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Exchange City

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Comments

  • rachelvk
    rachelvk Posts: 564
    edited July 2012

    Good luck Lezza! My only suggestion is that you find a good way to describe to your PS what you want to look like when it's done - cleavage? perky? Right where you are now, or a little smaller? The more descriptive you can be, the better.

    I'm settling in fairly well. Still feel large sometimes, but I look good in clothes. Right side is still a bit uncomfortable, but still so much better than the TEs. 

  • joanquilts
    joanquilts Posts: 270
    edited July 2012

    Here's the difference between men and women:  I am going in for my exchange this upcoming Monday, July 16.  It's a same day procedure.  I'll be leaving the house at about 10:30 a.m. and don't expect to be home until the evening.  We have two boys, ages 20 and 12.  I was thinking that they may be concerned about the procedure and that this was an awful lot of hours to fill home alone perhap worrying about how I was doing. 

    So I asked my husband how we should prepare for that day (i.e., in my mind I was thinking maybe their grandmother or a good friend should come stay with them).  MY DH responded, "How about we leave them money so they can order in food?"

  • dipad
    dipad Posts: 135
    edited July 2012

    Hi everyone,

    I am new to this forum. I had bmx Jan 7th with immed recon. Fineshed chemo June. I am scheduled for my TE this tuesday the 17th. I opted for saline. The ps really didnt go into types of sizes or shapes, just the option of silicone or saline. I'm currently at 480cc. As for the look afterwards, all the ps said was "do you want vavoom breasts?" What the heck!. Basically how far up do I want them to stand. Someone had mentioned to tell ps not to make them too close together, may look fake. This is such new territory for me. Any advice? Also how is the post surgery pain? less or more than bmx? recovery time?

    Thanks ladies!

  • golden01
    golden01 Posts: 527
    edited July 2012

    JoanQuilts - LOL.  Those boys can eat a lot!!

  • lezza13
    lezza13 Posts: 579
    edited July 2012

    stjude10  Glad you think this all is easy.  Glad it was easy on you I was told I was being sent home with a sports bra.  I appreciate the support and thanks

  • lezza13
    lezza13 Posts: 579
    edited July 2012

    rachelvk:  I will be sure to take your advice and ask those questions. I am looking for perky and small since I had only 1 fill. Anything to me should feel better than these tight TE's. I am so tired of them!  Glad to hear you are doing better and fitting better in your clothes. Thanks for the good wishes.

  • Erika8
    Erika8 Posts: 56
    edited July 2012

    Hi dipad welcome to this side

    I have silicon too amd i am smal framed and my TE and my implands are 550CC and they are not to big

    the surgery pain is less then the bmx for me anyway

    good luck 

  • Layla2525
    Layla2525 Posts: 465
    edited July 2012

    leeza, I get my exchange on Aug 2 if my fever goes away,i am afraid I might have an infection somewhere now! Good luck with yours, yep the handout from the PS says not to be upset that the implants are not going to look right for a mth or so til they fluff. She had some great photoes in her album of patients 3 mths out and they looked great so guess it takes at least that long to get things looking right. I gotta ask my friend who recently got her popped saline out and got gel.

    I will get Mentor gel only 600 cc so hope I dont get wide pancakes,hmm

    Fragrantrose, so sorry you had a bad time at Sams Club,they should be thankful you shop there, what a bunch of jerks! Yep used to the TE now,done with the fills, the TE are so cute now,dont wanna stop being cute, I never had cute boobs before, I have so many old pushup bras.. my closet could be a Marine training boot camp!!

  • tonlee
    tonlee Posts: 1,590
    edited July 2012

    Hi everyone.  I go in for my uni exchange Next tuesday.  I know this has been asked a million times, but here is one milllion and one....

    I am currently expanded to 420ccs.  PS is placing a 450cc (though I think that will likely be too small to match my other side which is a 34D) ... its all we could do with the radiated skin.  I don't mind if my right side is a 1/2 cup smaller....hopefully not more than that.

    Anyway, he will be doing pocket work and placing the implant.  So here are my concerns.

    How long does it take to recover from this?  I was able to drive 3 days after MX.  Is this the same?

    And what is the deal with getting the heart rate up while in recovery?  The PS says I can walk but nothing that gets the heart rate up??  Have you ever heard this?

    Thanks in advance....

