This forum has been so helpful to me that I wanted to contribute back to the community. Thought I’d start with an intro and follow up with regular updates, as I’ve found so helpful from others. I tried to do this in advance, but struggled to get the system to take the review, so I’m trying to play catch up with the postings. I’ve been keeping a journal each day and once this first review is approved, I’ll add the follow-up postings, along with a few pics tied to specific updates. I'll also update the cost once I see the bills.
A few stats:
- 59 years old with 3 adult children and 2 grandchildren
- 5’2” and 130 pounds (I’ve lost 45 lbs over the last 5 years with a goal of losing 10 more after surgery)
- Size varied between 34DDD and 36G, depending on brand, etc
- Hoping to end up between a full B and a small C cup
- And, most importantly, this will be my 2nd BR !
My first BR was in 1977 – I know, many of you weren’t even born yet then. At that time, I was 19 and had just delivered my first child a few months earlier. The surgery went well, they took off 1300 grams (700 & 600) and I had excellent surgeons. At that time, the surgery took 5 hours with 2 surgeons, each performing one side only and I was in the hospital for 6 days – all of which was normal. Everything healed very well with minimal scaring and nice symmetry. I do remember telling the doctor at a follow-up appointment that I thought my breasts were still too large to which he commented that I would be glad when I was older. Fast forward 40 years of not being able to buy bras, swim suits or clothes that fit properly, not to mention constantly being self-conscious and uncomfortable … and I still think they’re too large!!
About 6 years ago my adult daughter had a BR and mentioned to her surgeon that she didn’t want to have the issues I had with being left too large. That’s how I became aware that it was possible to have a second BR.
Time passed and I kept thinking about this, but took no action. Then this past summer I was catching up with a colleague and he mentioned that his wife had overcome breast cancer during the prior year, and that the surgeon who did her reconstruction was a ‘true artist.’ Of course, I asked for the surgeon’s name.
It took several months to get in with her. The first appointment went well, but I didn’t ask near enough questions. I was impressed that when I described the markings from the 1st surgery, she instantly knew the name of that technique -- McKissock. She submitted to insurance, backed up by files from my chiropractor, but weren’t sure whether they would cover a 2nd BR. Lo and behold, after several delays, it was approved around Thanksgiving. I was ecstatic!
Tried to schedule in December, but the surgeon was booked solid. With working around business travel & a vacation, surgery was scheduled for March 8th.
Updated on 17 Mar 2017:
PRE-OP APPOINTMENT
Had my pre-op appointment and my husband came along. I had a ton of questions for the PS. We discussed her method, the size I wanted to end up, how she would go after side boob, incisions, etc. She was very forthcoming with the details of the surgery, etc. She said that I most likely will not have drains. She explained why she prefers not to use them and what would make her decide they should be used.
She did play down some of my questions and concerns regarding recovery and basically told me not to worry about it. That she felt quite certain I will heal well with a relatively quick recovery. Admittedly, I have healed well from surgeries in the past, including a hysterectomy & pelvic floor repair about 5 years ago.
We also talked at length about the impact of this being my 2nd BR. What she's likely to find and how it could impact this newest surgery. She really doesn't expect any significant concerns, but did acknowledge that there's no way to tell for sure.
Afterwards, my husband expressed concern that she hadn’t directly answered some of my questions, rather told me not to worry about it. I had the same concern as I’m a bit of a control freak who needs to know all the details and I don’t handle “trust me” very well as an answer. After all, this is MY body and the impact will be on MY life.
I kept moving forward with the schedule despite that small voice of concern in the back of my head. I’ve wanted this for so long and now it was within reach, and approved by insurance. Plus, she was highly recommended by a colleague whose wife had her for reconstruction, which I’m presuming is a much tougher process than reduction. So, I convinced myself all would be fine.
Updated on 17 Mar 2017:
SURGERY DAY
Let’s do this!!
The surgical center did a great job. The anesthesiologist was awesome, roughly my age, explaining everything very thoroughly (worked great with my OCD personality). He asked if I was nervous, which I was, and he reassured me that my surgeon was one of the best and he was quite sure I’d be pleased with her work. Once in ER, he joked that I should think of my favorite place, which he suggested would include wearing a swim suit. Of course, I don’t remember much after that. ?
I've attached a before photo with the markings from the surgeon. Very different from the way I was marked for my first BR.
