectomy with immediate diep on 1/21/08
Diagnosis: 12/5/2007, DCIS, <1cm, Stage 0, Grade 3, 0/6 nodes |
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Leah_S Joined: Apr 2009 Posts: 666 |
Oct 22, 2009 01:09 pm
Leah_S wrote:
Gelati, thank you for your encouragement. You're right, the decision making is hard. I don't have to hurry with my decision, since I've had a mast, chemo, and rads already. What I have to decide about is oophorectomy and prophy mast. I already know I'll do the ooph, but if I do the prophy mast I'll do recon. So here I am, afraid to do the surgery and afraid not to do the surgery. Since I finished rads in Aug I can't do it until midwinter so I'm just letting the ideas float in my mind. I'll be taking a trip to the U.S. soon to visit my family, and don't plan on doing any dr consults until I get back. The trip is important to me, since all last year during treatment I kept telling myself that I'd go after active treatment was over. So, this is both reward and symbol. Leah P.S. Last year, you were packing for your wonderful trip TO Israel while I was packing for my trip to the hospital IN Israel. This year you're packing for your trip to the hospital while I'm packing for my trip FROM Israel.OK, so funny stuff happens. Diagnosis: 11/3/2008, IDC, 1cm, Stage IIb, Grade 3, 6/17 nodes, ER+/PR+, HER2- |
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abbadoodles
Joined: Jun 2007 Posts: 2,599 |
Oct 22, 2009 02:07 pm
abbadoodles wrote:
Noni, that is great news to hear! I am so happy for you. Tina
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tchmuzik Joined: Feb 2008 Posts: 83 |
Oct 22, 2009 11:37 pm
tchmuzik wrote:
Noni - I was so happy to read your post. I had unilateral DIEP done Aug. 24th - like you said - it was hard but I am already happy with the results - next week am having phase two - nipple/lift on left side and some repair work done where radiation messed an area up above the new flap (this happened before the reconstruction). It was interesting to read your comments about the abdomen being numb still. Mine is soooooo numb and tight - my PS said it could take a year for that to get better. It's was great to hear everything you said - thanks so much for writing!! Next month it will be 2 years since all the cancer "stuff" started. Chemo/mastectomy/radiation - then I took a break - my daughter got married - enjoyed the rest of the summer and then had the reconstruction. It will be so good to not have a surgery in my future. The holidays are going to be wonderful!!! Take care!! Stephanie Diagnosis: 12/12/1978, IDC, 2cm, Stage IIIb, 13/15 nodes, ER-/PR- |
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mawhinney Joined: Jun 2008 Posts: 630 |
Oct 25, 2009 07:54 pm
mawhinney wrote:
How soon after your DEIP were you able to exercise or participate in a non-contact sport? Diagnosis: 5/18/2008, IDC, <1cm, Stage Ib, Grade 2, 0/1 nodes, ER+/PR+, HER2- |
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LT1203 Joined: Oct 2009 Posts: 6 |
Oct 29, 2009 06:05 pm
LT1203 wrote:
I'm a DIEP + 11 months and echo Noni's satisfaction. I had DIEP with my mastectomy and I'm glad I did. I was in the hospital for 5 days, had drains for about 21 days, but went back to work (desk job) after 3 weeks. To answer the previous post, I wasn't allowed to exercise or jog for 6 weeks. When I started jogging at 6 weeks, I was stiff (the tummy tuck felt tight and my arm/shoulder area was tight as well). But, by 10 or 12 weeks, I was back to my semi-normal speed. I, like Noni, am happy with my choice and wouldn't change it. But, I too have numbness from my navel to the incision, just about my pubic area. I was hoping I'd get back more feeling, but it is either coming back so slowly I don't notice or it's not coming back. My entire reconstructed breast is also still numb. Noni didn't mention this, but I'd like to hear if this is common (I think it is). My numbness extends throughout my armpit and the under side of my arm. Feels weird, but I'm getting used to it. Another thing that bothered me was cording. I did my post-op stretches according to recommendation and had full range of motion. At about 4 months post-op, though, I got cording and didn't know what it was, so I went to a doctor and a PT. With stretches, it went away. Just 2 weeks ago, though, it has come back (yes, 10 months post-op). I'm doing the same stretches and hopeful it will go away again. (I had 20 lymph nodes removed during my mx, so maybe I'm more prone than someone who didn't have lymph nodes removed.) In 3 weeks, I'm going in to have my other side reduced for symmetry. If anyone has had regular reduction surgery and can tell me what recovery was like, I would appreciate it. I'm looking forward to it being over, and hoping to start 2010 with all of this behind me. Thanks for posting, Noni. I'm happy to read about people who are farther down the recovery trail than I. Linda Diagnosis: 10/31/2008, IDC, 3cm, Stage IIb, Grade 2, 3/20 nodes, ER+/PR-, HER2- |
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TOB Joined: Aug 2009 Posts: 37 |
Oct 31, 2009 06:41 pm, edited Oct 31, 2009 06:42 PM
by TOB
TOB wrote:
I am scheduled for a unilateral MX/immediate DIEP on November 19. It is reassuring to read all the positive experiences and feelings of those of you have already gone through this. However, I am wondering how you fared emotionally before your procedure. I've already had 2 failed lumpectomies for high grade, extensive DCIS. It was difficult for me to walk into the hospital when I thought I was going to keep my original equipment (less a small part), but as this surgery date approaches I am having more and more anxiety. Anti-anxiety drugs have done nothing to alleviate my nightmares and massive sleep disturbance. When the time comes, I wonder if I will be able to surrender my carcass to the hospital and my carefully chosen medical team. I am not thrilled about being dependent and physically limited for a while, but I am not afraid of the procedure or the recovery. I can't really identify what is at the core of my anxiety, but I think what is bothering me is the fact that I feel totally trapped and I will never be the same me again. I was diagnosed more than 5 months ago and still can't seem to really wrap my brain around the loss of one of my breasts. I will eventually look the same to the outside world, but I will not be the same me. I guess one is allowed a little insanity in circumstances like this, but feeling like this really sucks! My husband is completely supportive about my BC, but is clearly at a loss about how to deal with a slightly insane wife. I know that I don't really have any choice but to go through with surgery, but I wish I felt better about it. |
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