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Topic: Exchange City

Forum: Breast Reconstruction — Is it right for you? Discuss timing and various procedures and techniques.

Posted on: Jan 30, 2009 07:41PM - edited Mar 29, 2019 07:40AM by Mykidsmom

Mykidsmom wrote:

We love to include everyone's surgery dates - Please PM me and I will update the list to include you! The list keeps changing since we try to move forward as the dates move forward. Thanks. - Jean

Useful web sites:

Mentor: http://www.justbreastimplants.com/implants/mentor_specs.htm

http://www.mentorcorp.com/breastsurgery/reconstruction/breast-implants.htm

Mentor ultra high profile implants: http://www.mentorcorp.com/global/physician-information/silicon-gel-breast-implants.htm

Allergan: http://www.allergan.com/assets/pdf/natrelle_catalog.pdf

9/8 - CarlaEM - Revision, switching implants, possible fat grafting (completed)

9/8 - NervousGal - Exchange Surgery (completed)

9/20 - Buffyjc - Exchange and Fat Grafting (completed)

9/22 - Noodlesmom - Exchange Surgery (completed)

10/9 - MotherofTwins - Exchange and Fat Grafting (completed)

11/1 - Lynae23 - Exchange Surgery (complted)

11/3 - MinuteAtATime - Exchange Surgery (completed)

11/3 - T-Sue - Exchange Surgery (completed)

11/15 - LettyF - Exchange Surgery with lipo/fat grafting (completed)

11/28 - Maui-Jen - Exchange Surgery (completed)

11/29 - Shoregirl- Revision Surgery - downsize implants, tighten pocket and skin, and fat graft (completed)

12/8 - Dafne - Exchange Surgery (completed)

12/20 - Bringon2017 - Exchange Surgery (completed)

1/24 - jbrmdr - Exchange surgery (completed)

1/29 - Mooney - Exchange Surgery (completed)

4/25 - lmkopy2 - Nip recon put on hold! Swapping implants and fat grafting. (completed)

5/22 - Mariettamom - Exchange Surgery (completed)

6/19 - Maggiebutterfly - Exchange Surgery (completed)

7/10 - Rascalsmom - Exchange Surgery to Sientra smooth round high profile (completed)

8/31 - Mastectomysister - Bilateral mastectomy 8/31 with TE's. No date set yet for exchange.

9/13 - Rachelcarter35 - Exchange Surgery (completed)

9/20 - Gramto4 - Exchange Surgery/Revision (completed)

9/25 - LInnyG - L mastectomy with TE and SNB (completed)

11/13 - Mastectomysister - Exchange Surgery (completed)

11/30 - Jsbells - Exchange Surgery (completed)

12/27 - Gramto4 - Nipple reconstruction and fat grafting (completed)

12/28 - Lolarg - Exchange Surgery (completed)

1/3/2019 - Crossh - Exchange Surgery (completed)

3/25 - Allebasi - Exchange Surgery left side and a lift and small implant on right side for symmetry (completed)

AnnieAlso - Revision Sister in Waiting!

Prophylactic Bilateral Mastectomy w/ Tissue Expanders - 12/08 Exchange 04/09 Dx 8/25/2008, LCIS, Stage 0
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Dec 24, 2018 06:48AM - edited Dec 24, 2018 06:51AM by TrmTab

one week post op...actually was in pre-op one week ago at this time. Only one more antibiotic pill to take and then on my own for the longer recovery

Have been feeling good and trying not to do too much... but it is the holidays...on Friday I wrestled a little too much with getting presents out of my closet...

