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Exchange City

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  • mamatwinz
    mamatwinz Posts: 193
    edited April 2013

    well he does, but as a guide, not the rule..

  • fippym
    fippym Posts: 14
    edited April 2013

    Leahv----thanks for the Genie bra idea. I went to try to find front zipper or closer sports bras and they are really hard to find. I didnt want to spend a bunch of money on something that I hope not to wear long. I did find some at JC penneys which the sales lady told me are discontinuing. Which also shocked her because I guess a lot of BC patients buy them after their surgery she said. My surgeon told me UnderArmour has front zip sports bras also but they are more expensive. So i wrote a long note from me to just say thanks!! Haha!! Maybe my pain meds are making me chatty!

  • fippym
    fippym Posts: 14
    edited April 2013

    Mamatwinz. I feel for you!!! I just had my exchange on 4-18-13 and I am still reading over the implant sizing 101 pages to try to make me feel like my new squishies will be the size I want! It's so frustrating and nerve-racking. I wish you the best outcome!!!

  • 2nd_time_around
    2nd_time_around Posts: 14,084
    edited April 2013

    Hi mamatwinz... Did you have Whippetmom give you a recommendation for implants? Was glad I did. After I spoke with PS and she gave me same recommendations as Whippetmom, I stopped looking at other options. I'm usually the one who fears and freaks out easily. Proud of myself this time I didn't - I kept my eyes on the prize - how I would feel and what I would look like AFTER implant. With our BCO sister doing so well, that's what I wanted too. Kept busy Thursday, cooking for a friend just getting out of hospital in ER, getting my paperwork and other stuff for hospital ready. Didn't hurt that I took a Xanax in the evening and got okay to take another first thing yesterday, helped to calm me when PS was very late.



    Just hubby and me at home, I crashed in my favorite recliner, my "place" for months. When we got home, DH put sheets over the chair because even though I thoroughly vacuumed the other day, felt so much better (and didn't know if cats slept there yesterday. DH tried to wake me several times but I just mumbled so, he knew I was okay. Do you have someone watching the boys on Tuesday so they'll be safe and preoccupied so you can sleep and rest comfortably? My first mx 16 years, my parents stayed with my kids (son 15, daughter months before 3 yo), made it a fun day for them with trip to the park, some fun dinner, so DH could be with me during the day, take a quick nap, return to hospital to spend the night with me (he slept in a chair with head in my bed). You'll do just fine!

  • lala1
    lala1 Posts: 974
    edited April 2013

    Fippym---my implant definitley looked like a hamburger bun!! I had an ace bandage wrapped around my chest after surgery. I had a followup appt 3 days later and had it taken off then. When it came off, I almost died because my boobs were so flat! Then over the course of the 30 minutes I was with him they had already popped out a bit, especially my native boob. I am now 3 1/2 weeks  out and will tell you that my MX side to me doesn't look much different. I thought the first day I saw it that it looked just like the TE and I still feel the same way. I THINK it MAY have drooped a bit because the 2 boobs seem closer as far as being "level". But to me the shape is still hamburger bun but rounder. I asked my PS if a nipple would help with some projection and he said not at all. But....I'm actually not really concerned. In the right bra, my breasts are even and symmetrical and a friend the other day told me she could really see some shape starting to form. I have tried on bras that really show the difference in roundness and projection so I just stay away from those!! And I don't pay much attention to my PS as to future shape changes. He's a bit of a Negative Nancy and I'm just the opposite! I don't plan to walk around braless anyway so as long as they look good in clothes.....as my SIL says "A man on a galloping horse would never notice!!" :)

  • mamatwinz
    mamatwinz Posts: 193
    edited April 2013

    thnx ..again..2nd time!  thnx fippym :)  hugs to both of u!  yes i did talk with ps about whippets recommendation and first said he is nit a nimbers surgeon re te and implant matching exactly, plus projection went down at 500cc vs even 475, and he know i do not want flat pancake boobs..plus i think my tes are wide fir my body just from what i have read, but cant change that now and didnt head to bc site until after mast/te placement.  but no am thinking 45s may be too much proj for me? (is too much proj ever a bad thing?) and no

  • mamatwinz
    mamatwinz Posts: 193
    edited April 2013

    sorry.phone isdues..plus 45s much narrower than te.  i think my tes are too far apart and ps says he csn try to bring closer, but csn only go to where pec muscle is..with sientra round base anatomicals, max 425 and im expanded to 500 now, but worried fit wont be good and too much work to accom that implant..it has more projection at lower cc than style 20s allergan...i think at preop i am going to ask ps to start with whippets recom of style 20 500cc, and go from there..i would be ok with 475 style 20 too, but only 500cc matches my te exactly

  • monicaelise
    monicaelise Posts: 23
    edited April 2013

    Just had my first look at the girls.  I love them!! I know there's some swelling and things will shift a bit, but boy the look good. The doctor was definitely right, 440cc was plenty.  I wouldn't even mind if they deflated a bit.  I have nice cleavage and I can actually see my lats from the front for the first time since 12/21. The runaway leftie is right where it belongs.  No hamburger buns and only the vertical incisions were reopened.  The inframmary scars look so much calmer now that they're where they're supposed to be and there's less weight for them to support.

