Post nipple reconstruction/revision, Post-Op Bilateral Prophylactic Mastectomy

76 days post BPM, 23 days post reconstruction

Been a little since I did a surgery followup.  The actual bilateral prophylactic mastectomy was On July 2, followed by the nipple reconstruction and revision on August 24.

The reconstruction was completed at the same time via a DIEP flap procedure.  After many weeks of initial struggles with core strength, I am fully able to move as I wish.  I am at the point now where I do sit up crunches every night.  At first only 10 or so now 100+ .  I also either walk or spend some time on the elliptical machine a few days a week. I still have tightness in the abdomen but it is a good tight. I am stunned at the change of size in my abdomen.  I am not on the scale of Barbie but it is by far the flattest stomach I have seen in many years.

I do still have discomfort in the breasts.  The breast revision was much large than initially expected.  Due to the size of the incisions and amount of surgery performed, I still have a hard time wearing a bra.  I feel that I need to wear one if I am going out in public, ie back to school nights, shopping, soccer etc because of the nipple issue.  As I had stated in an earlier post, the surgeon had to make the nipples large to allow for shrinkage.  One of them has and is about right.  The other has not and still reminds me of a strange little thumb like appendage. He has assured me that if needed this can be corrected very easily.  They are also a bit out of line which I am also told is a an easy fix.  So it does look like we have a small procedure ahead.  I see him again mid october.

I do look forward to a day when I have no discomfort but have accepted the fact that the day is not around the corner.

I am thrilled that my life for the most part is getting back to normal, but one highlight of my day does still remain the bra removal.

I have lost close to 40 pounds since my max weight 1 year prior to surgery.

My Bra size is 4 sizes smaller and pant size is almost 2 sizes smaller.

More importantly is the fact that I feel good and have used this situation as an attempt to live healthier.  Most importantly is the fact that I have gone from a minimum 50/50  chance  of developing breast cancer to one of only about 5%.

**(post pathology with the finds of cancer markers, the risk would have increased but no one ever put it into number for me)

Post nipple reconstruction/revision

Doctor’s and Kindergarten

SO I had my follow-up this morning.  Pretty uneventful visit actually.  He agreed that one boob was looking more north than the other but says it could take up to 3 months for healing and that they should align properly.  He also feels the nipples will shrink down to a normal size.  At the moment I feel like they arrive in a room at least a minute before I do.  He told me to make another follow-up in 6 weeks.  At that point if they are still uneven then he can make a small incision to lift the left boob.  He can also reduce the size of the questionable nipple.  I wanted more detail on what this would look like, in office?  Hospital?  He did not want to discuss it.  Says we need to give it time to heal and let my body do it’s thing.  If all works out we will not need to do anything.  We shall see.

I was cleared to shower…YEAH!  So much easier than washing my hair in the sink.  I am also allowed to start wearing a bra, no under wire.  We will discuss the bra on another post.

After the doctor I came home and picked up Madison for a big day!  Meet the teacher at the Kindergarten.  I was so proud of her!  She did great!  As we walked toward her building she told me to follow her.  She showed me how to follow the red foot prints to get to the right building.  They had a bus parked in the lot so the kids could go on and practice with the seat belts.  Then we went into her classroom.  She looked around and found her seat and sat so confidently.  My baby, what a big girl!  They had an opportunity to explore, listened to a story read by the teacher and met some other kids from the class.

I love that our district does this.  Really allows the kids to get comfortable with the process.  She told me that she wanted to be in bed early so she could be ready for school.  She was asleep by 8pm…love it!  I am the mother of a 3rd grader and a Kindergartener, where does the time go?