I see the PS January 2, I hope she releases me to do some stretching exercises...I can't wait to get back to my yoga practice even just starting with gentle restorative classes

Happy Christmas Eve

TT

Dx 9/2015, DCIS, Left, 1cm, Stage 0, Grade 2, ER+/PR+ Surgery 12/21/2015 Lumpectomy: Left Surgery 1/10/2016 Lumpectomy: Left Hormonal Therapy 2/4/2016 Arimidex (anastrozole) Surgery 6/3/2016 Mastectomy: Left; Reconstruction (left): Tissue expander placement Hormonal Therapy 1/1/2017 Arimidex (anastrozole) Surgery 9/8/2017 Reconstruction (left): Silicone implant Surgery 12/17/2018 Reconstruction (left): Silicone implant
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Dec 24, 2018 09:53AM HopefulAC wrote:

Hikinglady- thank you for responding! merry Christmas Eve! In terms of healing there is some definite tightness in the radiated side but the biggest difference is bruising in terms of healing. Right after surgery I didn’t have any and now my radiated side is all bruised it began near armpit and now it’s basically all over. My other breast has no bruising at all. I just hope it gets better soon

BEsides the awful bruising I like the way they look as surgeon did really well making them look even. I stayed close to my size big B small C bc doc said that would yield better results since radiation and couldn’t go bigger.

Hikinglady- best to you

Dx 8/30/2017, IDC, Left, Stage IB, ER-/PR-, HER2+ Targeted Therapy 9/26/2017 Herceptin (trastuzumab) Targeted Therapy 9/26/2017 Perjeta (pertuzumab) Chemotherapy 9/27/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Surgery 2/8/2018 Lymph node removal: Sentinel; Mastectomy: Left; Prophylactic mastectomy: Right Radiation Therapy 4/18/2018 Whole-breast: Breast Surgery 12/11/2018 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Targeted Therapy 1/1/2019 Nerlynx
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Dec 24, 2018 04:00PM TrmTab wrote:

Hopeful

I was horribly bruised after my first exchange. The bruising really appeared a couple of days after exchange and then blossomed and took several months to almost fully resolve.  I actually had a shadow of a bruise about the size of a quarter a year afterwards. Not trying to depress...but simply share that it may take a while. TT

Dx 9/2015, DCIS, Left, 1cm, Stage 0, Grade 2, ER+/PR+ Surgery 12/21/2015 Lumpectomy: Left Surgery 1/10/2016 Lumpectomy: Left Hormonal Therapy 2/4/2016 Arimidex (anastrozole) Surgery 6/3/2016 Mastectomy: Left; Reconstruction (left): Tissue expander placement Hormonal Therapy 1/1/2017 Arimidex (anastrozole) Surgery 9/8/2017 Reconstruction (left): Silicone implant Surgery 12/17/2018 Reconstruction (left): Silicone implant
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Jan 1, 2019 09:14PM Horsefly wrote:

I had the Sientra highly cohesive “gummy bear” implants InAugust 2016. One problem was that the particular implants were too large for my frame, but I absolutely hated them. I agree with another writer that they looked like flat hamburger buns and were very hard. Then, after the lymphoma story broke, my ps devised to quit using them. Five weeks ago I replaced them with the smooth round and am already happier.

Dx 2/22/2016, DCIS, Left, 6cm+, Stage 0, Grade 3, 0/3 nodes Surgery 3/21/2016 Lymph node removal: Left, Sentinel; Mastectomy: Left, Right; Prophylactic mastectomy: Right; Reconstruction (left): Nipple tattoo, Silicone implant, Tissue expander placement; Reconstruction (right): Nipple tattoo, Silicone implant, Tissue expander placement
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Jan 2, 2019 01:25AM MinusTwo wrote:

HorseFly - were they anatomically shaped? I didn't realize that Sientra made those. I have the original Allergan 410 anatomical cohesive gel implants. I've had them since 2011 and am very satisfied. They're not much harder than my 'original equipment' and I have good projection - not buns. I know from Whippetmom's thread that you must have a REALLY experienced PS to make the pockets that are exact to fit correctly. Although I've read the press, so far my PS is not indicating any issues I need to be concerned about, and I've had them for 7 years.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Jan 2, 2019 04:30PM TrmTab wrote:

Just back from my 2 week post-op appt...

Had a very good meeting with Dr re my recovery status and progress…had for me a disappointing meeting re removal of restrictions in the weeks ahead.

I see her in 4 weeks, +6 weeks from the surgery, at THAT time I will be lifted to start RE-INTROducing strength/weight issues into upper body as tolerated over a build up of up to a month or so after being away from such activities…yikes!