    The only bummer is the drains.  They're the only thing that's causing any discomfort, but with all the cutting, stitching, and rearranging that was done, I'm glad the drains are there.

  • mamatwinz
    mamatwinz Posts: 193
    edited April 2013

    moni remind me your ht and wt..and size u were looking for?  i am soo happy excited for you!  how r u feeling?

  • monicaelise
    monicaelise Posts: 23
    edited April 2013

    Hi Mamatwinz,

    I'm 5'11" and have a muscular, athletic build..my weight fluctuates between 150 and 160, but most of it is back, legs and shoulders.  My ribcage, waist and hips are quite narrow for my height (the ribcage measurement comes to about 32.5" but a significant part of that is my lats, my waist is 26-27" and my hips are maybe 36" on a full day).  Essentially I have a thin woman's torso and very long tall girl appendages.

    I didn't really have a specific size in mind. I just wanted balance and symmetry.  Based on my previous bra size, I would say this pair is well into a C...which is right on target for almost six foot.  I pretty much left things in the PS's hands.  He knows what my lifestyle is like and knew I wasn't looking to turn myself into a busty bombshell, so he went into the OR with both the 440s and the 500s.  When I spoke to him after the surgery he told me he'd tried the 500cc, but they were just too big and I would have been unhappy with them (they also didn't fit properly on my chest with pockets I had).  I'm inclined to think he would have been right.  I wasn't at all happy with the TEs at 470.  The 440s are perfect bikini boobs, just in time for summer!

    I'd be happy to post a pic if could figure out how/where...

  • di2012
    di2012 Posts: 871
    edited June 2013

    Monicaelise....welcome to the "other side"....sounds like you are very happy!

    Since having my squishy since Monday....I am  VERY VERY pleased they are not like my pre-cancer DD's++....which dragged me down my whole life!   I can now wear skinny strapped tops with out my heavy breast  exposing MESurprised

    Di

  • fippym
    fippym Posts: 14
    edited April 2013

    Di2012.....sounds like you have some fun shopping trips in your future for some cute skinny strapped tops!!! Enjoy. :)

  • di2012
    di2012 Posts: 871
    edited April 2013

    I hope this works but I asked for my used expanders at the time of my exchange surgery and the OR nurse said they can't due to being a bio-hazard....so she offered to take a picture....and she gave it to me when I was wheeled into the recovery area

    Here is the picture:tissue expanders 4-15-13

  • di2012
    di2012 Posts: 871
    edited April 2013

    My old TE picture

  • di2012
    di2012 Posts: 871
    edited April 2013

    My old tissue expandersI ask for my TE at my exchange surgery and only got a picture as the nurse said they are BIO-HAZARD....look like fish EYES to me....but they were really my BADGE OF COURAGE.

    Di

  • Leahv
    Leahv Posts: 32
    edited April 2013

    So glad to know that I'm not the only one freaking out about exchange surgery and camping out in the implant sizing 101 thread! I think I've read it "cover to cover" twice now. Whippet mom responded to my last post and this is so embarrassing but I got that crazy feeling like when you see a celebrity at a restaurant or at the airport. I'm not usually star struck, but she's a Superhero in my book.



    Moni and Di congrats on your exchange!

    Di thanks for the visual aid!

  • lala1
    lala1 Posts: 974
    edited April 2013

    Anyone out there still have pain under the arm after exchange surgery? My PS assured me that mine would go away after TE removed but 3 weeks later and still there. Saw my BS the other day after PS said my residual pain was not part of his work and to go see the BS because the pain was probably from MX and not TE. Anyhoo....BS said to work on ROM, that I was still a bit too tight. So I've really stretched myself this week and gotten back all my ROM and sometime massaging under my arm helps but by about 3pm each day it feels as if someone has a death grip on my armpit. Gets worse in the shower since I don't have on a bra which tends to help with compression. And to top it all off, I can't find a bra that is comfortable. Every one that works as far as proper sizing digs in under my arm. Feels as if the underwire is digging a hole. And non underwire doesn't give enough compression so muscle spasms!! God, I feel terrible that I'm complaining after all this and now healthy with 2 "relatively" matched breasts but the pain sometimes gets so bad that I just lay on the floor and cry. My husband is at his wits end. Drs say deal with it or give it time but surely there are some things I can do. Any suggestions?

