Partial mastectomy & Tdap flap experience
Thought I would share my experience here for future users as I didn't find many examples for partial mastectomy and Tdap (thracodorsal arterial perforator) flap reconstruction. I was diagnosed at 43 with stage 1 idc of 3.5cm in my right breast. It was found in my first ever mammogram which I only had as baseline because I was starting HRT for perimenopause. Thank god it got caught early. My Surgeon was very thorough and ordered CT, bone scan and MRI, which didn't show any spread to lymphs or beyond. The tumour was located at about 10o'clock between the nipple and armpit. Due to its largish size of 3.5cm the Surgeon recommend partial mastectomy but indicated would be able to spare my nipple and key sensation nerves. Understanding the options available to me was really important including the pros and cons of each. In particular I wanted to understand options that would maintain sensation. My breast surgeon put me in touch with the plastic surgeon to talk through options. I strongly recommend you ask for this consult if it isn't offered to you. Given the size and location of my tumour if I had opted for a reconstruction only the breast size would be very small, and then I would have needed to consider reduction of the healthy left breast for symmetry. The Plastic surgeon identified I was a good candidate for a TDAP flap reconstruction as part of a single surgery. While there are some risks a flap might not take, I felt it was the best first choice option for me. And I was positive that if everything went well I would only need one surgery rather than subsequent later reconstruction surgeries. Involving both breast surgeon and plastic surgeon did add a few weeks and a number of appointments to the first month after diagnosis. Luckily for me with my particular diagnosis the surgeon wasn't concerned it would impact on my prognosis. I am very aware how lucky my circumstances have been to allow me these choices. My surgery was about 4 hours I'm told. The breast surgeon removed the tumour, x-rayed to check the margins and then handed over to the plastic surgeon. In the end the flap needed to be taken from between Tdap and ldap area on my back close to my armpit area in order to have suitable arteries for blood connection. 1 lymph node removed. Thankfully when I came out of surgery I didn't have any nausea and ate a meal that evening! I was in hospital for 6 nights afterwards as you have two drains for flap surgery and the plastics team like to Closely monitor the flap and drains. The main discomfort I had for first few days was a sore shoulder because my arm had to be above my head for the four hours surgery. So anti-inflammatory cream was in high use. I was able to walk from day 2 and pretty much just on Panadol for pain. The bruising all over the entire breast was epic so arnica cream was essential. After 6 nights in hospital I was allowed to go home with my drains and have daily nurse visits to check. I also had direct mobile number for my specialist nurse if I had any questions. Being home in a quiet bedroom was a relief after the noisy nights of hospital ward. Currently on day 10 post surgery and still have the two drains, although I think they will be out in next few days. Flap surgery can also mean longer period of recovery before you can drive-up to six weeks. Although that is very individual and I'm hoping I might be able to drive in another week or so. Still early days but thought I would share my experience so far. S
Experience with suction/negative pressure dressings
So last Thursday I had a bilateral "Goldilocks" mastectomy - it's Tuesday now, so today is the fifth day post-op. I had three nights in hospital and was discharged on Sunday, and every day has felt like a battle with these dressings. It's a system called Prevena that puts a foam layer over the sutures, and then a plastic dressing over that so that the attached pump can then apply a gentle vacuum. Even in hospital, every day has brought patches to the edges to try and maintain a seal. It holds if I'm sitting down but the moment I stand up, the pump goes off, and I hear a little whistle from a new leak somewhere in the dressing. It's getting pretty frustrating - I can't shower without it going off and even just doing a wash at the basin triggers leaks. And forget going for 'gentle walks' - I want to, but not if the dressing's going to leak the whole damn way. I'm due to have them removed on 9 December, so six more days with them. If I thought I was happy to have drains removed, that'll probably be nothing compared to the joy of getting rid of these dressings. Has anyone else had experience with suction/negative pressure dressings like this?
Post surgery changes
Good morning, I have a quick question to any women who have had lumpectomy/s and where the surgeon removed fat from under the underarm area right side only for me (side boob) to refill breast/s. I had lumpectomy's on both breasts at the same time, early cancers, both hormone positive ILC & IDC over a year ago now. My question is if they have been left with what looks like a small 3rd boob to me under their armpit that protrudes out. I cant understand how an area that has fat removed from it ends up bigger than before. It is uncomfortable, causes rubbing/friction that I did not have to contend with before and finding a bra that covers the area so the excess bulk doesn't get squeezed out from and overhangs from the bra line is frustrating. I only have B-Cup breasts and never had to wear heavy duty thick/wide band bras before because I wasn't big or had a lot of fat in the side boob area. Since surgery & having the fat apparently removed to fill the area my small tumours were removed from, I am now left with a bulge that is very noticeable from both the front & back. I dont wear singlet tops any more because the bulge is too noticeable. Very disappointing because I was not told about this outcome, only that there will be scar/s, which I have & don't concern me at all. Having a bulge/mass sticking out from the side of your breast seems more notable to mention than whatever scars might be left behind. Had I known I would not have had my breasts "refilled" from the small tumours removed. Any lop-sidedness or unevenness if any would have been fixed with a bit of padding, which most bras come with these days. I feel I have acquired a 3rd boob that is very noticeable whether I am clothed or not. Has this been any one else's experience?
Surgical options when you need radiation post surgery ???
