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Exchange City

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  • MBJ
    MBJ Posts: 3,671
    edited August 2010

    Kay:  I posted on the picture thread already!  I also posted on your picture thread to let you know.  They are very pretty and under the muscle completely as my dr said I will not have issues with wrinkling because of the muscle.

    xoxo

  • Lilah
    Lilah Posts: 2,631
    edited August 2010

    I think the rippling shows up as the swelling goes down (though I don't have any so I don't know for sure).

    Jennifer -- that is GREAT to hear!  I'm betting the firmness at first was due to swelling that is now going down.... glad they are softer and that you are liking them more!

  • jkz
    jkz Posts: 158
    edited August 2010

    MBJ that does make sense.  My implants are also under the muscle and I see not rippling as of yet. Guess I will have to keep praying. Kate are your implants under your muscle?

  • Texas357
    Texas357 Posts: 332
    edited August 2010

    My implant on my right side is under muscle and I still see some rippling. I had some pocket work to tighten up that side, which seemed to help.

    I went for my one and only fill on the left radiated side today. Scheduled the exchange surgery for September 22nd. Ironically, I got my BC diagnoses on September 23,2008. My first exchange surgery on this side was October 2009. This has all dragged out much longer than I ever imagined.  

  • kate33
    kate33 Posts: 1,936
    edited August 2010

    I was feeling a little guilty this morning about my little (big?) rant last night so thanks for all the love this morning.  It means a lot.

    Astorm- It does sound like we have similar PS's.  Some how that makes me feel better.  Misery loves company?  I will definitely be getting a second opinion in a few months if the rippling persists.

    MBJ- Thanks for your kind words.  I posted on another thread but wanted to say I saw your photos and you look absolutely amazing!  What a great job your PS did!  They look very natural.  

    I did ask my PS about fat grafting and she said it wouldn't work.  She said as your body moves, the implants move slightly and the location of the rippling would also be moving whereas the fat that's grafted would stay in one place.  So I find it interesting that so many other's PS's do recommend it.  As far as scars, I was using the silicone tape.  It was great for keeping my bra band from rubbing on my incision but didn't seem to help much with healing.  Whitedove started a scar thread and someone on there recommended something called Tropol-Active-S which you have to order online so I'm trying that.  The owner is giving a discount to those who have scars from BC surgery.  (The code is on the thread.)  Here's the link to the thread-

    http://community.breastcancer.org/forum/44/topic/756050?page=2#idx_39

    Giselle/jks- The rippling has gotten worse over time.  It is there all the time but much worse when I bend over.

    almagetty/cleo- Good luck with your exchanges today!!!  Hope it all goes smoothly and that the boob fairy is very kind and generous to you both! 

  • MBJ
    MBJ Posts: 3,671
    edited August 2010

    Texas:  I truly hope that it all works out this time.  My anniversary of finding the cancer was around the same time and here it is a year later and I won't be completely done with the recon until 6 or 9 months from now.  As long as we are cancer free, I guess time is the price we pay.

  • MBJ
    MBJ Posts: 3,671
    edited August 2010

    Kate:  I just hate insensitive dr's and there are so many of them out there!  I am very lucky that my Onc, my Oncoplastic Surgeon and my PS were all very kind, gentle and loving.  It's difficult being a perfectionist, though.  I want to be in control of every little thing and now I an kicking myself for not mentioning the slight "dog ear".  Well, we can always fix it, hopefully, when we do the nipples.  Maybe when you get your nipples done you can use a PS who is handy with the fat grafting.  It does sometimes take a few times to see results but there are many women here who have had success with it, that it should be the standard!  Because mine was done at a teaching hospital, I think that he was able to not charge me, however, make sure your insurance will cover it because my PS said that it can be a grey line with some insurance companies. 

    I am hoping my new foobs settle down into a nice, pretty, permanent shape!  I will go check out that link.  My PS gave me a cream to put on them after the tape comes off (they only removed half of the bandages) plus he put tape on the dog ear so I will see what happens and if not, on to the other product!  It is just a bit poofy or puckered at the end of the original incision line towrds the inside. 

    jkz:  Maybe because yours are under the muscle, too, they have a firmer feel.  I have never felt a fake breast before so to me it's really soft, but I have nothing to compare it to!  I had a friend volunteer hers but I just couldn't do it!  As much as I like to talk on line I am very bashful and shy when it comes to that sort of thing! 

  • MBJ
    MBJ Posts: 3,671
    edited August 2010

    Kate:  Just ordered the cream from DermetRX.  I will let everyone know if it works!

     I was thinking about what you said about the ripples moving, and maybe this is why it has to be done a few times before it works.  Filling in slowly a bit at a time until it creates a nice, thicker looking skin without rippling.  I know whippetmom had this done but I can't remember if it completely fixed the ripples or not.

