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Topic: Surgery December 29th - exchange with fat transfer

Forum: Breast Reconstruction —

Talk with others facing decisions about whether or not to have breast reconstruction, and if so, what type and when.

Posted on: Nov 29, 2021 11:26AM

lstagg wrote:

Hi everyone, I have received a date for my exchange surgery with a fat transfer over implants on December 29th, 2021. I didn't see a thread for December surgeries. I am wondering what to expect as far as recovery (I had no radiation)? I am SO excited to get these horrible TE's out and have seen people say that they get a lot of relief. To be honest I am a little more nervous about the fat transfer recovery (he plans on using abdomen as donor site). I am hoping to go back to work about 10 days after surgery, is this reasonable? Hoping for others that have had the same surgery to share their experiences, although I know they can all be different. Hope everyone had a great Thanksgiving!

Dx 9/2021, DCIS, Left, 5cm, Stage 0, 0/3 nodes, ER+/PR- Surgery 10/25/2021 Lymph node removal: Sentinel; Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement
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Nov 29, 2021 01:10PM Monarchandthemilkweed wrote:

my exchange surgery is dec 15. I’m not having fat transfer. I’m wondering to how i will feel in 10 days as that will be Christmas and I’m a mom of 3

Sarah, Chek2 positive Dx 3/11/2021, IDC, Left, <1cm, Grade 2, 0/2 nodes, ER+/PR+, HER2- Surgery 5/10/2021 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 6/28/2021 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Surgery 12/15/2021 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Nov 29, 2021 01:44PM VegGal wrote:

Fat grafting is not horrible. You will probably feel as though you did a zillion sit ups and will look quite colorful for a couple of weeks, but those things pass. The grafted fat really makes a difference in the reconstruction.

Good luck! Happy New Year

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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Nov 29, 2021 04:32PM DaughterOfBarb wrote:

I just had my exchange surgery on Nov. 16. My PS waits 3 months for things to settle before doing fat transfer, so I can’t comment on that factor. But as for the exchange itself, it was much easier than my first two surgeries (surgery 1 was nipple sparing double MX, followed by above muscle TE placement surgery about 2 weeks later). For pain, I didn’t need anything more than Ibuprofen 800 except for night 1. I am still quite fatigued at two weeks out. But I’m not sleeping well due to the back sleeping requirement, frozen shoulder I developed after surgery 1, etc., so those issues are likely contributing to my fatigue. But from a pain and mobility perspective, recovery from the exchange surgery has been much more manageable. I was able to help prepare Thanksgiving dinner 9 days out and am slowly working on regaining range of motion. Again. Frustrating. But I’m thankful recovery from this surgery has been so much easier. If your expanders are below the muscle, recovery might be a bit more involved.

Kaycee (a/k/a DaughterOfBarb) - Dx at 46, Oncotype Score 7 Dx 5/24/2021, ILC, Right, 1cm, Stage IA, Grade 2, 0/3 nodes, ER+/PR+, HER2- Surgery 7/15/2021 Mastectomy: Right; Prophylactic mastectomy: Left Surgery 11/16/2021 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
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Dec 1, 2021 08:50AM Lalbo wrote:

I had my TE to implant exchange on 9/22/21. I felt immediate relief from the TE's. UGH, they were horribly painful. I did have radiation on right side only.

I was driving and back to work in 2 weeks after the September exchange surgery.

Big difference from first surgery (bilateral mx with TE's put in) 5/12/21, I was driving and back to work in 5 weeks. I should have stayed out the full 6 weeks...hindsight and all.

Dx 3/2021, ILC, Right, 6cm+, Stage IIIA, 1/2 nodes, ER+/PR+, HER2- Surgery 5/12/2021 Mastectomy: Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Radiation Therapy 7/19/2021 Whole-breast: Lymph nodes, Chest wall Surgery 9/22/2021 Reconstruction (left): Saline implant; Reconstruction (right): Saline implant Hormonal Therapy Femara (letrozole)
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Dec 1, 2021 09:04AM DebAL wrote:

Hi! I was more sore from the fat grafting than from the exchange. I wore my compression garment except for showering for 2 weeks. I think it depends on your job- I worked in surgery with constant lifting of patients so I think I went back at 10 days. Pineapple contains bromelain which helps with bruising snd inflammation so I ate it daily. It helped some but my abdomen was pretty colorful for awhile. Good luck!!

Dx 1/22/2018, IDC, Left, <1cm, Stage IA, Grade 1, 0/3 nodes, ER+/PR-, HER2- (IHC) Surgery 2/11/2018 Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 2/12/2018 Mastectomy: Left, Right Chemotherapy 4/2/2018 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Hormonal Therapy 6/13/2018 Arimidex (anastrozole) Surgery 8/8/2018 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant Surgery 12/19/2018 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting Surgery
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Dec 1, 2021 11:25AM lstagg wrote:

Thank you all for your input! It helps to know a little about what to expect. I am so glad to hear of some relief from the tissue expanders coming with this surgery. And I will be buying some pineapple!

Dx 9/2021, DCIS, Left, 5cm, Stage 0, 0/3 nodes, ER+/PR- Surgery 10/25/2021 Lymph node removal: Sentinel; Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement
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Dec 1, 2021 07:03PM Serendipity09 wrote:

I had my exchange with fat grafting in July and was sore from the lipo, but was up and doing things around the house the next day. I was sore for several months, but it was nothing bad. I didn't need any pain meds and I'd take Tylenol, occasionally, if at all, to help with the soreness. My PS had me in a compression garment for 8 weeks. I hope everything goes well for you!

Dx 3/2020, IDC, Right, 4cm, Stage IIB, Grade 3, 1/4 nodes, ER-/PR-, HER2- (IHC) Chemotherapy 4/1/2020 AC + T (Taxol) Surgery 9/17/2020 Lymph node removal; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 11/3/2020 Xeloda (capecitabine) Dx 7/2021, Right, 2cm, Grade 3, ER-/PR-, HER2- Surgery 7/9/2021 Reconstruction (left); Reconstruction (right) Chemotherapy Xeloda (capecitabine) Chemotherapy Carboplatin (Paraplatin) Radiation Therapy Whole-breast: Breast, Lymph nodes, Chest wall
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Jan 4, 2022 04:11PM Astrid1986 wrote:

Hi people!

I want to do reconstruction surgery after bilateral prophylactic mastectomy that I did 9 years ago. Honestlyو I am struggling with lots of hesitation. As I dont want big boobs( well, I get habit to flat chest somehow and just look for a normal chest appearance) , my surgeon suggest to do only fat grafting that is also my perference as it will be from my own body, less invasive without necessisity of further procedure. But the problem is that I cant find result from other patients who merely do fat grafting. It seems like completely unpredictable. I dont even know how my new breasts would look like. I wonder if anyone here have done reconstruction merely by fat grafting without implant or any other method? If you come accross any data, please kindly share .

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