Her pre-op materials on Post-op procedure was first two week this and then up to 4 weeks that, then free to start building up again.Well, the grammar was off, 2 week this, the NEXT 4 weeks that…

I know it is silly but I am very disappointed and now need to clarify my business trip that is at 5.5 weeks post op…truly thought I would have been okay with that, but my next appt is after my trip to Princeton and my bags exceed the no weight bearing rules.

I can do the non-strength non-balance yoga classes (Yin Yoga) as long as I don't do chest/shoulder straining…ugh…still just a walking machine.

Trying to be grateful for the good medical report...TT
Dx 9/2015, DCIS, Left, 1cm, Stage 0, Grade 2, ER+/PR+ Surgery 12/21/2015 Lumpectomy: Left Surgery 1/10/2016 Lumpectomy: Left Hormonal Therapy 2/4/2016 Arimidex (anastrozole) Surgery 6/3/2016 Mastectomy: Left; Reconstruction (left): Tissue expander placement Hormonal Therapy 1/1/2017 Arimidex (anastrozole) Surgery 9/8/2017 Reconstruction (left): Silicone implant Surgery 12/17/2018 Reconstruction (left): Silicone implant
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Jan 2, 2019 09:34PM Munmunmary wrote:

TrnTab,


I had my surgery 3 days after yours. Going tomorrow for my 2 weeks follow-up. I feel you about working out and getting back to your routine. I had signed up for a half marathon on Jan 20. Not sure about running it, but may have to settle for walking.

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Jan 3, 2019 01:44PM - edited Jan 4, 2019 10:11AM by HikingLady

Hello All!

Thanks to all of you, for support and encouragement and good vibes, and for sharing all of your experiences and knowledge, and cheering me on through my anxiety about this.

Day One After Exchange: I had my exchange yesterday, January 2, at 12:15 p.m. Home by 4 p.m. Anesthesiologist was very thoughtful about working to reduce my wake-up nausea, which I've usually had; not this time! He said he'd use two meds during anesthesia that would help (Phenergan + Zofran). No guarantees, he said, because everyone's different. But, whatever he put in the cocktail, it really worked. I also super-hydrated the day before surgery, and anesthesiologist agreed with that being a help also for reducing nausea. Surgery was 12:15, and I didn't eat after midnight night before, but I was allowed BLACK coffee + water until 8:45 a.m. which was helpful morning-of.

Anxiety help: I asked for something to keep me calm--they gave me 5 mg Valium as soon as they took me to the pre-surgery prep area, and it was oral, not IV. So, for the next 45 min before surgery, I felt relaxed and much less anxious than I would have been without this nice assist! It's bad enough to go through all this trauma, and I decided that a tiny mood-assist would be appropriate, and both doctors and RN husband totally agreed.

Surgery and size: PS took out TE's and put in the implants. Also took out extra skin on left side to match right side's size. Right side expanded less, because of 2003 radiation, so I asked PS to make left side smaller to match right side. It's expected that, as PS describes it, "they'll be sisters, not twins." He has warned that contracture is more likely on right side than for other people--that's just a post-radiation surgery fact. I'm hoping for a sort-of match. They'll be rather petite; size is not something I can choose. Stretching just was limited on right side, and fills became horribly uncomfortable, so I stopped at that point. Probably will end up a B cup, possibly C.

Nausea: My husband is an RN, and he's guiding all of my med timing. We have Phenergan + Zofran at home, and I did use them for the first 15 hours or so, and now I think I'm past the post-anesthesia nausea. Throwing up + oral pain meds = a terrible plan, right? Anyway, so far, so good.

Bandages: Today I go to PS office for an RN to remove wrapping. After surgery, I was sent home with a huge ACE wrap around foobs. Today, that will be removed, down to steri-strips, I assume, and supposedly I'll be cleared to take showers now. No drains, yay!!! Lots of swelling, of course. I'm trying to sleep in a chest-uphill position, to help with that. Also, to be able to sleep on my back, I'm using small pillows under arms, and a travel pillow around my neck, plus a whole other assortment of possible pillow options!