I woke up and felt like I had a desert in my mouth and throat. They had crushed ice available and brought me some Sprite Zero, which really hit the spot. The nurse encouraged me to eat some crackers, but they seemed to turn to dry cement in my very dry mouth. Then they offered applesauce, which was much better. All in all, I had 2 small Sprites, at least 2 cups of ice, & the applesauce, yet no nausea. Yea!
I was offered a choice of 2 pain meds, and chose to go with the weaker one (hydrocodone). I started off taking 2 at a time that night (every 6 hrs). I also had anti-nausea meds, but never needed them. And, of course, I had an antibiotic as well.
When we left, I put a pillow under the shoulder harness. The nurse commented what a great idea, as if she’d not seen it done before. Thanks to those on this list who recommended it – very helpful.
One of my huge concerns had been sleeping on my back as I’m a stomach sleeper. To combat this, I slept with a large yoga bolster under my knees & pillows on both sides. The first night didn’t go very well. Between being dehydrated prior to surgery (no food or drink) and then trying to rehydrate afterwards, my system was a bit messed up. I woke up once an hour to go pee. On the bright side, this gave me a chance to keep up on my meds overnight.
Updated on 17 Mar 2017:
1ST DAY POST-OP
I am really surprised with how well I feel so far. Of course, the incisions hurt, but I seem to be over most of the effects of the anesthesia. I credit this mostly to the skill of the anesthesiologist in mixing his ‘cocktail’. I do have quite the sore throat and am glad I had some Hall’s to help sooth it.
I’m going between sitting on the sofa and walking around the house (slowly). I was taking 2 pain pills at a time, but found they would take an hour to take full effect & wear off almost an hour before I could have more. Going to 1 pill every 3-4 hours has maintained a more steady control of the pain.
The surgical center called to follow up on me. I mentioned to her that I was itching all over, which I was blaming on how the Hibiclens had dried my skin out. She said it’s a side effect of the pain meds and to take some Benadryl. That was one thing I had not purchased in advance, but luckily I had some that was still within expiry date. It has helped tremendously. I’m now taking 1 Benadryl with each pain pill during the day.
The worst pain is in the side boob where I suspect she took the lipo to it. It feels like I have a half golf ball on each side under my arm. Haven’t had the nerve to look yet. I’m trying not to disturb the dressing until I’m ready to take my first shower. I don’t have any visible drainage through the bra.
After dinner, I couldn’t stay awake and slept several hours on the recliner. Then off to bed. Hopefully, tonight will be better. I’m going with a small yoga bolster under my knees (the large was a bit too large by morning), along with the pillows. Wish me luck.
Updated on 17 Mar 2017:
2nd DAY POST-OP
Last night was much better. I only woke up every 3-4 hours, which was when I needed pain meds. In total, I slept over 9 hours, which was much needed.
I started off by taking a shower this morning. My PS allowed a shower at 24 hrs post-surgery, but I chose to wait a bit longer until the 2nd morning. Took off the dressing and I was amazed with what I saw. Turns out there had been very little bleeding or drainage. But more surprising is that I have very little bruising. And even though quite swollen, the size and shape are perfect!! I love them already. I just kept looking in the mirror – I never thought I’d have ‘normal’ boobs, and I sort of couldn’t believe it was me. I didn’t take any pics, but will tomorrow morning.
Doing everything I reasonably can to prevent infection. Using hibiclens, clean washrag & towel, clean robe, fresh gauze, etc. This is particularly important since we’re on well water (although we do have a great water treatment system removing impurities & sediment). After the shower, I put the surgical bra back on with gauze padding the incisions.
I’ve still been lounging around on the sofa today, and piddling around the house some. My husband had taken the last 3 days off as well to take care of me. But I’ve recovered so well that he’s now out in the workshop building ‘something.’ He is continuing to cook the meals (which he does very well), and checks on me regularly. He knows that I’ll overdo if given the chance and he’s doing everything he can to slow me down.
The pain in the incisions is getting a bit stronger today, but it’s still tolerable. It doesn’t help that I get preoccupied and end up sitting here until past time for the pain meds.
On the nutrition side, I had increased my Vit C 2 weeks before surgery, at the same time I stopped taking my krill oil, etc. I also added a zinc supplement a week before surgery, and am being very careful to make sure I get at least 50 gm of protein, with more than that most days. I’m also taking the stool softener, and drinking lots of water. I did stay on my hormone therapy throughout, skipping just the morning of surgery. It took too long to get my hormones balanced to let them get out of whack over this – and the compounding pharmacy assured me they would not thin my blood or have any ill effect on my recovery.
