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POSTED UNDER Breast Reconstruction REVIEWS

"54 Years Old" Bi-lateral Mastectomy with Tissue Expanders September 24th...SCARY STUFF! - Marietta, GA

ORIGINAL POST

I was diagnosed with a Invasive Cell Carcinoma in...

Acworthmom
I was diagnosed with a Invasive Cell Carcinoma in June after finding a lump in my left breast while on vacation. The past 3 1/2 months have been grueling to say the least. There are so many tests and decisions to make. Before this, I never knew there were so many forms of breast cancer, or so many treatment options, I won't meet with the oncologist until after my mastectomy on Seotember 24th, so not sure about chemo yet. My surgeon feels I will need chemo because my tumor is a high grade, and has a high proliferation rate. For now, I will take this one step at a time, and "Kick Cancer's Butt."

Acworthmom's provider

John D. Symbas, MD

John D. Symbas, MD

Board Certified Plastic Surgeon

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Replies (81)

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September 23, 2015
I, too, am 54 years old Brookhaven, GA breast cancer breast cancer survivor. I found mine a year ago this month after an MRI. November 3 was my double mastectomy surgery date. I had implants before the surgery, so I didn't need expanders. I, too, chose the double mastectomy over radiation. I feel very blessed that I wast able to have the nipple-sparing surgery. Although I am now numb throughout the breast area, where they removed all the tissue, I look very normal. I am a 36 C, which was what I was before surgery. In a couple of weeks, I will be going through liposuction in order to transfer some fat into my breasts. I had this done last March as well. My breasts appear ripply, since I obviously don't have enough/any fat between my implant and skin tissue.

I'll admit that I have had moments of sadness over the loss of my breasts, but I knew it was the right thing to do, considering the alternative. Just remember, you are not alone. Support groups with women who have had breast cancer help tremendously when you are going through emotional moments. They can share their compassion, experience and wisdom. Go and "Kick Cancer's Butt!!"
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September 24, 2015
Leslie if I could ask a question. You mentioned that you did not have TE, did the Dr. Put in your old implants until your exchange or did you go immediately to implants?
It sounds like you had a great experience with your PS. That is wonderful!
I had bilateral mast in April 2014. Not skin/nipple sparing. No radiation or chemo. PS used my old implants from a 7yr previous BA.
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September 24, 2015
Hi renamae. I got higher profile implants in order to appear more natural. I am still getting fat transfers through liposuction to fill in under the skin. Like I had mentioned, I look ripply, which I am told is because there is no fat in there to fill it out. No radiation or chemo either. Feel very blessed.
September 24, 2015
Wishing you the best of luck
September 28, 2015
Thank you!
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September 24, 2015

Thank you for your post. I wish you the best of luck and please let us know how it goes.

September 24, 2015
Thinking of you today~ take care and go easy. This procedure is painful so treat yourself kindly and let others help you. If I can answer any questions please message me anytime.
Good luck to you.....((hug))
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September 24, 2015
Thank you for the info. I appreciate it!
And yes I agree
I am very grateful and blessed!
UPDATED FROM Acworthmom
13 days post

1 Week Post-Op

Acworthmom
Drains are out after only 1 week, which is great, but the expanders seem to hurt a little more. Maybe I have more fluid build up or something. My plastic surgeon has decided to leave and move to a practice too far from me. I have to find a new surgeon. Definitely not something I thought I would be worried about right now.

Replies (11)

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October 7, 2015
Sorry to hear of your difficulty. There are some excellent plastic surgeons near you who have experience with breast reconstruction. Hopefully your plastic surgeon can refer you to a colleague. If you need help finding another plastic surgeon, consult with your oncologist, or go to the "Find a Surgeon" link at plastic surgery.org, http://www1.plasticsurgery.org/find_a_surgeon/.