  • Giselle7
    Giselle7 Posts: 70
    edited August 2010

    Isn't it funny how quickly we forget what real breasts feel like. My daughter, age 23, who is an awesome 34D, let me feel hers. My new foobs aren't quite the same feel but close... much smaller too.

    We sisters need to know how very lucky we are and that ten years ago we would not have had the options or outcomes we enjoy today. Just think, in 10 years, when it's time to exchange again, god only knows what will be available. A FULL body lift anyone!

  • Lilah
    Lilah Posts: 2,631
    edited August 2010

    Well speaking as one who still has one real boob - the gummy, which I have, is only a little firmer than my real breast. 

  • Adnerb
    Adnerb Posts: 727
    edited August 2010

    Kate:  It sounds as if your PS has not had a lot of fat grafting experience.  I am here to say it does work!!!  It even works on evening out your scars!!!  My left breast is now fuller than my right because it got 60 cc's more fat than the right.  The left got more fat because of my thin skin due to radiation, if you don't know my history.  Now I want my right, which is the healthy side, to look like my left.  

    Hang in there, sister.

    Brenda 

  • Emme
    Emme Posts: 85
    edited August 2010

    Hi Ladies-

    Just checking in...I have been away for a couple of weeks and  when I got home I moved out of my home...I have the SafeNet Ministries house in our town for three months, so I can heal...

    I am going in for my last fill on Monday!  I can't wait till I can have my exchange surgery.

    Emme

  • kate33
    kate33 Posts: 1,936
    edited August 2010

    MBJ- I'm not having my nipples done as I had NSM, but will definitely get a second opinion if the ripples are still there 6 months after exchange.  I ordered that scar cream, too, from DermetRx.  They shipped it really fast and sent me 4 free travel sizes of their face and eye cream!

    Brenda- It's so good to hear from someone who has had success with the fat grafting.  I think you're right about my PS's experience.  It always seems that when a doctor is trying to talk you out of something it's usually because they don't know how to do it.  Just curious- how long ago did you have it done and how long did you wait after your exchange?

    Emme- Yeah for last fill!!! 

  • MBJ
    MBJ Posts: 3,671
    edited August 2010

    Kate:  I so wanted to save my nipple but at least I have one real one for them to try and match!  I hope that cream works and I so agree with you.  Whenever a dr doesn't perform a procedure, they say it doesn't work or it isn't any good.  I know that I wanted a dr who performed Alloderm, fat grafting, nipple sparing (though that one didn't work out) and who did micro surgery.  There are only a handful who do it all and do it well.

  • Adnerb
    Adnerb Posts: 727
    edited August 2010

    Kate:  I had the fat grafting during the exchange, 8-5-10.  PS says he will do it at least 2 more times.  The "cave" under one of my arms is not totally gone but much better.  I am really pleasantly surprised at the way it seems to be "staying put" under the radiated skin.  I am hoping it stays that way, but if it doesn't, I'll do it again.

  • Adnerb
    Adnerb Posts: 727
    edited August 2010

    My PS thinks of the fat graft procedure as the planting of fat stem cells, not just transferring fat.

  • MBJ
    MBJ Posts: 3,671
    edited August 2010

    Adnerb:  I have heard that before for putting fat back into the face.  They say it tends to stay rather then go away like other fillers.

  • joansf
    joansf Posts: 55
    edited August 2010

    Hi Ladies...

     I'm hoping to check in as I start the count-down to my exchange on Friday.  Only you know what this has been like...The expander digging into your side...the nerve pain (if you have it--just like raw nerves on my chest)...waking up with an aching back from the weight of the expander and the compression of your ribs and the stretching of the muscle.  For the uni's, the falsie.  I had a NuBra, one of those squishees that stick to your skin for going bra-less.  I cut them apart and used one on the mx side until one day it got so big I had to put it on the opposite side.  I can't wait to throw those away (at least I hope I can throw them away!)  It's been so hard to be so lopsided and to try to camouflage it--sometimes just for my daughters' sakes because I was worried they'd be embarrassed.  And for me, obsessing over what to do to my native breast, since I wanted to actually switch out an implant from an earlier cosmetic augmentation--I thought it was too big.  But to change it means I need a lift, and I'm worried I'll lose all sensation.  

    Also, my ps's bedside manner.  The e-mails that went unanswered; the ones to the NP that took two days to answer.  I know they're busy, but I can have a blackberry conversation with my ob-gyn, my oncologist, her NP, and my onco-surgeon.  They're all busy too, but they don't make you feel foolish ignoring you.  