Meds: There's an antibiotic for 5 days (every 8 hours). I need my Oxycodone for a few days, I'm also taking stool softener (Colace) + also Senna + also a few prunes each day because of that. I'm taking Tylenol every 2-3 hours between Oxy doses. Will eventually taper off Oxy, in 5 days or so is expected. We wrote down a schedule for managing all this, and that includes alarms a couple of times in the night. Not Fun, but that way I'm staying comfortable. Nurse-husband will take care of me for 5 days, then he'll go back to work. I'm up and about today. Still sleepy from anesthesia and a bit groggy because of Oxy on board, but pain level is okay with Oxycodone.

Hydration - I'm drinking as much water as I can get down for a few days. Helps to clear out anesthesia grogginess and helps with healing and helps all meds. be absorbed and work sooner.

Food: first 24 hours after surgery, easy-to-digest things, of course. For me, that was tomato soup + toast, and I had oatmeal for breakfast. Now I'll start adding extra protein + antioxidants for healing, and continue that for a month or so, as per dr. guidelines.

Implants: my PS says they're "smooth round," and although they're the "cohesive" version of Natrelle's smooth rounds, they're not the "textured anatomical," according to my PS and the online Allergan product catalog. The names of the Allergan models are confusing, but this is what I have in me:

Allergan Natrelle Inspiration Cohesive

SCX-400 (volume=400 ccs)

I chose to not have textured anatomical implants, for various reasons. One is (perhaps illogically) the 1/30,000 risk of an associated lymphoma. Obviously, that's practically zero, but not quite zero. The truth is, I listened to my DD. My daughter is a Nurse Practitioner, and she wanted me to choose lowest-possible risk since there was an option. All implants have risks, but that particular one is one I can reduce by having "smooth round." My PS thinks that textured anatomicals have a more "natural look," and that they settle in well. On the other hand, a writer on this forum was more comfortable when she switched from textured to smooth.

Glad to have this surgery behind me, and the new Foobs in front of me. :-)


Dx 3/2003, IDC, Right, <1cm, Stage IA, 0/2 nodes, ER+, HER2- Surgery 4/9/2003 Lumpectomy Radiation Therapy 6/10/2003 3DCRT: Breast Hormonal Therapy 8/8/2003 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Dx 4/25/2018, IDC, Right, <1cm, Stage IIA, Grade 3, 0/2 nodes, ER+/PR-, HER2- Surgery 5/22/2018 Lymph node removal: Right, Sentinel; Mastectomy: Left, Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 6/25/2018 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 11/7/2018 Arimidex (anastrozole) Surgery 1/2/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Jan 3, 2019 07:01PM VegGal wrote:

I have the Natrelle Inspira SCX as well, but mine are 600 plus cc's. I think you will likely be a C cup as I am a DD!

The risk of ALCL is actually more like 1 in 3000 for those with textured implants. As time goes on the statistics change. You made the right choice. 

Hope your recovery continues to go smoothly. 

Dx 1/12/2016, DCIS, Left, <1cm, Stage 0, Grade 2, 0/3 nodes, ER+/PR-, HER2- Surgery 3/11/2016 Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 6/10/2016 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 9/8/2017 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant
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Jan 3, 2019 11:51PM MinusTwo wrote:

No VegGal, from what I've read, the risk is NOT that high. The risk depends on your age. From our own BCO site...1 in 35,000 for women age 50. 1 in 12,000 at age 70.

MD Anderson estimates from one in 30,000 to one in 1,000 - but is still calling the risk under 1%. While this does mean there is a risk, I hope we don't start 'scare stories' for those of us who have textured implants or those who are still making decisions. Read the reports. Listen to your doctors. Get a second opinion if you're still undecided. Most of us are in great shape!!!

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Jan 4, 2019 09:39AM VegGal wrote:

The last thing I want to do is start scare stories!  I had the opportunity to revise and during that I made the switch to smooth. I didn't specifically seek to change them out because of the risk. Women who are looking at implants for the first time may appreciate the statistics and use them to make decisions. 