I’ll try to post again tomorrow with some pictures this time. Until then ….
Updated on 18 Mar 2017:
3rd DAY POST-OP
Slept fairly well last night – only up twice. When I showered this morning, I noticed that there’s a bit more bruising than there was yesterday, but still not nearly as bad as I expected. I’m also noticing that the breast tissue is a bit softer in some places, which makes me think the swelling is starting to go down just a bit. Took a pic this morning.
Yesterday, much of my pain was along the lower incisions. It felt as if I was in an underwire bra that was too tight. Of course, I was still in the surgical bra (without wires) and it’s not tight across the lower band at all. It was probably from too much leaning forward while sitting on the sofa – I was on my laptop or tablet most of the day which could have put undue pressure along the lower incision. I’m trying to keep my back much straighter today and relieve the pressure on the incisions as much as possible.
All in all a much better day. Even through the gauze & tape, I can tell I still have pretty good sensitivity, which is great. With this being a 2nd BR, I was really worried that my sense of touch on the breast tissue or nipples would be impacted quite a bit. It appears that has not happened.
Still taking all the meds & supplements on schedule – pain pills, Benadryl, antibiotics, zinc, vit c, etc, plus the stool softener.
It’s been a long day and I’m starting to feel it. Time to give it a rest for the evening!
Updated on 18 Mar 2017:
4th DAY POST-OP
So boredom is officially setting in. While I know the lifting restrictions are important in my healing, there just isn’t much one can do that doesn’t include lifting more than 5 lbs. I’m so ready for the first two weeks to be over and I’m only on day 4. ? And even though I’m sure the 3rd & 4th week with a 15 lb restriction will also feel limiting, it’s certainly better than 5!!
Sleeping on my back has been less of an issue that I anticipated. The bolster under my knees & pillows at my sides help tremendously. And I’m timing my pain meds so that I take a dose right as I’m going to bed to help me sleep.
Tried ice packs tonight for the first time in the side boob area. That’s where the most swelling has been. Probably should have done that a day or two ago. There was nothing on the after-surgery instructions about ice and I didn’t think about it until now. And I was feeling much better than I expected to for those first few days.
I also started with the arnica gel, being careful not to let it near the actual incisions. It has a nice cooling effect which felt good. Hopefully, it will help with the swelling & bruising, even though the bruising is nowhere near as bad as I expected it to be.
The stitches are not yet itching, just steady aching. The only itching I have is all over the rest of my body, from the pain meds, and taking a Benadryl with each pain pill is helping a lot. Oh, and of course continuing with the stool softeners since we know the pain pills have a constipating effect for most of us.
Updated on 18 Mar 2017:
5th DAY POST-OP
Returned to work today, which in my case means that I walk down the hall to a spare bedroom which is my office. Working from home I can dress however I like, which is very convenient during recovery. I’m trying to go without pain pills during the day, taking them only at night to help me sleep. We’ll see how this first day goes.
Ended up putting in 9 hours at the laptop, not counting a break for lunch. Probably a bit too long, but there were some errors made last week while I was out that had to be researched & then corrected. I started wearing down around 3, but kept going until my last conference call was over at 5:15. I survived without pain pills, but will definitely take them to sleep tonight. (By the way, my colleagues don’t know I had this surgery last week, only that I took a few days of PTO. For a variety of reasons I won’t bore you with that felt like the right choice for my situation.)
Once done for the day, I came downstairs and found the ice packs. The side boob area was a bit swollen and achy again, so I sat here for 15 or so minutes with the ice (until I was shivering even though I had a blanket & the heated recliner on). It helped a bit.
My husband had made some tasty potato soup yesterday, so we heated that up for supper. Glad I didn’t need to cook this evening. He did all the cooking last week, with me helping with a few meals over the weekend. Think he’s going to be cooking most of this week as well, especially if I keep putting in such full days.
Even with some of the extenuating circumstances, I still have absolutely no regrets. Only wish I’d have done it years ago … or that the original surgeons had taken enough off the first time. The anesthesiologist asked me about that after noticing that this was a 2nd BR surgery. But as I told him, I was a 19 year old who was not yet comfortable with such subjects – it never even dawned on me that first time to discuss what size I would end up. Not to mention that those were different times and without the internet or even the most basic home computers yet, there was no good way to research medical subjects so most of us trusted the advice we were given.
