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Breast Reconstruction with Wound Healing Issues - Stanford, CA

UPDATED FROM carttina
3 months post

Wounds today 43 days after grafting

C
carttina
A very small amount of drainage still on the left. A clear suture came to the surface a couple of days ago and I cut it off. I think it will close over now. This happened to a couple of spots in the tummy area too and they closed after those sutures came out. It did leave a bigger scar in those spots though. I go back in January for a check up and back to work Monday after 3 months off. I am hoping for a revision maybe in March or April? I won't feel good entirely until I get a nipple on the left and a cleanup on these scars. I really didn't expect this type of result with a prophylactic mastectomy and reconstruction. I still feel like I have been left mutilated. Does anyone still feel this way? I'd love to hear from you. Anyone that can send me hope that have been through this I'd appreciate it!

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Dr Dunh Nguyen

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She was very nice but I question her technical skills especially after the revision. She never even cleaned up the edges and just sewed I up tight with no slack on skin. Separated agin. Now scheduled with a different Doctor for a skin graft in 2 days. 3rd sugary in 6 weeks!

Replies (4)

S
October 23, 2016
While I haven't been through your exact situation, my heart is heavy for you going through so much. I have had 5 surgeries in the last 10 months due to failed bilateral implant reconstruction, had radiation and poor advice from plastic surgeon I started recon with which ultimately led to the mess. I ended up traveling to New Orleans just last month to the Center for Restorative Breast Surgery; I had previously researched this facility and the doctors there and knew they were the best of the best, women come there from all over the world, but at the time of my mastectomy my insurance would not cover anything out of state, so I instead started in Orlando...BIG mistake. I see your photos and want to emphasize to you that if there is any way for you to travel, you need to be seen at this center. I wouldn't let your current surgeon do anything else, you have been through so much already. CRBS in New Orleans will do over the phone consult with pics sent through email and initial consult does not cost a thing. If you saw my pics and what they fixed on me, you wouldn't believe it. My surgeon in New Orleans is Dr. DellaCroce but there is a whole team of surgeons there. Although I had to pay a lot of out of network charges, they help set up payment plan that is extremely affordable and the only thing I regret is not starting this insane journey there, would've saved me 3-4 unnecessary surgeries and a lot of heartache and sadness and time missing work. At the least check out their website. The pics look unreal, but they are true results, they deal with a lot of botched and difficult breast reconstructions. I hope this helps. You'll be in my prayers for better days ASAP!
C
October 23, 2016
Thank you. Everything has healed now I will need revision though and don't like that o only have 1 deformed nipple. I did get a 2nd surgeon who did the skin grafts but he doesn't seem like he wants to be the one that fixes them. I'm going to just let everything heal as I am still swollen and see what can be done going forward.
1
October 24, 2016
Not sure if you would want to be on tv but if no one else has suggested it, you might apply to the show "Botched"...the Plastic Surgeons on there do great corrective surgeries or if they know someone better for a particular case they get them. One of the ladies on here had an unbelievable abdominal wound I think from an abdominoplasty. It went on for a very long time and she finally was on their show. Good luck with your further surgeries and I hope you will be satisfied with your outcome.
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LB
November 20, 2016
I would love to know the doctor's name in orlando as I too ended up with extreme nerve pain from day 1 -- the extender placed incorrectly protruding under my arm and in extreme pain including nerve pain I haven't resolved. I'm now under the care of Moffitt in Tampa and just had a radio frequency ablation in hopes that my nerve pain will subside. The plastics surgeon highly regarded but he sure didn't care about my pain and denied everything citing I was his only patient ever with this problem. I'm remnant boobs look terrible and I will never be a candidate. Last name of my plastic surgeon is Lee. If you don't mind sharing please email me. Arkitectluver@yahoo.com.
C
November 20, 2016
I am being seen here in California not Florida.
B
October 24, 2016
I've had a similar road as yours. June 2015 I had a bilateral mastectomy (left one prophylactic) with reconstruction using tissue expanders. I also think that my breast surgeon took a little too much margins leaving the skin thin for the PS. Although my tumor was aggressive, invasive, stage 3 and 13.5 cm, so I guess the main concern was getting rid of the cancer. During my 16 chemo treatments, I developed an infection on the right side. I went through daily infusions for 3 weeks and the skin turned purplish. Then 28 radiation cycles did its number. It burned a hole in my boob and blistered me internally. I started leaking fluid Feb 2016, the hole grew to about 4 inches and destroyed my pectoral muscle. In April 2016, the TE had to be removed as it was basically bursting out of my chest and they scraped the blisters and remove dead skin. Went through 49 HyperBaric Oxygen treatments and still had to have another surgery to clean and remove more skin. Mind you, the right girl has been leaking fluid since Feb. I was scheduled for a bilateral DIEP surgery in Sept. They were able to get a flap to cover the right side and get it to stop leaking fluid; unfortunately, the flap for the left side did not have sufficient blood supply to make it viable. The left had the TE removed and swapped for an implant. The incision broke open two weeks later and the implant had to be removed. (I was awake for that surgery and I got to watch everything...it was actually really cool.) Now the left girl is leaking through the incision. This was the sacrificial one, I shouldn't be having issues with this one! So I have more surgeries to look forward to also. The talk is doing a LAT flap or a combination of TE and implant. Plus there is stuff to fix with the right flap using Lipo. I don't know this is of any help in the hope area for you but just know you aren't alone in this. I hope you keep healing!
C
October 24, 2016
Thank you! It's hard when it's prophylactic so you expect a good result like a cosmetic surgery. Now I feel like half a person and am emotional a lot. All because of this process. I know I am lucky to not have cancer but i feel a big loss not having real breasts. I get phantom chills like when it gets cold but there are no nipples. The whole thing just feels stuck on. I wish I didn't do it or st least did better research.
M
October 24, 2016
I wish you luck, magic and miracles!!! :) Hard to believe what you have been through..you are really astonishing.. A friend in San Jose is booked in to see Dr Dung (not Dunh) Nguyen at the STANFORD CANCER CENTER. Is she the same person who you went to?
C
October 24, 2016
Yes it is the same person.
M
October 25, 2016
So I better advice my friend to cancel...Is there someone in the area you would recommend? My heart goes out to you.
C
October 26, 2016
I did not have a good experience although I can't say it was all her fault. The breast surgeon took maybe too much tissue leaving the skin too thin. But when things did go wrong I didn't think she handled it right and even told me that something was wrong with my skin. When I demanded a wound culture she had to call me at home to tell me and I felt vindicated. She still said she was right that there was something wrong with my skin! Yes! A hospital acquired bacteria! I am seeing Dr Gordon Lee now and he is the one who did my skin grafts. So far so good. Here is his contact info. My advice is for your friend to come with a list of questions and not be so trusting. Grill the PS. You can't put everything back once it's cut off and all you can do is your best to be thorough. I work at this hospital and had gotten good recommendations and this still happened. :) Gordon K. Lee, MD, FACS Associate Professor Associate Chief of Clinical Affairs Residency Program Director Director of Microsurgery Stanford Plastic & Reconstructive Surgery 770 Welch Rd, #400, Palo Alto, CA 94304-5715 TEL: 650-723-5824
UPDATED FROM carttina
2 months post

