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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 Feb 17, 2020 09:36AM 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

2019:

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)

2020:

April 2020 - SuBreez88 - Exchange maybe in April.

April 16, 2020 - 08172016 - Exchange Surgery

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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Posts 41431 - 41459 (41,459 total)

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Feb 15, 2020 08:36PM LiveLoveLaugh2020 wrote:

Second the leg pain being the worst! The discomfort went away at the two week mark for me.

DCIS Dx @ 34 - Bil NSM 09/2019 - Bil implant exchange with fat grafting 01/2020
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Feb 20, 2020 04:39PM - edited Feb 20, 2020 04:39PM by LiveLoveLaugh2020

Any ladies have stitches that didn't desolve? I'm 6 weeks out now and had stitches on my left that finally fell out a couple days ago. But since then I'm having pain and pulling on that side. Also had some bad chest pains last night. Assuming it's normal and part of the course. Just wondering if anyone has had anything similar?

DCIS Dx @ 34 - Bil NSM 09/2019 - Bil implant exchange with fat grafting 01/2020
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Feb 20, 2020 11:12PM HikingLady wrote:

LiveLoveLaugh2020

I think it takes a LONG time to heal, and what you're feeling might be perfectly normal healing, as nerves connect and start to send signals, etc. I remember feeling weird sensations, and occasionally I'd phone up the PS office, and a nurse or PA would relay my question to doc and get back to me. Pain sounds not good---I'd ask PS about that. I had discomfort, tightness, pulling, for sure, as things healed. Maybe it was 6-8 weeks before everything felt really healed up inside.

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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Feb 21, 2020 07:11AM LiveLoveLaugh2020 wrote:

Hikinglady thanks for the response! I know it's a long road to healing just weird that I'm getting these sensations after the stitches falling out. If the pain continues I will call the office. Hopefully PT helps me today :)

Anyone have good results with organic coconut oil for incisions? I'm currently using Vit E oil. I've used silicone strips on other scars which works great but it's hard and just about impossible to use on my incisions (inframam).

DCIS Dx @ 34 - Bil NSM 09/2019 - Bil implant exchange with fat grafting 01/2020
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Feb 28, 2020 11:00PM - edited Feb 28, 2020 11:01PM by SuzieQ2019

This Post was deleted by SuzieQ2019.
Stage 1 IDC. Triple positive. TCHP and double nipple sparing mastectomy with implant reconstruction.
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Mar 1, 2020 06:47PM Islander89 wrote:

Hi everyone,

Just gone through my TE on the 25th and doing great. I see my PS on Wednesday. My question is and I’m sure it’s been addressed but there are so many posts to read through., but I was wondering how long recovery is for most people. I am a nurse so I do a lot of heavy lifting. I’ve read 2 weeks but with weight restrictions of less than 10 lbs for 4 weeks?

Dx 11/1/2019, DCIS, Right, 2cm, Stage 0, Grade 3, 0/2 nodes, ER+/PR+ Surgery 12/1/2019 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement
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Mar 1, 2020 06:53PM MinusTwo wrote:

Islander - I never took opioids with exchange 6 months after BMX, and was back to driving in 3 days. I did have drains, but they were gone a week. Still - I'd be wary of the heavy lifting. I bought 1/2 gallons of milk to cut down the weight. It would be nasty if you rip out stitches and have go back to surgery.

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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Mar 1, 2020 08:55PM SuzieQ2019 wrote:

Islander,

I just had my exchange surgery last week, and my PS instructed me not to lift over 5 pounds or make repetitive motions for 2 weeks. I had the same restrictions when I had my mastectomy with tissue expanders in November.

Stage 1 IDC. Triple positive. TCHP and double nipple sparing mastectomy with implant reconstruction.
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Mar 1, 2020 09:26PM HikingLady wrote:

For my exchange, my PS said 3 weeks restriction on any lifting, also 6 weeks no elevating of heart rate, to reduce chance of infection and maximize body's ability to heal.