Time to crash for this night. I’m trying to keep up with this daily journal at least through the first follow-up appointment. Then I’ll probably cut back a bit unless something new is happening.
Updated on 18 Mar 2017:
6th DAY POST-OP
Today was much better. I put in a full day at the laptop without hitting a ‘wall’ mid-afternoon. Pain is definitely at a manageable level & itching isn’t yet bad (although I’m sure that is coming in the next few weeks). The bruising is continuing to improve as well. Not sure if that’s the normal rate or if the arnica gel is helping that along. Either way, I am pleased.
I really look forward to my morning showers as the warm water running over my chest feels so good. I’m still just gently dabbing with the hibiclens on the chest, but I feel that it’s really helping with the healing. So far, the steri-strips from surgery are holding strong. I lost just a couple on day 2, but since then I haven’t lost any. I change the gauze every day as well, even though I’ve had no drainage or bleeding. I definitely should have bought more gauze pads in advance.
Tonight will be my first night without the pain meds. I’m trying to move to just Tylenol. Wish me luck! ?
I have only had 1 pain pill each night for the last 2 nights, with no others during the day. I have continued to take the stool softeners for obvious reasons. I finally feel like they have caught up with the constipating effect of the pain meds, and I’m comfortable in that area. I’m going to try to stop them as well. The sooner I’m able to get back to a regular routine of only supplements & healthy eating, the better.
I’m shocked at how well my recovery has gone. I was really worried that now that I’m pushing 60, things would heal much slower than in the past. If anything, I feel that I’m actually healing quicker. I suspect some of that is that I now live a much healthier lifestyle that in prior years. And some of it is because I took the advice of so many of you who have gone down this path before me. Whatever it is, I couldn’t be happier.
Bottom line – for all of you who are hesitating because you’re worried about recovery, just know that for every difficult story you read on here there’s at least that many good stories, probably many more who haven’t take the time to write about their experiences.
Updated on 18 Mar 2017:
7th DAY POST-OP
So … the itching is really starting to set in, but the pain is fairly minimal. The tape is still sticking like it’s never going to let go. I do let warm water run over it in the shower each morning, and pat it with a pouf and hibiclens. Then pat dry with a towel. I’m also keeping the incisions padded with gauze between them and the surgical bra. Basically, being very careful not to disturb the tape as it seems logical to me that the longer it chooses to stay on, the more likely that the incisions will be mostly or fully closed by then. At least that’s what I’m telling myself.
I didn’t sleep well last night, which was the first night I tried to do without pain pills. I’m fine without them during the day, but just 1 pain pill seems to help me get to sleep. Think I’ll keep with that routine as sleeping on my back is difficult enough, and with even minimal pain or itching, it can become very frustrating. Hopefully, tonight will be better.
Updated on 18 Mar 2017:
8th DAY POST-OP
Slept really well last night. In fact, according to my Fitbit, it was one of the better nights of sleep I’ve ever had.
Since the first day, I had not had any bleeding or drainage. Well, this morning I noticed a small spot where it had bled, maybe just a drop, at the T-incision. Not surprising, but not what I wanted to see either.
I had my 1st follow-up appointment today. It took a whole 1 to maybe 2 minutes. She felt things are looking good. She OK’d me to begin wearing sports bras (no underwires) rather than the surgical bra they sent me home in. I asked how long to expect the tape to last, and she said I’d probably start losing it within the next week or so. That it would probably be mostly gone by my next follow-up appointment which is 2 weeks from today. Also, asked about the minor bleeding since yesterday, she wasn’t concerned, but did say we’ll just want to keep an eye on it.
This is all so different than what I remember from my first BR 40 years ago. Then I remember going home with lots of stitches. I can even remember the stitching pattern – a running stitch around the nipple and then individual stitches on the rest of the incisions. When they removed the surface stitches, that’s when they put tape on to help hold the incisions. I also had dissolvable stitches on the inside areas, which mostly dissolved, but a few of them worked to the surface for the next year or so. The incisions (and thus my scars) weren’t all that different from what I have now.
I do remember very well the day they removed the tape. I had not been allowed to get that area wet at all and it was really starting to smell by then. Turns out I had developed an abscess in an incision area – the smell was literally my infected flesh. The amount of infection that ran out when they removed the tape seemed huge. I remember the nurse & doctor’s shocked faces. Then once they cleaned & treated everything, they tried to tell me that it was not all that unusual … but their faces had told a different story. They packed it and gave me antibiotics and it cleared up rather quickly, with no permanent effects.