Best of luck to you and I hope everything turns out well.
October 10, 2015
Thank you so much for taking the time to respond to me. Your information is very much appreciated!
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October 10, 2015
My pleasure. Best of luck to you.
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October 9, 2015
Hi I hope you are feeling ok. I saw some very nice breast reconstructions on here, even after the nipple has been removed, the reconstruction looked great. Good luck finding a surgeon.
October 10, 2015
Thank you so much!
October 22, 2015
I would recommend Dr. Song at Prima Center in Duluth GA. He's great!
October 22, 2015
Thanks so much. I have a new Dr. At Marietta plastic surgery now. His name is Dr. Hanna, and fingers crossed that he's good.
October 22, 2015
Best wishes! I had my reconstruction surgery on Sept 17th so I know how you feel. I was on pins and needles wondering how everything would turn out, but a month later I'm quite pleased.
September 15, 2016
Mine hurt like hell I had to take 3 kinds of painkillers and still I was in pain especially after insertion of saline 100mls every week. To top it all after 3 and a half months the surgeon thinks it's leaking and going for op the day after tomorrow to replace with implant.......
October 11, 2016
Were they able to go ahead and put your implant in? How does it feel now? Wishing you the best!
October 18, 2017
Yes im ok but still having fat transfer done. 2nd time on the 28 th of October. I think it will never end.... the cancer war goes on
UPDATED FROM Acworthmom
27 days post

1 Month Post-Op

Acworthmom
It has been a month since my mastectomy, and it has been a crazy ride. My plastic surgeon changed practices, so I had to get a new one. Then the nurse accidentally overfilled my expanders, and I could hardly move for 2 weeks. I am also having to go to a reconstruction physical therapist to try to release my arm where the node biopsy was removed. Just as we got all the reconstructive business figured out. While I'm being all negative....I found out today That I will have to have chemo, and they want to start next week. Geez! I have long, thick hair, and while I understand all of this is to save my life, it's still hard to accept so many changes in your life. I really appreciate everyone's advice and support, and if any of you have any good chemo tips, I would really appreciate them! I am trying to be positive, and know all this is all temporary.

Replies (42)