Hi All I am seeking advice/information about what options you were given for surgery when you needed to have radiation post surgery. A bit about me, I am 52 single mum to adult sons (one still at home). I was diagnosed with IDC Grade 3 Triple Negative BC in early May. I have been undergoing neoadjuvant chemo and have just completed my last AC treatment, but still have 6 months of immunotherapy to continue. I've lost 10kg as a result of AC treatment. I struggle with being able to eat much so the weight loss may continue which won't be ideal. I get fatigued extremely easily with shakes and feeling like I'm going to faint after simple activities like doing dishes and food shopping. So I'm pretty house bound with minimal family support available. Back to my main question, what surgical options were you given and what warnings about negative side effects of radiation? My initial thought was to have a DMX with immediate implant reconstruction but the Oncoplastics team feel i should go for a SMX with DIEP reconstruction due to the radiation requirement. Due to my weight loss I probably only have just enough tissue for the single DIEP procedure and I'll likely need fairly extensive node removal also as I had 3 active nodes at diagnosis. My concerns are the length of the surgery needed, the scarring from the DIEP procedure and the recovery time as I have my first grandchild due to arrive around Christmas time. Any advice, stories, photos, anything would be much appreciated. Thank you for reading this and I hope your journey is going well. Sandi
Mastectomy /post surgery pillow
Hi all, I have a brand new mastectomy pillow that I found really helpful that is basically as new. I would be really happy to post it to anyone that is about to have surgery at no cost. I just can’t bear to throw it away and would be happy for it to help someone else! Just dm me with your address if you would like it. I’ve attached some photos x
Scar Management for anyone finding them taking a long time to heal, red, bumpy, itchy...
Hey All, I just wanted to say in the past I haven't really worried about my scars from surgeries, however since doing my Diep Flap recon in February and subsequent revision surgery in July, I had my abdominal wound reopened. It was red, itchy and bumpy so thought I'd have a consult with people who specialise in scar management. Thanks to my friend @nikkid for the contact, I went today. I know in my post op visits there really wasn't much talk of scar management at all, so thought I'd pop a post for anyone who is finding them annoying red, itchy, bumpy and wanted some help with it. They use silicon dressings that I wear at night only, I then massage over 4-6 weeks in circular motions, (even an electric toothbrush) to break up the scar tissue about 4 times a day. My scars are so annoying and irritating,so that's why I decided to get some extra help. So I have a great recommendation in Melbourne for anyone needing that. Big hugs Melinda xo
Flat or DIEP Flap - doing my head in
I've looked online, and spoken with friends and others who've been through it, but my indecision is doing my head in. The time between available surgeon consultations is really dragging this out and giving me more time to work it out. History Bilateral BC, double mastectomy with immediate silicon implant reconstruction last October. In January, midway through chemo, an unknown infection sent me to hospital, and was only resolved once one of the implants was removed (during that stay, I was double-dosed on a strong antibiotic and my kidneys shut down temporarily). Now So now I have one implant, one deflated. I thought I definitely wanted DIEP Flap, but now I'm second guessing myself about possibly going Flat pack. I have thought about it a lot, and am currently continuing to lose sleep over it. I know this is my decision, but I would appreciate your thoughts, opinions and comments. I plan on trying your words on for size and seeing what resonates for me. How did you decide? Thank you in advance I want both the same - either filled or flat. (I know it won't be perfectly symmetrical) I'm tired of uneven. I like the shape of boobs. I'm 59, I know they've fulfilled any physical purpose they may have been needed for. I had a full hysterectomy 11 years ago, and boobs are part of what helps me still feel like a woman. The12 months since diagnosis have been a rollercoaster of tests, research, learning, surgeries and hospital stays. I'm ready for these boob chapters to be all over. I know my friends and family love me regardless of my shape. Other considerations DIEP flap - costs a lot - it's a long surgery - could be hard on my kidneys - long recovery The future could still include - revision surgery - more scans - random nerve pains Associated tummy tuck would be good! There are more fun things to do with 30 grand. When it comes down to it, Costs and risks. What if I regret my decision? DIEP Flap - having things go wrong, either with the surgery, the result, or down the track Flat - feeling less me From your personal experience, is there more I haven't considered? Thank you 🙏 P. S. I know this post is all over the place, but so is my head 😏
Chemo almost done...next is surgery. Hair growth questions.
Hi all, it's been a little while, hope you all doing well and this year brings you all good health and happiness. I am almost done with my chemo (AC and 12 weeks paclitaxel, 4 perjeta and another one (not sure of name), 2 more infusions of paclitaxel. Did anyone find bits of fluffy hair starting to grow already? I don't want to get too excited but am starting to notice some growth. Anxious and excited about my appointment tomorrow with the surgeon to discuss surgery options and how the tumors have responded to the chemo. Any advice would be appreciated. Still awaiting genetic testing results. Now the fun part. We have a family wedding in October this year and some other events and I am very excited for my hair to start growing. Any tips or advice. Scalp treatment or oils etc vitamins. Should I have a shave after chemo so the hair grows evenly and also what kind of length can I expect in 6 months or so. How did you hair grow? Lastly. If anyone is based in Sydney and would want to meet for a chat, support, pray , let me know. Would love to meet some ladies, we can encourage each other. Can direct message me if you like. Thanks and look forward to hearing your progress xxx
DIEP fails in surgery
Hi everyone, just wondering if any one went in for a Double DIEP surgery and because there were complications had to have a double TRAM instead? My surgeon is saying if I start with a DIEP I have to be accepting of the possibilty of TRAM flaps. Plus, he tells me, only 20% of DIEPS are successful??? Help, so confused JodieProcessing the journey
Moderator moved @Tania_G post from activity section to 'General Discussion' section: Hi everyone, Was diagnosed back in July 2023 stage 3 HER2+ breast cancer. Have done two rounds of chemo. Had surgery in December 2023 and am now getting ready for radiotherapy. I'm experiencing a lot of confusion and loss as I now begin to process this journey. Getting used to my new body and trying to work out who I am psychologically. Any advice?