So, when they sent me home with antibiotics this time right off the bat, you can bet I made sure to take them religiously and to take every last one of them. I almost wanted to ask for more, just in case, but know we need to also be careful not to overdo antibiotics so that they’ll still work for us when we really need them. That’s also part of why I’ve been so strict about using only hibiclens since well before surgery and taken the other precautions I have to keep the incisions clean. Hopefully, it will work as it should this time.
Updated on 18 Mar 2017:
9th DAY POST-OP
Today went really well. First whole day in the sports bra. When I first put it on yesterday it seemed almost like a compression bra, but then the surgical bra had seemed almost too large and loose. Today, though, the sports bra simply felt like a nice, snug fit. And the incisions aren’t hurting or itching near as much, possibly because this bra barely moved vs the other one shifting at times.
I did notice in the shower that a few pieces of tape are just starting to loosen. It’s great that they’ve held so well for so long, but it’s probably time. I’m expecting that as they loosen, it will impact the scab that’s obviously formed over most of the incisions. And with any other scab that is working loose, there will almost certainly be some bleeding and pain, not to mention itching. I’m not looking forward to that, but realize its part of the healing process.
I’ve been able to work a full day (9-10 hrs) each day this week (in my home office). Monday was a bit rough, but the remaining days haven’t been bad at all. It’s been a really busy week as far as work tasks needing attention and the occasional fire drill that keeps things exciting and frustrating at the same time. Many of you know just what I mean by that. It definitely helps in my recovery that I’m not in a true office with all the expectations that come with that.
Bottom line is that my fears on returning back to work after just a few days were unfounded. All seems to be going well. I’m also very pleased with the size, which I suspect will be a B once the swelling is all gone. My husband is thrilled with them, although he’s scared to even hug me right now for fear of hurting me.
Updated on 18 Mar 2017:
10th DAY POST-OP
So, today was Saturday. Started losing a few strips of tape this morning after my shower. Not all that many, but at 10 days it’s probably time for them to start coming lose. Didn’t seem to cause any bleeding, which I’m grateful for. I took another pic this morning as I’m still amazed at how well things are healing, but more than that I still love the size and shape. Of course, I know that it will take months for everything to settle into place, but I’m still confident that this was the right decision and I’m loving the outcome.
Since my husband and I are both woodworkers and in the midst of a totally-DIY remodel, weekends are usually our busy time. But I’m still under a 5 lb lift restriction! So, we decided to build a couple of bat houses, which we’ve been wanting to do for several years, but never had time. Seemed like a project that we could get done in a weekend and wouldn’t stress me beyond my restriction. All in all, that was a fair plan. I did have to keep reminding myself to back off and ask for help, even with something as simple as tightening a clamp.
It was a good day and we got a lot done. All of the cutting is done, but ran into a slow process when it came to making sure all of the interior surfaces had appropriate foot holds for the little bats. We still have a bit to do tomorrow. Finished up by going out for Mexican and had a margarita – sure did miss them when I was taking pain meds. I don’t think I overdid it, but I’ll know more in the morning.
Ok, so I’m caught up with the posts. I’ll try to keep adding them real time from this point forward.
I am curious … for those who went home all taped up … how long did it take for the tape to come off? And what impact did it have on the bleeding or drainage? Just curious what to expect.
Updated on 19 Mar 2017:
11th DAY POST-OP
Finished the bat house project and don’t feel like I overdid it … much. For most of the day, I had no pain or itching. But toward the end of the day I could feel the lower incisions just a bit. Not bad, but they are making their presence known.
Finishing the weekend as we often do with a nice dinner and a fire in the fireplace. Hopefully, I’ll be able to sleep well tonight. I’ve been counting down the days of having to sleep on my back since day 1! I’m so ready to be able to roll over!!
Updated on 20 Mar 2017:
12th DAY POST-OP
Having a bit more seepage, which according to the take-home sheet from the surgeon, is perfectly normal for this point … and is liquefied fat. How glorious! One more reason why it’s good to have a lot, and I mean a lot, of gauze pads stocked up before surgery
Since my 20’s, I’ve always felt I carried my stress in my neck, shoulders & particularly between my shoulder blades. Since I had already had a breast reduction, it never dawned on me it could be cause by my boobs. It must be my Type A personality and job stress. After reading many of the posts here, I started to wonder … is it really stress or has the fact that my breasts were still rather large been the cause all along. So many of you have talked about the ‘pain’ being gone immediately after surgery and I wondered … could I really be that lucky.