October 22, 2015
I felt connected to your story as I was told chemo was not likely to be recommended for me and I have just completed number four of 12 treatments. I am H ER 2 positive and this treatment is to prevent the cancer from coming back. I am supposedly on low-dose of Taxol and Herceptin. My side effects are minimal. The hardest thing right now is that I am losing my hair. I have not been sick but do have trouble sleeping through the night. I journal during those hours. I am still working but losing my hair is causing me to feel less confident and part of me wants to retreat until this is over!!! Hang tough we can beat this thing. Remember that this is temporary and your health will return. Look forward to better days as I am trying to do. You are not alone!
October 23, 2015
Loosing your hair is really hard. I had a double mastectomy and it was harder losing my hair than my boobs. I finished my chemo 5 weeks ago and my hair is starting to grow back. My head looks like I have a 5 o'clock shadow. I'm grateful for my hair coming back but I think it is coming back dark and I always had blond hair. I feel ungrateful and petty for caring about that but it is how I feel. Don't retreat or feel less confident. I have worked all through chemo and I got a great looking wig to wear at work. You will make it through this and you aren't alone.
October 23, 2015
Don't worry, mine did the same but after 1.5 years it's totally back to the same colour and texture (it was curly, too but now it's straight!)
October 23, 2015
I'm 51 and had my bilateral mastectomy surgery with tissue expanders 6/12/15. As of today, I have completed 12 of 16 chemo cycles. As you know, everyone's treatment is different and the particular chemo drugs are tailored to your specific needs. My chemo treatment involved ACT (Adriamycin -4 cycles, Cytoxan -4 cycles and Taxol-12 cylces). I knew they would have problems placing IV's in my arms so I had an infusion port placed in my upper chest. You may want to inquire if a port would be helpful for you depending on your treatment type. If Adriamycin is in your cocktail of chemo drugs, it really, really helps to suck on ice while they manually push that thick red syrup manually into you system. The thought is that the cold slows the blood flow to the area and lessens the mouth sores. The one time I didn't use ice, my mouth and throat broke out with sores and it was very uncomfortable. It seems pretty low tech but the ice really lessened my side effects of mouth sores.
I agree tissue expanders are uncomfortable. My plastic surgeon installed a new contoured type of TE by Mentor, so I don't have the round ball type but it still has an iron bra feel. I found 120 cc fills were very uncomfortable and 60 cc fills are not too bad. Unfortunately I had an infection on one side and was not able to expand the one side for about 3-4 weeks, so I'm a little lopsided. I'm having to get the expansion process completed in the next month or so before starting radiation the end of the year. Physical therapy has been my saving grace in getting me through the expansions. Along with actually doing the exercises daily at home it has helped with the tightness and pain. It seems to also increase my overall well being which has aided in the chemo treatment as well. I don't know who you are using for PT but I have been very happy with Turning Point Breast Cancer Rehabilitation in Roswell. I'm in the Suwanee area, feel free to PM me if you have any questions. Hope all goes well for you in your journey.
October 23, 2015
Thank you so much for taking the time to respond. I will be getting 4 rounds with 3 week intervals. I hope to goodness I don't get mouth sores....that sounds horrible. I think my oncologist said they have a breast cancer physical therapist on staff, and She is going to get an appt. for me. I can still hardly move my left arm, and hope they can get something going. Do they have to change your fill schedule during chemo, or can you still do it every week?
October 23, 2015
My first four chemo cycles were every two weeks and then twelve cycles every week. The chemo didn't really effect the fills any other than I prefer allowing a few days to get over chemo before adding more discomfort from the fills. I find going to PT the day after the fill helps me gain back my arm movement, drains the lymphatic build up and ease the pain. If I can, I also like a firm massage to work out my back discomfort, PT only offers a gentle lymphatic massage so I go elsewhere for massage. I guess I've done larger fills so I would not be able to handle weekly, mine have been more around every 2-3 weeks. Sometimes it depends on scheduling with my Plastic Surgeon. I would definitely push your Oncologist for a PT appointment, she /he is not having to live with this and it is probably not high on their list. Unfortunately you have to be your own advocate through all of this. It is amazing what PT can do for you, but it is only as good as the effort you put into it, it is in your best interest to do the home exercises. If not, check out Turning Point, I know they see many women from the Marietta area.
October 23, 2015
Yeah, it's temporary, but there is always a price to pay for whatever we chose to do. Always find out before chemo, which chemo drugs they intend to give you, find out the side effects, and weigh the price you have to pay. Make sure the chemo will not affect the reconstruction process, since it is really a lot to go through at the same time. I know the expanders and the fills are uncomfortable, since I had that done but only to one breast. And make sure you investigate all your options before starting any treatment. This is your body and your life and only you go through it all . it is overwhelming, so take deep breaths, look into alternative treatment at www.thetruthaboutcancer.com, and make an educated decision. I went the alternative route after not tolerating chemo after 3 treatments as I personally knew the treatment was beginning to kill me, not the cancer. There are other ways of getting rid of cancer besides putting poisons into your already fragile immune system. Remember, doctors all take the Hippocratic oath to do no harm, and chemo and radiaition always does harm, no matter what they tell you. Cancer is a big money business, and mainstream medicine only has these treatments to offer you. You can find a wonderful cancer coach in a woman from Australia, Marnie Clark, at www.marnieclark.com. Her help got me through soon much. Wishing and praying you make the right decisions on this journey that you will get through.