     And I'm dreading drains.  I had two last time and one stayed in for three weeks--three weeks of bird baths and semi showers. And begging for pain meds like a pill-seeking junkie.  "Yes, I got cancer so I could score some vicodin."  I remember lying in the recovery room, crying from the pain, and actually hearing some one say, 'of course you're in pain you just had surgery.'

    God help us.

    ... Now, to shift gears and catch up a little on this lively conversation! 

    Irish: you mentioned your family's attitude about the b/c.  My mom would complain to my sister, that hearing the details of my treatment--lumpectomy, mx and chemo--was 'creepy' for her.

    Lilah--I know I belabor this, but on your native breast when you had the reduction, did you have a lift?  Do you have sensation in your nipple?  

     MBJ and deekay--I have access to the picture forum, and I put your names in search, but it doesn't turn up your pictures.  Can you walk me through how to do that search?

    Also, how do we vote?  And I'm not entirely clear on what the vote is.

     Almagetty and Cleo--I hope your surgeries went well, and that they're made you very comfortable pain-meds-wise, if necessary, and that you've had something good to eat after such a long fast!

    Artsy--thank you for sharing how you got symmetry.  It sounds very pretty!

     Kate--I didn't know about the problem with rippling.  But you do a very clear job of describing it, and I want to clarify:   are your implants under the muscle and the rippling still shows?  I guess I thought the muscle was so thick and hard it would hide that, but as I say, this is the first I've heard of this.  I guess it's the TE that's thick and hard.

    And to jkz, for your quip about practicing how to present yourself for 'certain activities'--I love it!!!

     Thank you so much for letting me share.  This forum is so wonderful  I haven't been on much, but I read all the time, and it's a comfort just to know the conversation is going on.  My friends are a wonderful support, but they cannot help me with this.  Only those of us who have been through it.  It's so surreal sometimes.

    Good night to all.  And love and light.

  • AStorm
    AStorm Posts: 1,393
    edited August 2010

    Kate - my former PS gave me the "well let's not forget you had breast cancer" line. That one really ticked me off! Women have all sorts of cosmetic procedures that are elective and they have high expectations. Your expectations are only unrealistic if there isn't a way to achieve them.

    Joan - I hear you on bird baths! I've had drains twice and will have them again next week :(   I just keep reminding myself that they help prevent infection.

  • didel
    didel Posts: 733
    edited August 2010

    Good luck Ladies having surgeries this week, hope your recovery goes well!!!!!

    MBJ glad to hear your exchange went so well and you are happy with your results!! CONGRATS!

    Kate Sorry for your experience with PS  

    I went for my pre op with my PS yesterday and left in tears. I am so nervous about how I will feel about the results. I have rippling from my TE and my PS told me I would have it from the implant as well. He too said it was because my skin was too thin. When I asked about fat grafting he said I didn't need it NOW; he said once things settled we would talk about it later.  I have to say  I think my doc is the best, he called me later in the day to make sure I was ok and to reassure me that I would be happy and if I wasn't he would do whatever was necessary to make me happy. He said that was his goal.  With everything we have to deal with a doctor's insensitive remarks are inexcusable.  

    Anyhow, as the days go by I have such mixed emotions of excitement and dread. I want this TE out of me but I just want to wake up one day and be pleasantly surprised that the boob fairy stopped by.

    Good night ladies,  

    Diane

  • didel
    didel Posts: 733
    edited August 2010

    joansf & MBJ UGH! I say to those damn inserts to balance me out!! I am gonna burn mine in a post op ceremony!! I actually got a BLISTER on poor ol' lefty one hot steamy day, it was terrible!

    One last thing, I am VERY vocal to my docs. They know exactly what I expect of them. One time I emailed my onc following my last treatment because I had a rash all over my body. It was a sunday and it wasn't itchy or anything, so 3 days went by before his nurse coordinator emailed me back. When I expressed my dissatisfaction with his lack of response she said oh he was just about to get back to you, I said If I didn't respond to my client's emails for 3 days they would FIRE ME. To which I immediately got an appointment and an apology. I told my onc I have very high expectations that's why I selected him. He's been very responsive since.

    Don't let your docs rail road you, ignore you or make you feel bad. They work for you, tell them if they upset you, it can only make them better.

    my two cents.

    Diane 

  • MBJ
    MBJ Posts: 3,671
    edited August 2010

    Joansf:  You must be so excited!  I had some problems navigating in the beginning and just blamed it on chemo.  When you go to the picture site, go to the home page and scroll down until you see Under Construction.  Click on this and scroll past the first how to posts and you will see all of the posts, with their name towards the right, and I just click on each individuals thread and I also click All so i can read and see everything.  It can be a busy site, so you may have to also go to the bottom and click all so you can go through the many threads.  when I first signed up I think I went through all of the pictures several times, at least the uni's.