Well, I have to admit it seems, at this early point, to be a mix of both. The pain in my shoulders and shoulder blades seems to be gone. But the neck pain most likely is tied to the stress of being a Type A person in a somewhat stressful job. Nothing that a little yoga can’t handle!
Updated on 21 Mar 2017:
13th DAY POST-OP
Not much change from yesterday … still seeping, still itching and the tape is still hanging on. Strange thing with the seepage, it never seems to be wet. It just dries and makes the gauze stick to the tape or the incision. I then have to very carefully peel it away to keep it from taking the tape or scab with it.
I called the PS office today to see how long I should expect the seepage to last. Talked with the receptionist, who is quite knowledgeable. The response was that it varies by person. And that as long as it wasn’t looking infected & I wasn’t running a temp, then it should be fine.
I also asked about the tape just to confirm what I already thought regarding keeping it in place as long as you can. She agreed the longer it stays on, the more likely the incisions will close up without any issues. I’m sure there’s a point where they’d take it off, but apparently that seldom becomes a concern.
And then, out of curiosity, I asked if she knew where the liquefied fat was coming from. What had caused it to liquefy. I don’t remember anything like that from my first BR (40 yrs ago). It would make sense at the side boob area where they did lipo, but most of the seepage is around the nipples, with a few very small spots along the lower incision.
The receptionist laughed and said she had no idea. She’d never been asked that before. She suggested I ask the PS at my next follow-up. That’s one of several questions I have for the PS when I see her next Thursday.
Updated on 24 Mar 2017:
2 Weeks Post-Op
So, today I go from a 5 lb lifting restriction to 15 lbs. That should give me a bit more freedom to do things around the house and in the workshop. Otherwise, everything remains the same.
We went out to dinner & then the store in preparation for dinner guests tomorrow. Found some arnica tablets & arnica oil at the store, so decided to give them a try. Hoping it will help with the swelling. Then came home to do a quick straightening. Luckily we had thoroughly cleaned just before the surgery, so it wasn’t all that bad yet.
I’ve found the pain seems to come and go, and move around from place to place. Assuming that’s a combination of tissue healing and nerves reconnecting. Had one spot above the nipple start hurting quite a bit, then a new bruise showed up. Didn’t expect that 2 weeks after the surgery. Not sure if I overdid at some point, or if this is a normal part of healing. Even with the change in lifting restriction, it would be prudent to keep being careful about lifting & activities that use those same muscles.
Updated on 24 Mar 2017:
15 Days Post-Op
I feel like a broken record. The tape is holding strong, and the incisions continue to itch. At home I’ve found I can gently rub through my clothing and help the itching. But in public that’s a bit tough. We had dinner guests tonight and by the end of the evening I had had it with sitting at the table & not being able to rub things.
Just like a cut would on any other part of the body, the scab is continuing to thicken & pull back just a bit from the surrounding skin. It feels as if the incisions are a size or two smaller than the surrounding tissue. I’m hitting that point where I can’t wait for the tape & scabs to fall off. Yet, I’m completely resisting the urge to help them as I truly want the incisions to close on their own. I’ve seen pics of some of incisions that are slow to close, something my daughter struggled with as well, and I’m trying very hard to be careful of anything that could get in the way of full healing. Hopefully, that will happen naturally very soon.
The seepage is a bit less, but I’m still changing the gauze twice a day & having to wash a bra every day. Not sure how long that will keep happening.
And I’ve found that my morning shower is my favorite part of the day. The warm water is the best relief for the itching I’ve found. It probably helps that our shower head has a very gentle flow rather than like some of the shower heads that have so much pressure they feel as if they could almost cut your skin.
Updated on 24 Mar 2017:
16 Days Post-Op
The weather was beautiful today, so I took my first walk around the subdivision this evening. Surprisingly, I found I had to walk a bit slower than usual (I’m normally a fast walker). Not because I was tired or low on energy, but because I could feel the impact in my incisions. This sports bra fits tightly enough that it almost feels like a compression bra, so I don’t think it was for lack of support. I’m assuming things are still tender deep within the tissue just as it is on the surface. It still felt great to be out in the fresh air!
Looking forward to a weekend of getting a few things done around the house without overdoing. We’ll see how it goes.
