TE/Implant OVER pectoral Can exercise, comfortable &NO RIPPLES!
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Lanee I don't know the price for Vinnie and crew when travelling, but from his website I got the following info: For appointments in Maryland we charge $800 for a Bilateral procedure and $600 for a Unilateral procedure. A $400 deposit is required at the time the appointment is made.. Touch up visits are not normally needed but will require a $50 minimum setup/equipment fee. Remaining fees will be decided upon consultation.
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I am not sure if I spent a $1,000. I spent somewhere between 800 and 1000 for one side when I travelled down to San Diego area to meet up with Vinnie Myers. I found that info in an old email.
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My right expander had moved laterally towards my armpit so when I had my exchange my PS had to do quite of work on that pocket. There was already alloderm present from the exchange. I'm 12 weeks out and by the end of the day with wearing a bra 24/7 I end up feeling a pulling on the side near the armpit. I wouldn't say it hurts but its uncomfortable. Has anyone had this? and is there a solution? It almost feels like there's a stitch attached to my muscle or something. I'm stretching and messaging. I've got through most of this with relatively little pain and want to be totally pain free in the end. I chose prepectoral for this very reason (my mother has had chronic pain for 30 years) and now this one little irritant is bugging me.
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I still occasionally get pulling pains in the muscles of my chest that are affected near the reconstruction. For instance if I flex forwards sometimes the muscles of my upper abdomen go into an incredibly painful muscle spasm, that won't abate until I stand up and stretch backwards. I am 3 years since the last reconstruction surgery.
So, I don't know if things like that go away completely if given enough time. It seems to be very individual is all I can say about it.
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RachelCarter
Thanks for your feedback on getting your tattoo's, makes me more confident about doing it. My Plastic surgeon encourages his patients to do nipple/tattoos as a final step/closure to your reconstruction. My surgery to replace my TE's is Dec 14th, Soooo Ready! How long did you have to wait to get you nipples tattoos ? Thanks!
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About 8 weeks after implant exchange.
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About 8 weeks after implant exchange.
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I was on the waiting list for Vinnie Myers for about 5 months, give or take.
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macb04, I get that crazy abdomen muscle cramping thing too! I thought it was just because I could stand to lose a few pounds, but now that you mention it I never had it before I started this reconstruction nightmare! Huh. Interesting.
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two weeks ago I had my sub pec TE replaced with a pre pec silicone implant. I had a nipple sparing MX on that breast and the nipple was really far down. I switched to a new PS and he did the pre pec implant and attempted to get the nipple in the right placealthough I'm still not sure it's exactly right. It feels and looks great so far. Skin was stretched quite a bit and was red and shiny but getting better now. How long before you started sleeping on your side and went braless?
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Hello OCDAmy I am happy for you that you are satisfied with your reconstruction. I slept on my side after 3 day of my last surgery which was 3 weeks ago.I had bilateral mastectomy nipple spring direct implant on April and 3 weeks ago i suppose to do the lifting as my nipple was left down as it was due to large breast that i had, and now my PS did just a little lifting because he said that he can't do it in one shot because is afraid that nipple could not make it to live. he said that I need multiple revisions. I am sick of so many surgeries as i have done 4 till now, not just lifting but i had skin necroses after mastectomy and i had to be in surgery 3 times in a month. I think i am going to see another PS to get an second opinion. I have sub pec implant but i m thinking to change .
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Hi raven4mi, strange thing, I never had those weird and extremely painful abdominal spasms before all the mutilation. I am careful not to bend in certain ways for fear of triggering it.
Hi OCDAmy, glad to hear your surgery worked out well. It is so much more comfortable, isn't it? , to have Prepectoral versus Subpectoral. I had a subpectoral TE and was just miserable. Prepectoral is the way of the future for most women who want implants.
Hello joy2, it is something to think about, changing from subpectoral to Prepectoral. Several of the women here, myself included have done that change with good sucess. Let us know how things go.
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Hello macb04! I have decided that I will do the change on my next surgery. I did regret that I did not do it on the one that I just did it. The reason was because i wanted to se myself firs completed esthetically, which still it did not happen. That's why now i want to see another PS to get an second opinion since my Ps said that i still can't do the lifting completely again. Thank you and I will let you know!0 -
joy2 , I guess if we all achieved comfort and good aesthetics the first time around, we wouldn't be suffering through more risky procedures, when we have suffered enough.