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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Mar 1, 2020 10:12PM LiveLoveLaugh2020 wrote:

For my exchange I was advised not to lift anything more than 5 lbs for 6 weeks.

DCIS Dx @ 34 - Bil NSM 09/2019 - Bil implant exchange with fat grafting 01/2020
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Mar 4, 2020 05:34PM scoop wrote:

I had my tissue expanders filled for the first (and likely only) time today. She put in 100 on one and 140 on the other. And now I am SORE. Like way worse than after the BMX and TE placement. Is this amount of discomfort normal for that amount of fill????

Dx 1/2020, IDC, Right, 2cm, Grade 1, ER+/PR+, HER2- Surgery 2/11/2020 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement
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Mar 4, 2020 07:17PM robinblessed54 wrote:

Scoop, WOW!! I had 60cc each fill nice and slow. I bet you are sore! I don’t get that? After last fill, which took 2 1/2 months, you let them sit for 3 months so pocket can form around TE for the exchange. Hope you get comfortable soon.

Robin

Dx 9/2/2014, ILC, Left, 1cm, Stage IB, Grade 1, 0/5 nodes, ER+/PR+, HER2- Surgery 9/25/2014 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy 10/15/2014 Arimidex (anastrozole) Hormonal Therapy 12/30/2014 Aromasin (exemestane) Surgery 3/5/2015 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Hormonal Therapy 3/14/2015 Femara (letrozole) Surgery 12/21/2016 Reconstruction (left): Nipple tattoo; Reconstruction (right): Nipple tattoo
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Mar 4, 2020 11:43PM MinusTwo wrote:

Yup - I too usually had 50-60 ccs with each fill. Why do they want to rush so much? Same was true of chemo. Herception over 60-90minutes was great. Hercpetin in a 30 minutes infusion was horrible.

Scoop - you can go have them take some fluid back out is the pain doesn't get any better. Also space the fills 2-3 weeks apart so you have time for your skin to stretch.

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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Mar 5, 2020 12:05AM HikingLady wrote:

Scoop - pain and discomfort got better quite quickly after each fill--fine within 2-3 days. I had Rx cyclobenzaprine (Flexoril) which helped a lot---I took it at night, and some Tylenol as well the first day after each "fill." For me, the tightness of the pec and its spasming was what was causing my pain and discomfort. Good advice above my post: ask for smaller fills than that in the future, and you can have them take some out right now if you're uncomfortable. I had plenty of time (8 months, due to chemo and another health issue) between BMX/TE's and exchange, and I took my time and went slowly on the fills.

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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Mar 5, 2020 07:27AM LiveLoveLaugh2020 wrote:

Scoop I only got 60 cc each time but I was one of those who had terrible pain with the expanders for about 7 weeks. I hope your pain and discomfort gets better soon!

DCIS Dx @ 34 - Bil NSM 09/2019 - Bil implant exchange with fat grafting 01/2020
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Mar 5, 2020 11:45AM scoop wrote:

Thank you for the info! I didn't know 60cc was the norm. Not sure why she did more, maybe because I'm not planning on adding anymore? Still uncomfortable today, but slightly better. It is actually better to move than to lie still, so sleep was hard.

I do feel like I have two turtle shells (someone else here used this term) glued to opposite sides of my chest. They feel so far apart, and hard! Does this get better with the TEs over time, or just live with it until exchange?



Dx 1/2020, IDC, Right, 2cm, Grade 1, ER+/PR+, HER2- Surgery 2/11/2020 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement
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Mar 5, 2020 12:28PM MinusTwo wrote:

scoop - actually my grown son who doesn't even live with me has a better memory than I do. He said I complained every single time we talked until the exchange about the pain &/or the discomfort &/or the hard 'turtle shells'. Aspirin was my friend. Hang in there.