October 23, 2015
Thank you for your post. I really appreciate your take on the situation.
November 2, 2015
Eat a clean diet filled with vegetables and fruits not high in sugar like berries! Make yourself alkaline and don't sweets, candies, doughnuts, previewed food, or fast food and drink lemon water daily! You have to clean up you bodyband strengthen your immune system! This is a wake up call to not got back to your old lifestyle and make healthy changes! I did this and never went through chemo!
October 23, 2015
Losing my hair was hard - but after 1.5 years I got long, thick hair extensions and I feel pretty good and look like I did pre-chemo. You know there are cold caps you can wear that stop your hair from falling out? I only found out about them too late! Tips for chemo is to drink as much water as you can and keep active. There are studies that are now looking at how people who still exercise during this time have less side effects. Good luck!
October 23, 2015
Thanks for your advise! I already checked on the cold cap, but it's not recommended for people with migraines. Did you cut your hair short before or during treatment?
October 23, 2015
I was told by my oncologist that my hair would fall out about 19 days after my first chemo. So on the morning of the 18th day I gave a strand of hair a little tug and it came out so I went to the hairdressers, got a buzz cut and wore a wig from then! You can tell your hair is going to fall out because your scalp gets really sore! People in my life always underestimated how traumatic it was to lose my hair - they kept saying, but it's only temporary. It will take me 6 years to grow my hair back to the length it was and for me, I just want to go back to looking the way I did! It's different for everyone, but I really don't embrace any "new normal".
October 31, 2015
I agree...it is traumatic! I. Cut my hair from breast length to very short Wednesday, and started chemo on Thursday. I feel like if might work better for me, so I can sort of get an idea about how it will look as it grows back. In am 54, do I don't have the luxury of 6 years to grow it back. People are so insensitive. My doctor actually told my family not to make comments like that. No haven't gotten a wig yet, but had ordered some hats and scarves. Gonna try to keep a bit of a cute factor as much as possible, but mostly want to get past the reconstruction and chemo. I miss my normal too. We'll get there!!!!
November 4, 2015
I cut my hair short and got a bright colour put in the bangs just for fun. Hair started coming out about 3 weeks in. I was in the shower rinsing my hair and ended up with a handful. I shook as much out as I could then called my daughter and said today is the day and went to have it shaved. If you shave yourself only go to s number 1 as you don't want any nicks. Too easy to get infection
October 23, 2015
Thanks so much for all of your comments. I think as women it is normal to focus on the appearance side of chemo. I am grateful that it will help me, but would rather not lose my hair. I mostly have to have chemo because I was progesterone negative and grade 3. Only 13% of women are estrogen positive and progesterone negative, and that's my situation. Thanks so much for sharing your experiences with me.
October 23, 2015
Yes, losing your hair is not a fun process but it is temporary. Check with your Oncologist on what your chances are of losing your hair since you are only getting four cycles of chemo. I was definitely going to lose mine so I chose to have it cut short. It was less disturbing before it came out in fistfuls. I'm not done with all of my chemo yet but I see small white fuzz going back in. I started with dark brown hair that was starting to grey so I'll have to see what I end up with.
Something I've found very interesting being bald, I get a lot more respect when I'm out in public because they think I'm male. I get called sir and people apologize for their bad behavior and would never have done so as a woman. Society still has it's double standards.
October 31, 2015
Haha....the man thing is too funny! I just cut my hair as my doctor said my hair will fall out in the next 3 weeks or so. With a 4 treatment regiment, they give you the strongest dosage of chemo for a shorter time. The side effects are supposedly worse, but shorter. Mine aren't too bad after chemo 2 days ago, except for my tastebuds and the shot in my stomach to raise my white blood cell count. It causes the bone marrow to hurt. I've heard the hair can come back a totally different color, but it's usually temporary. Let me know since you will get there first. Wishing you the best!!!
October 31, 2015
Hi, on the bone marrow pain, my oncologist told me to take claratin 4-5 days before the shot and for 3 more including the day you get the shot. I forgot the first time and had a lot of pain but did it for the next 5 cycles and it totally worked.
Good luck and it is just regular claratin, not the one with decongestant properties.
November 4, 2015
Claritin made a huge difference to my bone pain. Re the hair, but great earrings, a couple of nice headscarfs and try some fun wigs. Not much choice so do what you can to rock the look. Go to the look good feel better workshop too. You will get some great free products and tips for makeup when you lose lashes and brows