Have a look at the list of PS's above to see if any of them are near to you.
Hey All. I was thinking of coming up with a rating system, is that worth adding next to each PS name?
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Please add my PS to those doctors who do pre-pectoral: Dr. Brad Medling, Murfreesboro Medical Clinic, 1272 Garrison Drive, Murfreesboro, TN 37129, (615) 867-8080. I have been very happy so far (3 weeks out tomorrow from MX and TEs put in). I'm eager and anxious to see how everything proceeds, but Dr. Medling spent an hour at my first appointment explaining the procedure. I am one of those who researches as much as I can and shows up at dr. appt. with a whole list of questions, and he has always been very happy to answer any questions and explain anything I don't understand. All the medical clinic staff I've talked to said he is a perfectionist, which is what you want in your plastic surgeon!
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Hello macb041 I understand ,that it is a process, i had the fourth surgery till now and looking for more. I have problem closing the wound and getting infections and right now i have the vac therapy foe a week to help me close the wound, And this, thanks to the other doctor that was there when i went to the hospital, because my PS said for surgery, he said to put this one and not going to surgery.I don't know what to tell, if my ps like surgeries or it is all what he knows.
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joy2, sorry to hear you are having trouble healing your incision. You definitely need more Vitamin C. Vitamin C is very important to wound healing. Without enough Vitamin C wounds are much weaker, and more likely to open up.
If you have normal Kidney and Bowel function you CAN NOT OVERDOSE on Vitamin C. My doctor had me take 1,000mg of Vitamin C every 2 hours, while I was awake, after surgery. He told me to stop when I started to get loose bowels or diarrhea. Then the next day, he said to take just a little bit less than caused me to have diarrhea. He had me do that every day for a couple of weeks to improve wound healing. Every day, as I healed, I took less, and less Vitamin C, as I got to the diarrhea/ grumbling stomach moment sooner and sooner.
Makes a Huge difference how strong the incision heals.
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macb04, thanks for posting that about the Vit C. I just had my revision yesterday and having a good deal more pain this time. I think it is coming from the farthest end of the drain, but its a constant burning no pain meds have helped. I will up my C intake. My multi has 500mg of C, and I have Just C with Bioflavonoids 1000mg I will take a few times per day. I do have kidney issues, (GFR is 52) so I don't think I will take it every 2 hours. Hopefully he pulls my drain at follow up on Friday and that will bring relief!!
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macb04 Thank you for replaying about the vitamin C. I have not any problem with my kidney. I will get that vitamin C to help me in my wound healing. I actually booked an appointment with another doctor to seek a second opinion what my doctor did with my surgeries. Last time i was 4 months under antibiotics to close my wound because it got infected. He said that one area is very week to get healed thats why it get infected. the second time now after the other surgery the same spot got infected, so I hope the vitamin C helps to get better.
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Hi Shoregirl, that sucks to have constant pain. I really hope that getting the drain out will help alleviate that. The doc explained that by kidney issues, he meant not to take large amounts of Vitamin C if you have a history of Kidney stones. Sounds like your kidney function is less than ideal, but Vitamin C should still be safe if no history of Kidney stones.
Hi joy2, sounds like a good plan to increase Vitamin C. Also, Hyperbaric Oxygen Therapy (HBOT)can be a huge help to increase the blood circulation and oxygenation of vulnerable tissues as they heal. HBOT has been proven to sucessfully speed up wound healing. I got HBOT through a Wound Care Center at a local hospital. HBOT was a huge help for incisions to heal better/faster. I was able to self refer through my insurance.
Good luck to you both, wishing you sucessful, safe healing.
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Shoregirl, did you have chemo? I had a topical numbing cream for my port that I also used around my drains that helped with pain. Especially, when the surgeon pulled them out. I honestly think my surgeon enjoyed ripping my drains out. She had no empathy for the pain it caused. After the first drain was removed, I slathered the numbing cream all over before the visit to remove the other drains. It helped.