I do other risky things. I did high dose chemo to reset my immune system due to an autoimmune disease in 2010. I had a 5% chance of death. I am currently using a biologic that has a risk of death. It's all what we're willing to take on, but I appreciate up to date stats. 

From the FDA:  Several recent publications have estimated the risk of developing BIA-ALCL in individuals with textured breast implants. Current literature reported various estimates that BIA-ALCL may develop in 1 in between 3,817 to 30,000 women with textured breast implants (Clemens et al, 2017; Loch-Wilkinson et al, 2017disclaimer icon; De Boer et al, 2018).

Hope this helps. 

Dx 1/12/2016, DCIS, Left, <1cm, Stage 0, Grade 2, 0/3 nodes, ER+/PR-, HER2- Surgery 3/11/2016 Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 6/10/2016 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 9/8/2017 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant
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Jan 4, 2019 10:11AM HikingLady wrote:

Day Two after exchange--it's Friday, and my exchange was two days ago, on Wednesday. Goodness, I cannot believe how much easier this is than the BMX! Everyone (this forum, my PS, his nurses) had said that this surgery is much easier than the BMX, and I'm so happy to find that out for myself. I probably wasted some energy on anxiety, lol...

I am taking some Tylenol every few hours. I needed the Oxycodone for 36 hours and then I just didn't. Lying flat in bed, I had no pain, so I just stayed still, and felt okay and slept okay the 2nd night. I have some swelling, but I feel comfortable in the supportive front-hooking sports bra that I'm instructed to wear for 2 weeks, 24/7. Slight discomfort, no serious pain at all. Restricted activity level for 2-4 weeks.

I drank a LOT of water the day after surgery, to get the anesthesia grogginess gone. I'm on antibiotics for 5 days, which give me diarrhea, so I am also taking a probiotic. Seems like enough stuff coursing through me, so I'm happy to not need the Oxy any more.

My BMX was so traumatizing....axillary node excision through the right breast, attachment of the TE's, etc. and post surgical pain for quite a few days, and this exchange/swap surgery is truly SO much easier. The only additional "inside" work that the PS did was to make left side a tiny bit smaller (he removed some extra skin) since it had stretched more than right side, and he did that at the end of the main incision.

Day after surgery/yesterday, I went to PS's office for incision, etc. to be checked, and his RN took off the ACE bandage that was wrapped around my chest. When we unveiled my new foobs, they looked good. No huge bruising, no huge swelling. Who knows, maybe that will show up later, but so far, nothing like as traumatized as my torso looked after the BMX.

I have small new foobs, and they're quite spherical, since I have "smooth round," but they look okay, and they look to be the same size as each other, which was the main goal. I have nice clean Steri-Strips across the incisions (NNS), and it all looks clean and just quite good. PS will remove Steri-Strips in two weeks. Okay to shower starting Day 2, after ACE wrap was removed.

I have fewer restrictions on arm use than after BMX. Okay to lift hands above shoulders, can get things out of the cupboards in the kitchen, and I am not walking around with T-Rex arms for 2 weeks like I did after BMX.

Dx 3/2003, IDC, Right, <1cm, Stage IA, 0/2 nodes, ER+, HER2- Surgery 4/9/2003 Lumpectomy Radiation Therapy 6/10/2003 3DCRT: Breast Hormonal Therapy 8/8/2003 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Dx 4/25/2018, IDC, Right, <1cm, Stage IIA, Grade 3, 0/2 nodes, ER+/PR-, HER2- Surgery 5/22/2018 Lymph node removal: Right, Sentinel; Mastectomy: Left, Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 6/25/2018 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 11/7/2018 Arimidex (anastrozole) Surgery 1/2/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Jan 4, 2019 04:09PM borogirl wrote:

Thanks for sharing details. My exchange is 2/8 so following your progress eagerly. Hope it continues to go well.