Updated on 25 Mar 2017:
17 Days Post-Op
Finally, some of the tape strips started releasing this morning, and it appears that the incisions are well healed underneath. Sure hope that continues to be the case. At the point a bit more of the tape has released, I’ll post a new pic.
The good news … due to my lifting restrictions, we’re getting some of the smaller projects done we’ve been putting off for years done. Hung the bat houses we made last weekend, and built a support system I’ve been wanting for quite a while for my Asiatic lilies. My husband is looking forward to one more slow weekend and finally building that mail box structure he’s been wanting to build.
The bruising that came up new last week is continuing to both grow and subside (different places). I’m not sure why this is happening, but it doesn’t seem to be causing any serious pain or concern. Just the same, I’ll be glad for my next follow up on Thursday to make sure it truly is nothing.
Otherwise, things are going well.
Updated on 27 Mar 2017:
18 Days Post-Op
The tape is all off around the nipples, along with the crusty stuff that seems to be a mix of surgical glue, dried seepage & a few small blood spots. The incisions seems to have closed really well. It’s amazing how that relieved the itching in that area. I still intend to pad them with gauze each day for quite a while. There are a few spots that have still been seeping. I’m hoping that by opening them up it will help them dry out. We’ll see.
Out of an abundance of caution, I’ve left the rest of the tape in place for now. Just want to make sure the incisions are well healed first. Otherwise, I’m doing fine. Finished up one more small project that was mostly done, but had been procrastinating on. Guess that’s the silver lining of dealing with these limitations.
Updated on 27 Mar 2017:
19 Days Post-Op
Based on how well the tissue around the nipple is feeling without the tape, I allowed some of the other tape to fall off (or encouraged it just a bit) – OK, maybe it was most of the tape. I did leave on the tape at the T-incision, just to play it safe.
The area that’s been hurting and itching the most is right between the boobs. It’s literally been a non-stop irritation (or worse) since day 1. As I was removing the tape, which in this case, was still solidly attached. It turns out the skin under just those areas had reacted to the tape. It literally had whelps where the tape had been. I’m hoping that this will go down quickly.
After a full day of work, plus a few errands, I can say that the areas where I removed the tape are also feeling great. And the area between my boobs is feeling much better. But the tape I left on the T-zone area is driving me absolutely batty. Most of it was ready to come off this morning, but I pressed it back into place even though it appeared to be healed underneath the tape. Now, I can’t wait to take a shower in the morning so that I can allow that to come off. I truly think it’s ready. Once it’s all off, I’ll take another pic.
Updated on 28 Mar 2017:
20 Days Post-Op
So, the last of the tape is now off, which has helped immensely with the itching. I feel like things are healing well, particularly since I’m not a young chicken any more (as my daughter so kindly reminded me). And as the tape has come off, the seepage has pretty much stopped. I have one spot that was just uncovered this morning that is seeping a little, but I suspect that will stop in a day or two. Overall, I’m quite pleased with the progress.
I had ordered two more sports bras which finally arrived. They are MUCH more comfortable than the others were. In case you’re interested, they are Fruit of the Loom 96014 ($9.80 each through www.herroom.com). They’re probably also available from one or more of the big box stores.
Updated on 29 Mar 2017:
3 Weeks Post Op
So, today I celebrated 3 weeks post-op and I couldn’t be happier that I finally decided to do this. I’m pleased with the rate I’ve recovered at, which had been my biggest concern. The incisions are completely closed with no infections this time. Not bad for someone pushing 60.
Trying to decide what size to request was one of the toughest parts. I’ve always had big boobs and almost felt like that was part of who ‘I’ was. Yet, that’s why I was having this done a 2nd time and I didn’t want to regret not having gone smaller. In the end, I requested to be a B cup (although a small C was OK as well), and that’s where I think I’ll be once the swelling is all gone.
When I first saw the new girls, I have to admit to an internal reaction of, “what have I done? This doesn’t even look like me.” But that quickly changed to acceptance and then being thrilled with the new size. The thought of being able to wear a sun dress, or buy a swim suit off the rack and have it fit, or wear some of the cute yoga tops I see in class, or actually being able to buy a lacey bra, and so on … well, it’s just amazing!
Equally amazing has been my husband’s reaction. He was never a ‘boob man’ and completely embraced me having this done. But he now beams as he sees me and them, and can’t wait until they’re healed. Yet, he’s been so good to me through it all, doing all the cooking those first few days and doting over me making sure I wasn’t overdoing it too soon. He’s been hesitant to even hug me for fear of hurting me.
