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May 9, 2018 09:03AM
May 9, 2018 09:25AM
Hi Michi- that's exactly whatI was talking about. And yes it can help give you that flat tummy you've been searching for since kids - LOL. That one is called a DIEP flap. It's the one i had. Here's what you need to know when doing a consult with a PS to discuss your recon options:
Always ask first what types of recon the PS offers.
Then ask if you can see before and after photos of his work for each of those procedures. If they don't have photos to show you or the photos are not of that doctors work, keep looking for the right PS.
If the PS does not mention a particular type of recon you're interested in exploring ask why he doesn't do that type (usually it's pre-pec implants and natural tissue recon like DIEP and SGAP that they don't do). If he doesn't do natural tissue teconitd likrly because he's not a microsurgeon and therefore not qualified to perform it. It also means he's not qualified to determine if you're a candidate for it either,
Almost all PSs that don't do a particular type of recon will tell you you're not a candidate, that the outcomes aren't as good as what he does offer, or will try to scare you with how long the surgery takes/you'll have incision/pain/scars in more than one area, the recovery is soooo long, you'll be shortwaisted/boxy after.
Here's the reality (and a little bit on how i see it): yes natural tissue recon surgery is longer than implant surgery...you are sleeping through it so you get a longer really good nap vs implants. Not everything has to be quick and easy, some things are worth the extra time. Recovery is longer...yes, but if we take into account all the dr appointments for fills with the implant route week after week. I really don't see a big difference. They'll say natural tissue is more than just 1 surgery...yes, for most it is 2 with the second one being far less involved with much less downtime. And to that i ask what do you call exchange surgery for implants? Answer: A second surgery...so more than 1 surgery for implants... Yes you'll have an incision low across your abdomen, however a good surgeon will place that scar low so that it is concealed under a skimpy bikini bottom or pair of skimpy panties. And a good surgeon's scars will fade nicely so you look good naked too. If your PS is dedicated to superior quality outcomes (not all are) they will recontour your lower half to rectify any shortwaist/boxy appearance. Pain is pain. Having surgery on multiple areas for natural tissue recon was no worse than having surgery on just 1 area. That's hard for some people to wrap their mind around. A good PS will use not only IV and oral pain meds it would will use some locally in the surgical area as well. If you do opt for DIEP flap there's a whole other set of questions to ask the surgeon. Let me know if you need those.
Here's the link to the Center I went to for mine. Traveling was not a big deal and I'd do it again in a heartbeat based on my results. They have a great video on their site titled “I Wish I'd Known". Well worth the time to watch it. The link for the video is at the top of their homepage. The second link I post below will take you right to their DIEP flap before and after photos. I'm living proof tat those pics are the real deal for then and not just their absolute best work (I'm rarely that lucky but I'm working on that!)
1/2017, DCIS/IDC, Right, 1cm, Stage IA, Grade 1, 0/2 nodes, ER+/PR+, HER2-
2/14/2017 Lymph node removal: Sentinel; Mastectomy: Left, Right; Prophylactic ovary removal; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap
3/3/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
11/1/2017 Prophylactic ovary removal
1/3/2018 Femara (letrozole)