  • 2nd_time_around
    2nd_time_around Posts: 14,084
    edited April 2013

    First day out of exchange surgery and I'm feeling so much better! Still some soreness but NOTHING like the metal bra feeling, which is gone! PS told me to be patient about arm pit cave and she was right - arm pits are back to normal Came home with front-close bra, not mummy chest. Took the bra off to check, the girls look symmetrical (my first requirement), they're definitely closer together resulting in cleavage, will reserve judgement about size after the big tapes off. The Percocet is making me dizzy so I'm not up to showering today, maybe later or in the morning. My hubby is actually being very nice to me. Have my post-op on Monday, will get all the details then. Squishy side feels so much better! My family says I'm moving so much better now compared to mx surgery recovery.



    Lala... Was talking with my family about arm pit pain earlier. Saying I was hoping it won't exist any longer, especially in the grocery store refrigerated/frozen section. I've have this sore spot on the back of my shoulder for months. PT would massage/work on and I'd get temporary relief but it continued to come back, realized earlier today, pain isn't there so probably TE related. I asked PS if I could wear Genie bras after i no longer need the surgical bra and she said that would be perfectly ok. And I can't wear UW for several months.



    Mamatwinz, 3rd generation, and Keetmom... Hang in there - your turn is almost here! Wishing you easy and little pain next week!

  • thirdgenerationmomof2
    edited April 2013

    Good luck this week Mamatwinz and Keetmom! This is OUR week!! So exciting. So happy to hear from all the ladies who had successful surgeries last week. You all give us inspiration that everything will turn out just fine. So surprised how quickly you have bounced back so soon. Hope we have the same good experiences this week. Bring on the squishees! :)



    Jen

  • mamatwinz
    mamatwinz Posts: 193
    edited April 2013

    right back at ya, jen!!  :)  same to keetmom!  agree..u guys are amazing!  <3

  • melmcbee
    melmcbee Posts: 371
    edited April 2013

    Im so excited for you ladies who are about to get your exchange surgery. Im in so much pain with these stupid thing at night when I lay down. grrr. lol. Healing hugs to all.

  • 2nd_time_around
    2nd_time_around Posts: 14,084
    edited April 2013

    Mamatwinz, Jen, Keetmom... Not much longer - your day is almost here! Prayers and thoughts are with you! Get your comfy chair ready, you'll need it.



    Melmcbee... It felt like my surgery day would never get here. Slowly it was getting closer to my name. You will be there soon, hang in there!



    Feeling a little more sore today, like I worked out too hard, but easily manageable. Pain pills made me really sleepy today. See PS tomorrow, will report back tomorrow. Good night all!

  • jdevonm
    jdevonm Posts: 30
    edited April 2013

    Ok girls, I'm a lil depressed and trying to get positive so I need advice. I'm a week and 2 days post-exchange. I'm beyond happy to get rid of my TE, but after having the augment done on right side at same time as exchange on left, my augment/natural breast seems much larger than my implant only side. Enough so that I just keep thinking I'm going to be stuck wearing surgery or sports bras forever. I asked the surgeon before surgery if he brought several sizes to try and make sure I was symmetrical... He stammered to say yes (an obvious lie). After I woke up, I asked him IF I'm not symmetrical if he would exchange the implant to fix it, he said yes, it would be a simple procedure. After I called his office a few days post op, his assistant couldn't tell me the size of implants he used or any info, claimed she would call me back and never did, but did tell me he should be able to do surgery again as soon as the swelling is down.. I don't believe he used the size we discussed. He did mention doing some fat grafting at some point. Am I getting impatient too quickly? And how much longer do I have to go before I can hope to be done with it all? I guess I'm just ready to be able to wear normal clothes and bras again :-/

  • peanutsgal
    peanutsgal Posts: 64
    edited April 2013

    Jdevonm,



    I hear ya on the getting impatient. I'm a bilateral so I'm not going through the same thing, but I'm afraid a revision is in my future. Immediately after surgery I had a large pucker in my cleavage on my left side. Well, the pucker has filled in but that side is not as well centered as the right. It really needs to be moved in a little more. I'm so hoping that the "drop and fluff" disguises it enough that it won't bother me. I'm really afraid that it's just wishful thinking. I promised myself that I would not obsess, yet here I am obsessing! At least if a revision is in my future I can wait with squishies and not the TE's. See the PS Tuesday.....will see what he says.

  • jdevonm
    jdevonm Posts: 30
    edited April 2013

    I see mine on Tuesday also... Hopefully we both get some good news. Even if mine drops and fluffs, it still can't be near the same size :-( My PS doesn't really do a very good job of educating, and he makes me feel like I'm wasting his time with my questions. I know I should just be happy being cancer free... But the physical hurdles are seeming to be more frustrating than I'd like to admit. I guess going thru 4 surgeries already and still being so far from good results is just hard to handle. I wish you the best of luck though! I'm sure things will work out for you.. for us both! And even if its something no one else can see, I totally understand how hard it is to not obsess.

