Well, I feel much better having this second visit to my PS under my belt. Things went very well. The first part of the meeting, the PS and I sat at a table face to face to discuss things, and I had prepared a little list of questions that I wanted to be sure to ask him -- well, it was actually like a game of 20 questions! I really had a good handle on how this surgery would be done from our first appointment, which took nearly two hours.
All in all, I am pretty pleased with how this will be done, although we did have a discussion about the 'dreaded' FNG....as you can see from my pictures, I am verry saggy and the N2N measurement that the other doc had taken was pretty close to 30cm. That being said, he said he plans to do an inferior pedicle approach, and see how the nipple does as far as blood supply. He said that when he is in there, if the nipple looks 'a little dusky' [his words] he may have to change to an FNG, and I told him that I was fine with that. Another problem is that Miss Righty is quite a bit longer and larger than Miss Lefty, so he wants to naturally keep the same treatment on both nipples. **** I actually read something that was quite interesting in a book titles 'When Less is More', written by a practicing PS who specializes in breast surgery. It was written in 2007, yet she had an interesting opinion. She said that she wished that all PS would perform FNGs, because that is actually the most reliable way to be sure that the nipple is saved.*** I mentioned this to my PS, and he also thought that was an interesting statement! Anyhow, I think I have answers to the main questions I had, including but not limited to these:
1. He supplies the bra that I will wake up in, and when I asked about the type I should buy to supplement, he told me that his nurse
would give me all of those details. She is great, I already have her cell number, and I'm sure we will be talking numerous times
before the actual surgery date.
2. He does use drains, and he keeps them in anywhere from 5 to 7 days, depending on how much drainage has taken place. I
knew he used them, just din't know how long they stayed in.
3. I asked about how long the incision tape needs to stay on, I was a bit surprised at his answer -- He said that he doesn't use tape
or even too many disolving stitches on the external incision area, HE USES GLUE! He said that with the glue, I won't have
the added discomfort of the tape. Also, because he uses glue instead of tape, I can shower as soon as I feel up to it, which
sounds real encouraging. He did say, too, that after the healing is pretty well underway, I could use tape to prevent scarring.
4. I asked him how I should treat 'open spots' should I get any, and he told me that the glue helps to prevent these, but if I get any, I
should just use Betadine and cover with gauze if needed.
5. As far as size in concerned, we agreed that a C cup would be as small as her would go, especially when I said that I didn't want
my little pot belly sticking out further than my IBTs! He laughed and agreed.
6. I asked him if he used lipo if he found it necessary, and he said that is his standard practice in all his BRs.
7. He said there is almost always minimal blood loss, so my Mediterranian-type anemia won't be an issue.
I know that doesn't seem like much info, but I had most other information from my first visit.
All and all, then, sounds like I'm on target for a BR, hopefully in the second half of August. His nurse is working out the details and said she would be calling me in a few days with a date. I told her that due to our planned trip to the Jersey shore in early August, anything after August 18th would be good.
Oh, one final thing -- THE COST, since I am paying out of pocket for this surgery. The lady that takes care of that stuff wrote it all out for me, including the breakdown of what I'm paying for, and it is a bit less than $9,000! It may seem like a lot, but I am keeping in mind that the other PS I saw gave me a figure that was over $11, 000. All money is due two weeks before the actual surgery, which we can do. Although I could just pay for it all out of my savings acct, earmarked for the addition on my house, I might take advantage of an offer I just received from Discover Card, offering 0% interest until mid 2013, and they sent me checks I can use. How nice of them :D.
Anyhow, that's my update, and I will jump on here just as soon as I receive a date from my PS! Getting excited now! ! ! ! !