Surgery 3/13/2018 Lumpectomy: Left Surgery 11/12/2018 Mastectomy: Left, Right; Prophylactic mastectomy: Left, Right; Reconstruction (left): Silicone implant, Tissue expander placement; Reconstruction (right): Silicone implant, Tissue expander placement
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Jan 4, 2019 11:24PM Goldfish4884 wrote:

Hi HikingLady: So glad to hear everything went well with your exchange and sounds like you are doing great with your recovery. Take care and get lots of rest. Goldfish4884 (Mary

Dx 9/28/2017, IDC, Right, 1cm, Stage IA, Grade 2, 0/1 nodes, ER+/PR+, HER2- (IHC) Surgery 10/22/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Prophylactic mastectomy: Left; Reconstruction (left): Silicone implant, Tissue expander placement; Reconstruction (right): Silicone implant, Tissue expander placement
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Jan 9, 2019 12:24AM DCISinAZ wrote:

@hikingLady: Wonderful news about the ease of your exchange! Sounds like everything went as well as one would hope. I have my preoperative appointment tomorrow and looking forward to finding out what exactly my surgery will entail. Here's hoping mine goes as smoothly as yours!


Dx 11/2016, DCIS, Right, 6cm+, Stage 0, Grade 3, 0/2 nodes, ER+/PR+ Surgery 1/19/2017 Lymph node removal: Sentinel; Mastectomy: Right; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Jan 14, 2019 11:36PM rachelcarter35 wrote:

Over three months after my exchange I ended up with a small abscess in my incision. I had to go to the emergency Christmas eve. I didn't even know it was there until it popped and I felt something wet on my belly. I took a round of anti biotics but it was a bit unsettling after feeling like I was on the mend.

Dx 2/21/2018, DCIS/IDC, Both breasts, 2cm, Stage IIA, Grade 3, 0/5 nodes, ER+/PR+, HER2- (FISH) Surgery 4/24/2018 Mastectomy: Left, Right; Reconstruction (left): Nipple reconstruction, Nipple tattoo, Silicone implant, Tissue expander placement; Reconstruction (right): Nipple reconstruction, Nipple tattoo, Silicone implant, Tissue expander placement Chemotherapy 6/15/2018 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Chemotherapy Targeted Therapy Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Jan 15, 2019 02:09AM Shoregirl wrote:

rachelcarter that would have me unsettled a ad well!! 3 months out!! I pray for smooth sailing from here on out for you!!

Faith, Hope & Love, the greatest of these is Love 1st Cor 13:13 Dx 12/2/2016, DCIS, Right, 6cm+, Stage 0, Grade 3, 0/2 nodes, ER-/PR-, HER2- (IHC) Surgery 1/27/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 4/25/2017 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 11/29/2017 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant Surgery 12/4/2018 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Jan 15, 2019 02:42AM Gigilala wrote:

I have my exchange surgery at 7:30 am

I am nervous I don't know what implant I'm gonna have for the size my doctor told me 600 or 650 cc


Dx 2/13/2017, Left, 2cm, Stage IIB, ER+/PR+, HER2+ Chemotherapy 3/13/2017 Other Targeted Therapy 7/16/2017 Herceptin (trastuzumab) Surgery 7/23/2017 Lymph node removal: Left; Mastectomy: Left, Right; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Jan 15, 2019 09:10AM HikingLady wrote:

I have been really happy with how my exchange went; it was January 2, 2019. The healing is so much more comfortable than after my BMX. My torso isn't bruised and is barely swollen, and the pain was just about gone by Day 3! No exercise is allowed for awhile, which is really driving me crazy.

I didn't have a choice on size--it was what fit in the pockets. The pockets turned out to be rather small, because the stretching didn't go well on my previously radiated side (2003). Once my tissue was unable to stretch more on the right side, that was the size we stopped at. PS did a good job of matching my two sides, considering that challenge. They look fine, which is all I could expect.

Gigilala : Best wishes for smooth sailing and a good recovery!