  • tinat
    tinat Posts: 2,235
    edited April 2013

    jdevonm - Sorry it's been a struggle for you and that you are unhappy with your results so far:(  Most PSs do order several styles and sizes to have available in surgery.  Implants are medical devices (like pacemakers, etc) and patients are supposed to be given a card with all the info at discharge from the hospital.  They are supplied with each implant.  It is likely that your PS office will not have the card, but they should be able to provide you with the info about your implants.  If they can't, I would contact the medical records dept. of the hospital.  If the cards aren't there they should at least be able to give you a copy of the surgical notes which should have stickers off the implant packaging.

    If you haven't done so already, I would suggest checking out a thread called "Implant Sizing 101".  You will find lots of helpful info in the header of the thread and Whippetmom, the thread creator, is very knowledgeable about implants. 

    Hang in there!

  • shellshine
    shellshine Posts: 930
    edited April 2013

     jdevonm, you tell that lying PS you want to know EXACTLY what sizes he had in the OR, and what sizers he used (reusable sizing devices supplied by the vendor that are sterilized after each use, just like the surgical instruments are sterilized) - and how each size looked. Grill him so he gets the picture that he can't play games. Bring your most intimidating  friend or family member with you so he can't get away with being vague.

    The thought of you having to go through the pain, inconvenience and GENERAL ANESTHESIA  again really riles me. I understand not every PS can give every pt exactly what they want all the time, but you DESERVE to be given the information you need wihout feeling that you are pulling teeth.

    Find the person who said they would call you back and ask them why they didn't....  and find out where your implant card is and why you weren't given it the way the FDA requires (usually the nursing staff gives it to you at discharge).

    NO - you are NOT impatient. You had cancer, you had your breast removed and you just want some straight answers now, not try to guess what the heck is happening.  

    Sorry this is so intense, but it irks the cr** out of me when I hear stories like yours. 

  • lala1
    lala1 Posts: 974
    edited April 2013

    jdevonm---I agree with everyone. You should have been given your implant cards when you were discharged. I was. I got 600cc on MX side and 120cc on native side. It will definitely help for you to find out how many ccs he put in each side. Everyone told me that my MX side looked bigger clothed but in my birthday suit, they all said native side was bigger. I'm not happy to have 2 different sizes but now all are saying in clothes they can't tell the difference and that was what I was shooting for. My PS told me at 1st followup that he really wanted to put in an 80cc on native but didn't have one so put in 120cc. Then at second followup when I asked if he would swap out to the 80cc if I wanted, he said 120cc was the smallest they make. Well, I happen to know different and told him in no uncertain terms "No, Mentor makes and 80cc which you mentioned at my last visit." He seemed shocked that I knew much less remembered so I said "Just know that I'm a big fan of research and there isn't much I don't know about implants at this point in my life". He said he'd be happy to do whatever I wanted as long as I waited at least 3 months for everything to settle to see if I actually felt the need for more surgery. I think that's very sensible advice for me and you both. I'm 4 weeks out and do see that they are more balanced and symmetrical. I believe that PSs have a god complex more so than most surgeons and you have to smack them down once in a while. :) You can look up the different brochures for Mentor and Allergan implants and make a copy of all the sizes they have. Then see if Whippetmom has any thoughts on what she might have suggested for both sides. That way you can go to see him with all the information in hand. And maybe tell him you will wait a few months for drop and fluff and decide at that time what to do. But make sure he understands that YOU will be making that decision! Good luck and let us know how it goes.

  • jdevonm
    jdevonm Posts: 30
    edited April 2013

    Thank you all for your responses... I won't lie, I broke into tears reading yours Shellshine... You have more concern for the situation than any of the healthcare people I deal with :-/ my PS isn't known to be too compassionate or caring. I developed a staph infection after my MX and TE placement. I tried telling him for 4 weeks that I was in severe pain and was feverish in that area, but it took me running a fever of 103.7 for over a week, and then bursting open at my incision site for him to believe me. Ontop of that, he called me the wrong name when he came into the room when I had burst open, AND sent me home with just some gauze covering the opening and told me he would have someone call me to schedule surgery the next day. He's put me thru hell already, so this whole thing with him not getting me symmetrical is just more icing on the cake. Like I said, I've had 4 surgeries already and am pretty sure I'll be having at least 2 more. I've ran out of FMLA to cover my job, so a lot is now piling up, and its mentally draining.

  • jdevonm
    jdevonm Posts: 30
    edited April 2013

    Oh, and no, they didn't give me any of the cards you have all mentioned. I think the PS's assistant said she was going to have to mail them to me or something but didn't have them at the time for some reason.