Hi there,
I had my bilateral free TRAM at the end of September.
It was a 12 hour surgery and then back to my own room with pain pump for 2 days. The main drug I has was fentanyl.
Had 2 drain tubes out the side of each breast and 1 out of each side of my pubic area, so 6 altogether. My surgeon doesn't like sending patients home with drains so I was in hospital for 9 days and still ended up having to come home with both abdo drains still in place. One came out (district nurse visiting) the day after I got home and the other came out few days after that.
Pain was pretty intense for a while and you really need to keep taking the pain tablets and not let pain take over, but at the same time you really need to take stuff to avoid constipation.
My surgeon did not give me a binder garment. He had me with nothing for 2 weeks and then at 2 weeks I had to start wearing a wireless soft bra 24hrs a day for 6 weeks. The only time I was supposed to be brakess was in the shower. He also had me start massaging my whole front (breasts, stomach and abdomen) with moisturiser at least 3 times a day from week 3. He just said to use any moisturiser that I wasn't allergic to.
I had immediate recon so my mastectomies were nipple sacrificing, skin sparing. I just have ovals of abdo skin where my nipples used to be. I go back in February to schedule and revision surgery and nipple reconstruction.
I was a C/D cup prior surgery and had asked for smaller but came out with DD cups :-/ I am not happy with the size, although hubby likes them. Not sure I can be bothered having another extra surgery to make them smaller though, and they are a nice shape.
Hope that all helps. It is a big surgery but so worth it...