Dx 3/2003, IDC, Right, <1cm, Stage IA, 0/2 nodes, ER+, HER2- Surgery 4/9/2003 Lumpectomy Radiation Therapy 6/10/2003 3DCRT: Breast Hormonal Therapy 8/8/2003 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Dx 4/25/2018, IDC, Right, <1cm, Stage IIA, Grade 3, 0/2 nodes, ER+/PR-, HER2- Surgery 5/22/2018 Lymph node removal: Right, Sentinel; Mastectomy: Left, Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 6/25/2018 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 11/7/2018 Arimidex (anastrozole) Surgery 1/2/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Jan 15, 2019 10:23PM Gigilala wrote:

Thank you HikingLady’

Finally I had my exchange I feel ok not like my last surgery the pain is manageable

I’m not happy with my size unfortunately I didn’t have a choice on size mes boobs look small but it’s better than nothing.

Dx 2/13/2017, Left, 2cm, Stage IIB, ER+/PR+, HER2+ Chemotherapy 3/13/2017 Other Targeted Therapy 7/16/2017 Herceptin (trastuzumab) Surgery 7/23/2017 Lymph node removal: Left; Mastectomy: Left, Right; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Jan 27, 2019 11:57AM - edited Jan 27, 2019 12:33PM by crossh

I'm 4 weeks out after exchange from TE to implant. I feel great. Had prepectoral (over the muscle) which had very little pain and recovery. However I feel like they look too small under my clothes. Not too bad in a bathing suit. I'm scheduled for a swap to a larger size +100cc in two weeks. 45 minute surgery..I'm 5'3" 127 lbs. I was a C cup but always wore push up bras, so they looked bigger. I'm starting to worry that they will look too big and fake. They already are very stiff looking. Anyone out there have a similar experience? I have 400cc mentor high profile.

Dx 9/1/2016, DCIS/IDC, Right, 5cm, Stage IA, Grade 1, 0/1 nodes, ER+, HER2+ Surgery 9/30/2016 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 10/31/2016 Lumpectomy: Right Surgery 5/1/2017 Lumpectomy: Right; Lymph node removal: Right Surgery 1/2/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Jan 27, 2019 12:09PM VegGal wrote:

I think you will be good. Mine are over 600 and don't seem too big or even fake unless I am in a swimsuit or naked.  It doesn't bother me. At this point, natural breasts look odd to me. 

Dx 1/12/2016, DCIS, Left, <1cm, Stage 0, Grade 2, 0/3 nodes, ER+/PR-, HER2- Surgery 3/11/2016 Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 6/10/2016 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 9/8/2017 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant
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Jan 27, 2019 12:30PM - edited Jan 27, 2019 12:34PM by crossh

VegGalLol. Thanks for the quick reply! Do you mind if I ask how tall are you and how much do you weigh? What size were you before? Are you pre or subpectoral? Do you need to wear a bra? I see you had some fat grafting. What was that for?

Dx 9/1/2016, DCIS/IDC, Right, 5cm, Stage IA, Grade 1, 0/1 nodes, ER+, HER2+ Surgery 9/30/2016 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 10/31/2016 Lumpectomy: Right Surgery 5/1/2017 Lumpectomy: Right; Lymph node removal: Right Surgery 1/2/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Jan 27, 2019 01:00PM VegGal wrote:

Hi,  I am 5'11" and around 140. I was a 34C pre-cancer and am now a 34DD. I am pre-pec. I had fat grafting in the upper poles and to correct a "divot" in my anatomy on the left. 

I wear a bra ALL.THE.TIME. I had saggy boobs to start with and don't want any additional stretching. Your milage may vary. 

Hope this helps. 

Dx 1/12/2016, DCIS, Left, <1cm, Stage 0, Grade 2, 0/3 nodes, ER+/PR-, HER2- Surgery 3/11/2016 Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 6/10/2016 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 9/8/2017 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant
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Jan 27, 2019 01:53PM crossh wrote:

Thanks VegGal, yes it does. I just looked up the size difference between a 400 and 500cc. It’s only 4/10 of an inch wider and half that size in projection. I think I’ll be fine too. Maybe they will loosen up with time but right now they don’t feel like they’re going anywhere. I’m either bra less or in stretchy bras.