This was totally worth it!!
Updated on 30 Mar 2017:
22 Days Post-Op
Today I had my 2nd follow-up appointment with the PS. She was very pleased with the progress. Glad to see the tape was all off, and reassured me that I’d done the right thing by ‘persuading’ the last few pieces of tape to come off. She noticed without me saying anything that some of the tape had irritated my skin (which it definitely had). She also cut off the loops of stitching at the end of the incisions, which I was very grateful for as they were irritating when anything rubbed against them.
I’m now free to wear any bra (without an underwire) that I’d like. The spot that has been irritating me the most is right between the boobs, and I truly feel it will help when a bra is trying to separate them rather than the sports bra that turns them into a uni-boob. She did comment that I happen to have boobs that are close to each other vs some women who have ones set farther apart. She also commented that normally she would not have taken the incisions so close to the center, but she had no choice given the way my first BR was done.
I’m also free to sleep in whatever position I find comfortable. Hallelujah!! Not sure I’m ready for stomach sleeping, but really glad to get off my back. And my husband is thrilled to no longer have a pillow between us!
I’m under the 15 lb lifting restriction for another week. She recommended that I not go crazy with lifting after that, but to take it easy for another 2-4 weeks. She did say I’m fine with a full range of movement of my arms, including movement that affects the chest muscles as long as I listen to my body and not go overboard. My plan is to start yoga back up the 2nd week of May with a few private sessions where the movements can be adapted to my limitations, and then go back to full classes in June (3 months post-op). She felt that was a great plan.
I also asked about scar treatment. She prefers silicone treatments. She’s OK with Mederma, but not so much with vitamin E or natural oil treatments. That pretty much matches the consensus of what I’ve been reading online.
I did ask how much she took off in the surgery. She said the pathology reports showed it as just over 480 grams per side. That’s much more than I even thought I had to lose, so I’ve very pleased with that as the insurance approval was based on her removing 300-400 grams per side. So I should be good to go on that.
All in all, I couldn’t be happier. I’m healing well and feeling great. I’m confident the scars will heal in time, and the swelling will all go down as well. I’m looking forward to seeing what they’ll look like once they settle into a final shape.
At this point, I’m going to stop the daily updates as they would become boring very quickly. I will add updates only as things change. I only hope that some of you have found these daily updates to be helpful and even encouraging. I’m so happy I did this and only wish I’d have done it sooner. And I hope the same for each of you!
Updated on 21 Apr 2017:
So, I’m now 6 weeks post-op and am amazed at how well I’m healing, especially considering I’m 59. I went on my first business trip last week with no issues with my luggage or briefcase. The team I work with is the same each monthly trip, and none of them seemed to notice at all. Granted we were exceptionally busy for the entire 4 days, but I still expected 1 or 2 of the women to notice and that didn’t happen. To me that’s a testament to how well the PS did her work. I look so natural, particularly under clothes, and I’m thrilled.
The scars are blending nicely. There are still a few spots that are thicker, but I’m massaging the scar cream into them regularly and using silicone gel. I’ve had one spot that leaked a very tiny amount well past when the others had stopped, but that seems to have finally healed as well.
I went bra shopping at the mall, which is something I hadn’t done in decades. I seem to be a small C cup, but that could change as the last of the swelling goes down over the next few months. The bras I’m wearing now are so comfortable that I just can’t believe it. So this is how the rest of the women feel each day – makes me wonder what they were complaining about! Can’t wait to go swim suit shopping, which I always dreaded. Also looking forward to buying a new yoga top.
And the best part is that I no longer have any pain in my shoulders, back or shoulder blades. It is completely gone. I’m amazed. All those years I blamed it on stress, and it was actually caused by my big boobs.
A fun side note – as I said in an earlier post, my husband is not a boob man. I’ve asked more than once through the years why me, to which he replies there’s more to women than their bodies (which is another reason I love him). But now that they are smaller, he’s paying more attention to them. He refers to them lovingly as ‘his little buddies.’ He’s still very afraid of hurting me, but is beginning to get past that.
All in all, it’s been a great experience. So, for those who are worried or hesitant and have read the horror stories, just know that there are just as many good stories out there (probably many more than the bad ones). Follow your heart, trust your gut and listen to your body … you’ll be so glad you did.