    Tonya

  • Annabella58
    Annabella58 Posts: 916
    edited July 2012

    Hi Tonya,

    First 3 days???? Never in my wildest dreams heard of that, good for you!! But generally speaking, they do not like  you to use your arms with any range of motion for at least 10 days.  So no.  It's not the same.  You want those new girls to settle down, settle in and stay put!!  They do not want your arms over your head for the same amount of time for the same reason.  No stretches either.  Little tyrannosaurus rex arms down at your sides, that's your range of motion.

    It takes a good 6 weeks.  Mind you, you may be able to go back to work after a week or so if you have a sedentary desk job and someone can drive you.  You might be able to drive, re: pain, but due to keeping them where they need to be, not a smart idea.

    Yes, no elevated heart rate is the standard of care post any surgery.  That is usually for a good 6 weeks. 

    I know none of this is welcome to be heard, but it's the standard issue. 

    Good luck, those new girls will be worth a bit of sitting on your tush for a bit.

  • mariwyl
    mariwyl Posts: 33
    edited July 2012

    Tonya, MDs recommend keeping heart rate and BP down a bit after surgery, which means limiting activity for a few weeks, to minimize bleeding, bruising, and swelling.  

  • Ddeal14
    Ddeal14 Posts: 16
    edited July 2012

    Hi to all, I am 2 weeks out of exchange. I saw the ps, he said not to wear a bra, or if I have to, just wear a not tight bra, so the implants will do their own thing without the bra 'directing' them. He said to massage as much as possible pushing them to the center (even though they r not far apart. The swelling went down a bit. He said for a month, not to do too much. For the ladies who are asking about the recovery time, I had my full energy back after the first few day, the problem is knowing i can't do too much, but I feel I can and i have the energy to do almost everything. At the BMX, I just couldn't do much even if I wanted. Hope it helps.

  • CMartin
    CMartin Posts: 237
    edited July 2012

    Forgive me.  I'm relatively new and very far behind.  I have exhange surgery 8/24 and am planning a trip to Mexico in Sept-Oct.  Several questions come up after reading the posts. 

    I don't have any lymphodema that I am aware of.  I'm assuming that is what the compression sleeve is for?  Do I need one to fly?

    Also, are we to never lie on our stomachs?

    My PS initially said that nipple recon was an additional surgery to the exchange but now he has scheduled them at the same time.  There was too much going on and I didn't really think to ask.  Any experience there?  Also, I had decided on tatoo only but now am planning for the full recon if he can keep them small.  Looking for your thoughts there as well.  

    I'm REALLY looking for some encouragment that the implants aren't going to resemble the blobs that are currenly on my chest.  

    janiceg415 - You are going through exactly what was prescribed for me and I opted for a BMX.  I certainly hate that your PS didn't listen.  All of thi is bad enough without having to endure that too.  I am the same height and about 135, 500cc with expanders and planning for 500 cc implants (he doesn't overfill but did order 450cc also in case the fit isn't right).  I'm fearful that they are going to be too big but am trusting the judgement of whippetmom, my DH, and my gut.  I was a small B.  (After reading all the posts I'm now wondering if 500 is enough!)

    Sherryc - I sheduled yesterday and was initially 8/21 as well!  However, I'm type 1 diabetic and wanted first in the morning so I got pushed back to 8/24.  Will be thinking of you!

    You ladies are scaring me about the tightness!  I was sooooo looking forward to that going away.  My PS does this as outpatient, home same day.  My favorite post-op bra has been the Underscore, a zip front, from JC Penny. 

    Dragonfly20 - firmness we haven't discussed - profile for mine is high.  Whippet mom's suggestion as well as what my PS uses.  I've read many posts here where the moderate profile is flatter and ladies are really unhappy with them.  

    layla2525 - crazy thought but could you be grinding your teeth.  I do and it worsened as my bmx approached and seems to be acting up lately as well.  

    janiceh - from what I understand they hang better if the PS does an overfill and leaves the pocket a bit larger.  

    TonLee - I asked the heartrate question and can't remember!  Since it's exhertion of the blood into those newly cut areas I believe they wanted them to begin the healing process first.  

    Thanks for input everyone!

     

  • Mooleen
    Mooleen Posts: 63
    edited July 2012

    Yes you should wear a compression sleeve on the airplane. It is a preventative measure and has something to do with the pressure in the cabin.