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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Mar 5, 2020 06:08PM Islander89 wrote:

thanks everyone for your response. I went to my PS yesterday and I’m still on restricted lifting for 3 weeks. So a total of 4 weeks of no heavy lifting. He especially wanted me to be careful because he had to put an extra stitch on my left breast to hold my implant in place to keep me symmetrical. Also a sports bra for at least a month

Dx 11/1/2019, DCIS, Right, 2cm, Stage 0, Grade 3, 0/2 nodes, ER+/PR+ Surgery 12/1/2019 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement
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Mar 7, 2020 07:43AM HopeBry wrote:

I just got implant transfer yesterday. Now my right breast has bright red typ of rash. Is this normal bruising? or could it be like a cellulitis infection?

Dx 10/25/2018, IDC, Left, 2cm, Stage IIA, Grade 3, ER-/PR-, HER2- Chemotherapy AC + T (Taxol)
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Mar 7, 2020 12:19PM HikingLady wrote:

HopeBry My PS's office was really good about discussing on the phone whether I should be seen, and I could even send a photo along the way when I had a concern, but that never happened to me on a weekend.

If I were you, and worried, I'd go ahead and phone up your PS's office, and of course, on a weekend, an on-call PS will phone you back to discuss.

Is it warm to the touch, does it itch or hurt, are you running a fever....be prepared to answer those questions. It could be a dermatitis reaction to ointments or surgical dressings and drapes, or it could be a sign of something inside, and the on-call doc will ask you a lot of details to figure out what's next.

Take a picture of it now, so you can compare whether it's better or worse in a few hours.

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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Mar 7, 2020 03:40PM MinusTwo wrote:

Hope - am I understanding that this rash is on the opposite breast that had no procedure? Left breast exchange - right breast no surgery but now a rash?

If that's the case it's more than likely a reaction as HikingLady says to an surgical wash, ointment, drape, tape, bruising or other that touched the non-involved breast. If you call, be sure to clarify that you're not talking about the side with the new implant.

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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Mar 8, 2020 10:58PM OnTarget wrote:

Scoop, my PS liked to put in 100 at a time even when I asked for less. Mine hurt a LOT for some of the later fills. My skin did not want to stretch at all, and the TE's actually dug down into my chest muscles since my skin wouldn't stretch. They also migrated towards my armpits due to the pressure. My TE's started with about 1 figure width between them and ended with 4 fingers between them.

The PS didn't say what was going on at the time, but we've spoken about it afterwards and it became clear that I needed to be filled much slower. He did indicate that the migration is caused by tight skin.

The good news is that the pain really went away after a while. I had TE's for 6 months and they really didn't bother me after the filling stopped. I was able to ignore them most of the time, but if I stopped to think about it, they always felt like someone squeezing them very hard. Now I'm 4 months after my exchange and they still feel like they are being gripped if I concentrate on them, but not nearly as much. I have a feeling that the discomfort will keep getting better over time.

Diagnosed at 42, Oncotype score 16, ITC in one node- considered node negative Dx 4/8/2019, ILC, Left, 3cm, Stage IB, Grade 2, 0/3 nodes, ER+/PR+, HER2- Dx 4/23/2019, ILC, Right, <1cm, Stage IA, Grade 2, 0/2 nodes, ER+/PR+, HER2- Surgery 5/15/2019 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Hormonal Therapy 6/13/2019 Zoladex (goserelin) Chemotherapy 8/5/2019 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 11/6/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Mar 23, 2020 11:07AM scoop wrote:

Did anyone ever get a weird squishy sensation sometimes with the TEs? Certain movements or positions I get this strange feeling. Sort of liquidy, sort of not?



Dx 1/2020, IDC, Right, 2cm, Grade 1, ER+/PR+, HER2- Surgery 2/11/2020 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement
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Mar 24, 2020 05:08PM HikingLady wrote:

scoop YES! I remember living with WEIRD and NOT THAT COMFORTABLE until final implants. My permanent implants feel better, still not like the original breasts, but better than TE's.

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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Mar 25, 2020 09:21AM - edited Mar 25, 2020 09:21AM by poisedandpink

Hi All,

I was curious if anyone has had their tissue expanders in for over a year? If so, what was reconstruction like afterward?