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macb04, thanks for the well wishes! I have never had kidney stones. Knock on wood!!! But I am throwing the Vit C at it, as well as CoQ10, NAC, Acetyl L-Carnitine with Alpha Lipoic Acid, Bromelain and Vit A. Fingers crossed the drain comes out tomorrow, although that is only 3 days post-op.
Bird, I didn't have chemo. My dcis was non-invasive and triple neg so no chemo or hormonal therapy. I do have the numbing cream Emla though. They gave it to me for the day of msx when they inject contrast dye into the nipple. I am so glad you brought that up, I will try to put some around the drain. That surgeon of yours sounds like a real jerk!!
Joy2, I hope the wound vac helps you. I had that at msx and healed nicely. Macb's recommendation for hyperbaric oxygen therapy is something you should look into if you continue to have problems healing. I have seen a lot of posts by women who were greatly helped by HBOT. Best wishes for complete healing!!!
I have a lot of redness and heat on the left boob. That is where the alloderm was added. I don't feel like I have a fever though. I know we are supposed to "step away from the mirror" but I am amazed at the difference in projection these moderate profiles make. The old implants were 5.1cm proj, the new ones are 4.2cm so not even a whole cm less but they sure look a lot flatter! It will be interesting to see how they settle. I was really happy to hear when my ps was marking me for surgery he said he really loves sculpting with fat. Said I can likely have my fg done 6 weeks from now.
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Good Luck with healing well and quickly ladies..
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Hello Shoregirl and macb04! Thank you for your recommendation. I will mention it to my doctor when i go to see him again. The vac therapy did a good job to me. I kept it for a week and saw good progress. Now my PS gave me collagen stripes to put in the wound to the wound to help me heal. I will see how this goes.Thank you all!
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How are you doing, Shoregirl?
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Yes Shoregirl and joy2, how goes the recovery?
I don't know if you ladies have seen the info I posted on IV Vitamin C. It made a tremendous difference in wound healing. It is finally being well investigated for its effects in treating infections like sepsis. https://www.npr.org/sections/health-shots/2018/05/11/609149556/can-a-cocktail-of-vitamins-and-steroids-cure-a-major-killer-in-hospitals
I got IV Vitamin C at my Naturopath. I wish the insurance industry would get smart about the benefits and immense cost savings associated with IV Vitamin C and pay for it. That is the only drawback to its use I can see. I cost me around $250 per IV Vitamin C infusion. I robbed my savings on a few occasions to pay for it, because on the 2 occasions ( out of over 10 surgeries) where I was unable to afford it I got a severe, nasty infection.
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Hello macb04! I am doing better. Thank you for asking. I am taking oral antibiotics again( cipro) and also i am doing to the antibiotic cream directly to the site. I asked my doctor if I should take vitamin C and he told me that he does not know if the the vitamin C would make the difference in wound healing. I started anyway and I will see how it goes. How you all ladies doing? I hope you are doing well and have a happy holidays!
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Hello Lalala1! how have you been? I did my other surgery that I suppose to have lifting. My nipples survived bu I am not happy with the result as he ldid not remove all my skin because he said was afraid of losing nipples. he said that I would need more surgeries to get the result.I don't want to do a lot of surgeries so i went and sick a second opinion from another PS. He told me the best way is to place larger implant to fill the pocket and do a hand free nipple graft, and in case the nipple does not survive just remove it and make another one. I am in dilemma now because i don't want to lose my nipples but in the same time don't want lots of surgeries. So i will mention to my PS when i go there.
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joy2, I wonder if you waited a bit and let the skin heal (nipples and all) if that would help?
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Hi ladies, I am doing ok, thanks for asking. I apparently had a reaction to the gauze. Once it was removed the redness dissipated. I also had a reaction to the tape used on my eyelids and mouth. Not sure if I posted it caused major blisters in my mouth and beneath my eyes.
Going to ps Thursday. I have a lot of pain on left upper medial side STILL. The implant is squished up over toward center (touches the other implant without a bra on). He is most likely going to have to release some of those deep internal sutures.
I am so sick of these implants and all the problems. Really wish I had insisted on small implants from the beginning. I didn't think about it at the time though, just went back with my pre msx size thinking thats what I was supposed to do. It was after joining this forum I learned I could downsize and get fg. I will come back and let you know what PS says.
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