Dx 9/1/2016, DCIS/IDC, Right, 5cm, Stage IA, Grade 1, 0/1 nodes, ER+, HER2+ Surgery 9/30/2016 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 10/31/2016 Lumpectomy: Right Surgery 5/1/2017 Lumpectomy: Right; Lymph node removal: Right Surgery 1/2/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Feb 1, 2019 02:00PM TrmTab wrote:

Had my 6+ week follow up this morning...Yeah, all good. Can get out of the bra 24/7 and move back to normal bras and reintroduce more exercise activity.

Was given instruction to use Vit E oil on incision, that is new and this is my 5th surgery, but happy to give it a try.

See her again in one month... and then if all goes well, then next on the one year anniversary of surgery.

Happy February, TT

Dx 9/2015, DCIS, Left, 1cm, Stage 0, Grade 2, ER+/PR+ Surgery 12/21/2015 Lumpectomy: Left Surgery 1/10/2016 Lumpectomy: Left Hormonal Therapy 2/4/2016 Arimidex (anastrozole) Surgery 6/3/2016 Mastectomy: Left; Reconstruction (left): Tissue expander placement Hormonal Therapy 1/1/2017 Arimidex (anastrozole) Surgery 9/8/2017 Reconstruction (left): Silicone implant Surgery 12/17/2018 Reconstruction (left): Silicone implant
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Feb 2, 2019 02:24PM Shoregirl wrote:

Good report TrmTab! I am almost 8 weeks out and still wearing a bra 24/7 just because its more comfortable. I have heard Vit E is good for healing scars but my surgeons never mentioned it to me either. I too am heading for surgery #5 on Monday. Just outpatient to "release" the implant inferiorly and laterally under a local. A little nervous at being awake but they give 2mg of Xanax prior to the local so hopefully I will be feeling ok!

Faith, Hope & Love, the greatest of these is Love 1st Cor 13:13 Dx 12/2/2016, DCIS, Right, 6cm+, Stage 0, Grade 3, 0/2 nodes, ER-/PR-, HER2- (IHC) Surgery 1/27/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 4/25/2017 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 11/29/2017 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant Surgery 12/4/2018 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Feb 2, 2019 05:41PM crossh wrote:

Hi ShoreGirl, what does "release" the implant inferiorly and laterally mean?

Dx 9/1/2016, DCIS/IDC, Right, 5cm, Stage IA, Grade 1, 0/1 nodes, ER+, HER2+ Surgery 9/30/2016 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 10/31/2016 Lumpectomy: Right Surgery 5/1/2017 Lumpectomy: Right; Lymph node removal: Right Surgery 1/2/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Feb 3, 2019 10:58AM Shoregirl wrote:

Hi crossh :) I had a revision Dec 4 to downsize my implants and add alloderm to the left side. PS said the left implant was falling off my chest laterally while laying on my back so he put extra deep internal sutures to reinforce the lateral side of pocket. He told me in recovery that it was a bit flat on that side as a result of the implant being squished up and over toward center. He said he hoped it would relax on its own in a few weeks but if not he would have to "release" it. It did soften and drop a bit, but it is still flat on that outer edge. What he has to do is open the incision and cauterize to allow the implant to drop into proper position. He will do this under local at his office surgical suite. Once it heals (he said 1 month) I will go back for fg to fill the extra space in my pockets from downsizing the implants.

Faith, Hope & Love, the greatest of these is Love 1st Cor 13:13 Dx 12/2/2016, DCIS, Right, 6cm+, Stage 0, Grade 3, 0/2 nodes, ER-/PR-, HER2- (IHC) Surgery 1/27/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 4/25/2017 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Surgery 11/29/2017 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant Surgery 12/4/2018 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Feb 3, 2019 11:15AM crossh wrote:

ShoreGirl, Wow, thanks for explaining. Hope everything goes well.Good luck.

Dx 9/1/2016, DCIS/IDC, Right, 5cm, Stage IA, Grade 1, 0/1 nodes, ER+, HER2+ Surgery 9/30/2016 Lumpectomy: Right; Lymph node removal: Sentinel Surgery 10/31/2016 Lumpectomy: Right Surgery 5/1/2017 Lumpectomy: Right; Lymph node removal: Right Surgery 1/2/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant

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