I had my tissue expanders placed in April 4, 2019. I started radiation in June, followed by six months of Xeloda. I was scheduled to have my exchange surgery the first week of March right when the Covid virus spread started in NYC. Due to this, my exchange surgery was rescheduled and cancelled twice. It has now been indefinitely postponed. I was told it could be late Summer or even Fall before I have my surgery.

I completely understand why. The health and safety of myself and other hospital workers are at risk, but I'm also a little bummed. I had built up this reconstruction surgery as the last phase of my cancer journey before I could start to move on. At the same time, grateful for the place I am in now.

I'm interested to hear of what the scar tissue was like and if it made the surgery more challenging to keep expanders in this long?

Diagnosed at 33 Dx 10/9/2018, LCIS/ILC/IDC, Left, 6cm+, Stage IIIA, Grade 2, 2/6 nodes, ER+/PR+, HER2- Chemotherapy 11/30/2018 AC + T (Taxol) Surgery 4/4/2019 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy Xeloda (capecitabine) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy Whole-breast: Breast, Lymph nodes
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Mar 25, 2020 10:23AM TrmTab wrote:

HI PandP

I had MX in June and then EX Sept of the following year...I was supposed to have the EX in Dec, 3 months after last fill, but then my mother had a stroke 3 weeks before my surgery and was released to home recovery (at my home) the day of my surgery. I couldn't take her in and myself be on the disabled list of recovery, so had to postpone. My EX was great when it happened. If you are otherwise healthy and stay active/fit in these crazy times I am sure you will be fine. 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 Hormonal Therapy 5/12/2019 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Mar 25, 2020 08:13PM - edited Mar 25, 2020 08:14PM by poisedandpink

Hi TrmTab,

I'm sorry to hear about your mom. I hope she is doing well now. Thank you for sharing about your surgery! That was helpful to read

I'm trying to stay as active as I can but I think it causing issues. I'm currently experiencing a random burning pain under my tissue expander (they are over the muscle) on my side that was radiated. I do not think it's anything serious as it's only started now that I'm consistently working out more being that I'm working from home right now. So I'm hoping it's just my right radiated muscle rubbing against the tissue expander.

But I suppose that's another question, did anyone with over the muscle tissue expanders experience any sharp pain or burning randomly on their radiated side, especially with increased activity?

Diagnosed at 33 Dx 10/9/2018, LCIS/ILC/IDC, Left, 6cm+, Stage IIIA, Grade 2, 2/6 nodes, ER+/PR+, HER2- Chemotherapy 11/30/2018 AC + T (Taxol) Surgery 4/4/2019 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy Xeloda (capecitabine) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Radiation Therapy Whole-breast: Breast, Lymph nodes
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Mar 26, 2020 08:18PM - edited Mar 26, 2020 08:19PM by LiveLoveLaugh2020

I did not have radiation but I had pre pec expanders and now implants and I get random sharp/weird pains especially after doing too much.

DCIS Dx @ 34 - Bil NSM 09/2019 - Bil implant exchange with fat grafting 01/2020
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Mar 27, 2020 06:54AM MCBaker wrote:

No radiation here, but I get pain right around my port scar. Onco and I decided it was the weight of implant pulling on scar tissue, which should decrease with time.

Mary Dx 10/3/2018, DCIS, Right, 6cm+, Stage 0, Grade 3, ER-/PR- Surgery 11/15/2018 Lymph node removal: Sentinel; Mastectomy: Right; Reconstruction (right): Tissue expander placement Dx 11/16/2018, IDC, Right, <1cm, Stage IA, Grade 1, 0/5 nodes, ER-/PR-, HER2+ (IHC) Targeted Therapy 12/18/2018 Herceptin (trastuzumab) Chemotherapy 12/19/2018 Taxol (paclitaxel) Surgery 6/27/2019 Reconstruction (right): Fat grafting, Saline implant

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