  • Ossa
    Ossa Posts: 685
    edited July 2012

    CMartin.. A friend who is also a BC gal had BMX a yearand a haf ao, she has just been in Australia and did not wear a compression sleeve as she did not have Lympadema and our Onc told her she did not need one.. She had no problems

  • tonlee
    tonlee Posts: 1,590
    edited July 2012

    Thanks!

    Annie, I am only getting one (I am a uni) so the other side (my normal boob) should be fine to raise over my head, drive etc.  It was during MX so I'm hoping it is the same this time round.  I wouldn't have drove with a double!  lol  Though my PS said I could drive as soon as I stopped taking meds.  But to use my left arm.

    The reason I'm asking is because I will be traveling and staying in a hotel several states away.  The first 2 days after surgery my hubby will be there, after that, I am on my own for about a week until a cousin comes to visit.  I'll be making my own food, driving, doing laundry, stuff like that.....I'll use my left arm (non surgery side)....the heart rate thing though...I had planned on doing mucho lower body work like I did after MX.  I'll ask him again to be sure when I get down there....will likely be posting here quite a bit and will post pics.....maybe ;) 

  • golden01
    golden01 Posts: 527
    edited July 2012

    CMartin - I have Mentor moderate profile implants (600 cc) and am very happy with them. I'm short and 59 years old. I was quite clear with the PS that I didn't want breasts that made me look like a 20 year old. He repeated it into his recorder so I know he got the message! My new implants are great. I just wish the right one hadn't dropped quite as much or that the left one will do the same down the road! I'm still holding out on judgement of my new nipples. The right one shrunk more than we'd hoped. Tattoos are coming down the road.

  • ccjj
    ccjj Posts: 26
    edited July 2012

    Tonlee.... It seems from these boards that a lot of ladies are told to take it easy after their exchange surgery.  I did not find that to be the case. After my Mx and my exchange surgery I was told okay to drive as soon as off the pain meds.  I was never on pain meds from the exchange surgery. Only took tylenol once home for the first day.  I had my exchange surgery on a Friday, also took off the following monday and back to work on Tuesday. I have a sales job where I drive a lot and haul stuff into my accounts. I didnt have any issues.  Personally it was better to get moving after both my mx and exchange surgery. I reached full range of motion very quickly probably because I had young kids to take care of and that forced me to move and reach for stuff, lift them, etc. cmartin... regarding compression sleeve.  I have flown about 6 times since my mx.  1st time wore the sleeve. The next time I completely forgot it and flew without it and then after that never wore it again.  Problem is, its my understanding that you can be fine and then all of a sudden get LE.  I believe not wearing it is sort of like gambling. Just because you didnt get it once, twice, etc doesnt mean it wont all of a sudden happen. And once you get LE, its my understanding you will more prone to get it in the future. I fly again in a couple of weeks and debating whether I'll wear it. Probably will. 

  • tinat
    tinat Posts: 2,235
    edited July 2012
    CMartin - I have to chime in here.....moderate profile implants are usually used in augmentation (but, there are always exceptions).  It does sound like most women get high profile implants for reconstruction.  However, Natrelle also makes moderate plus implants (Style 15) and many women (including me) are very happy with the results.  So much depends on the chest/ribcage/sternum configuration.  Just thought I should share that there is a profile available between moderate and high. 
  • specialk
    specialk Posts: 9,299
    edited July 2012

    tonlee - I had no restrictions after exchange other than not lifting more than a gallon of milk, and a two week driving restriction.  I did not require any pain meds after the first couple of days and could get around the house and do the normal stuff.  This was an easy outpatient surgery for me - and I was immensely more comfortable after the surgery than I was before it, which is weirdly good!  Ask your PS, but I think you will be fine with what you did after MX.  You know your body well, and what you can tolerate.  Mine never mentioned anything about not raising my arms, and he tends to be conservative. 

    ccjj - once you have lymphedema it does not ever go away, it is a lifelong process to keep it under control.

  • golden01
    golden01 Posts: 527
    edited July 2012

    Rechecked my cards, I have "Mentor Moderate Profile Plus" (600 cc) not just moderate implants. Again, I'm happy with them!

  • tonlee
    tonlee Posts: 1,590
    edited July 2012

    Thanks SK.  I appreciate your input :)  You didn't have rads did you?  My only real concern now is how much longer I've read it takes rads skin to heal.....

    Anyone?