Skin graft 5 days postop

C
carttina
Followed up today to have bolster dressings removed from my skin grafts. I will follow up in 2 weeks again. I continue with the cipro twice a day for a total of 14 days.

Replies (0)

UPDATED FROM carttina
2 months post

Skin grafts

C
carttina
I had skin grafts from my hips taken to close up the wounds on 8/31. My new surgeon recommended moving forward and not waiting and that a wound culture on open wounds could grow anything: so I went for it with the hopes that I can move on from this ordeal !

Replies (3)

P
September 2, 2016
Oh my - you are going through so much :-( my thoughts are with you- best wishes for good outcome.
C
September 7, 2016
Thank you!
T
September 5, 2016
Do you have grounds for a lawsuit? I think I'd be talking to a lawyer.
C
September 7, 2016
It's hard because you sign a consent and everything that happened is a potential complication. i think my first surgeon could have responded better in her treatment plan.
C
September 7, 2016
Thank you!
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P
November 21, 2016
Bless your heart! I'm so sorry for all your complications!! I was scheduled on November 23rd to have the DIEP flap procedure by Dr's. Sumeet Teotia and Nicholas Haddock in Dallas following a double mastectomy in 2014, but found out last Tuesday that the breast cancer that was in remission has metastasized to my liver with tumors "too numerous to count!" I'm hoping I can find some Prothesis that will allow me to wear a v-neck something I was so looking forward to! I'm very disappointed to say the least! I wish you the best in your recovery! God bless!