    If all else fails and you still can't figure it out, pm me with your email address and I will send you my pictures!

  • MBJ
    MBJ Posts: 3,671
    edited August 2010

    joansf:  to vote, look again in the Under Construction site and timtam has a poll going there.  BTW:  It is such a relief not to have the weird shaped expander in and also not to have to use a prosthetic to look somewhat uniform.  I have yet to throw them away as if I am afraid something will happen and I will need them again.  PM me if there is anything else I can help you with.

  • MBJ
    MBJ Posts: 3,671
    edited August 2010

    hereandnow:  It took me awhile before my PS who prefers natural looking breasts was on the same page with the size of implants I wanted.  I told him, look, I am 6' tall and I have a large rib cage and my clothes will only fit if we go up in size because I have the body of someone petite but I am forced to wear large.  I don't want stripper breasts, I do want more then what I have now and matching my natural breast that is smaller then the one I lost would result in me being smaller.  My hips are 39" and my breasts should at least be that big!  I did get what I asked for and my clothes do fit better and my husband is happy that I am now very proportionate (even though he loved what I had before).  He was just afraid I was going to stop traffic with my huge breasts but no one even gives them a second look!  They are very natural looking.

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    drhealthquest Posts: 1
    edited August 2010
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  • Lilah
    Lilah Posts: 2,631
    edited August 2010

    Joansf - I had a lift AND reduction and I have feeling - a lot of it actually (almost too much!)  PS said that when the breast is reduced like mine was the shortened nerves can have MORE feeling.  It's getting more normal now, three months post surgery.  I was told I did have a chance of losing the feeling but was lucky I guess and did not. 

  • hereandnow
    hereandnow Posts: 27
    edited August 2010

    thanks MBJ - I need to read more and look at the picture forum and listen to the breast whisperer, and you guys, then have another chat with my PS. Once we're clear in our own heads about what we want, we just have to make sure they get it. We're so lucky to have each other to bounce our thoughts off.

  • almagetty
    almagetty Posts: 65
    edited August 2010

    Hi everyone! Well, my surgery was yesterday and it went very well. The surgery lasted an hour and fifteen minutes. My PS did a lot of pocket work, removing scar tissue that had formed under the TE so that the implant will be able to drop and be on the same plane as my left, natural breast. I have very little pain. The discomfort that I do have is from the small area that he did some lipo on.

    Cleo: I hope your surgery went well, also, and that you're resting and healing.

    MBJ: Thank you for sharing your pictures. You look amazing!!  

  • cleo100
    cleo100 Posts: 75
    edited August 2010

    Good morning everyone. Almagetty, can't wait to hear from you! My surgery ws scheduled for 2PM yesterday but they wheeled me into surgery more like 4. I was 3rd on the list and my plastic surgeon is fastidious. I guess that's a great quality in a plstic surgeon. I arrived home last evening a bit after 9PM. Groggy and hungry! I immediately went for solids but still had problems with my throat from surgery. Pudding and apple juice was a feast! I slept great last night but still in a recliner.Had a soft breakfast and drinking plenty of water to rid my system of anesthesia. I am slightly sore so extra strength tylenol is doing the trick. All in all, THIS IS NOTHING like the MSX surgery and recovery. Oh, before I forget. I have the Style 45 650's in! I look much smaller than with my tissue expanders filled to 620/640 but I'm in a compression bra so we'll see in due time. I'm still in a state of shock that he put the 45's in because I thought it would be style 20's. I'll see him Tuesday to find out how the decision was made. Once again, everyone on the site has been so wonderful and caring. It makes such a difference in recovery! Thank you:)

  • PB22
    PB22 Posts: 176
    edited August 2010

    Kate and Astorm, Following my one step I also had rippling when I leaned over and tried to open a lid.  I thought it was the muscle showing pressing into the implant, not the implant itself.  This was resolved when I revised to a larger implant.  Astorm regarding your PS comment on what do you expect they are fake, well I was under the impression the PS has an easier time with symetry with  a bmx starting from scratch so to speak.  Being that they are "fake" I would expect them to look more perfect than the real boobs that have breast fed got saggy etc. 

    Kate, I would get that second opinion, your PS is basically saying this is all I can do.  We'll see about that!  It does upset me that the opinion is we should settle because "at least we have breast", even my husband thinks that way regarding improvements.  Its not like we are seeking playboy bunny bodies.  I feel if it bothers you enough to write about it, than it needs fixing.  My guideline for myself is when I ask the question, would I be embarrassed if in a bathing suit or taking my shirt off in front of someone other than my DH.  I don't want to be self conscious the rest of my life , why settle. The ripples will bother you try to get a resolution to this.