  • specialk
    specialk Posts: 9,299
    edited July 2012

    tonlee - No, I didn't do rads, had the ALND instead.  When I inquired about rads, at least to the axilla, both BS and MO said no.  I also had skin healing issues due to necrosis, which can mimic rads damaged skin, mine just tore like a run in pantyhose, not on the incision line but up on the face of the breast just below the nip where the necrosis had been. It was excised three times before my PS called it a day and took the TE out.  It was a year from the time that finally healed until I exchanged, did chemo and fills during that time after the TE was replaced, and I had zero healing issues at exchange.  How long has it been since the end of rads for you?

  • tonlee
    tonlee Posts: 1,590
    edited July 2012

    SK, it's been about a year since I finished rads....but my breast has really "drawn up" since then.  The PS says he can "release" it when doing pocket work....

    That's good to know though.  I don't think I'll have healing issues, but I've read it can be an issue with some women.

    I may post some pics here... just to see if anyone else had what I have....right now I don't have time to mess with it tho.

  • specialk
    specialk Posts: 9,299
    edited July 2012

    tonlee - because my left side had so much surgery for my TE replacement the PS ran into the OR made the incision, jammed a  new TE in, and ran out, lol!  My left side was higher than my right, making the nip sparing aspect a bit comical.  Definitely misaligned headlights!  During exchange I had both exchange AND a revision on that high left one so he was able to remove internal scar tissue, push the implant up higher and pull the skin, pec muscle and nip lower so now everything matches.  I would also think that for you the softer implant will naturally drop more on its own to match your native side.

  • tonlee
    tonlee Posts: 1,590
    edited July 2012

    Hope so SK....I always wear a bra, sports (sleeping), underwire...so as long as it looks good in a bra...I'm good.

  • nurseronda10
    nurseronda10 Posts: 109
    edited July 2012

    TonLee, SpecialK - Looks like all three of us were diagnosed around the same time and Her2+.  I am finally done with reconstruction and went back to work last night.  Still lack a nipple tattoo but hopefully that will be no big deal compared to the rest.  TonLee, my PS recommended that I sleep in a sportsbra and wear an underwire during the day.  I feel like an idiot, but 19 days postop exchange we were in Florida and I completely forgot and laid on my stomach which pushed the pocket down a tad on the left side.  PS wasn't too pleased with me....said he had worked really hard on getting that pocket just right.  Oh well, I'm symmetrical in clothes and that's all I was striving for anyway.

  • nurseronda10
    nurseronda10 Posts: 109
    edited July 2012

    TonLee - I had no restrictions after exchange, pocket work, and fat grafting other than no lifting more than 10 pounds.  PS wanted me to raise my arms over my head and stretch them from front to back.  I developed cording with initial mastectomy and again with LD flap and prophylactic mastectomy.   This time I did exercises early on and did not develop any, so this may be why he told me to be sure and do the arm exercises.  He also said walking was a plus.  He said I could drive when I was no longer taking pain pills.  I felt comfortable driving 12 days postop.  My job is strenuous so initially he wanted me off 6 weeks, but talked him into letting me go back in 4 weeks on light duty.  Good luck!

     I have worked med/surg for  many years and have never heard of a physician say they didn't want a patient's heart rate or BP to rise postoperative.  Normally, physicians want their patients out of bed and moving ASAP to prevent DVT's.  With any normal person the heart rate and BP will go up as soon as they stand and start moving.   Every surgeon has a different set of rules, though.

  • mammalou
    mammalou Posts: 293
    edited July 2012

    Glad to read the last post as I was getting nervous.  I am 3 weeks post op and the only restriction I have now is don't lift over 5 pounds.  They wanted to me move my arms and keep my ROM up and they wanted me walking.  I could drive as soon as I wasn't on meds.  I am still wearing a surgical bra24/7 for one more week and I think that is mostly for my lift/reduction side.

    I am going to Disneyland next week and I am a little worried about the roller coasters, but the NP just told me to wear a very good support bra or two. 

    I don't want my breasts to fall, so I'm hoping that all of this is ok.

  • ccjj
    ccjj Posts: 26
    edited July 2012
    SpecialK...  regarding the lymphedema issue.  Are you saying that even if you havent gotten lymphedema when you have flown or to date, it doesnt mean you wont get it. We are always at risk and therefore I shouldnt get lazy in protecting against it?  Makes me sad.  I keep wanting to go back to "normal", but sigh..this is my new normal I guess.