Here are five tips I learned from my mastectomy experience. Mastectomy is surgery to remove all breast tissue from a breast as a way to treat or prevent breast cancer. Your armpits will change, temporarily. The breast tissue expander itself is more like a balloon than an implant. Also, during and after your operation, you wear special stockings . Expect to feel emotional: Some days will be better than others. The usual hospital stay after a mastectomy with breast reconstruction is less than 24 hours. I will be getting tissue expanders and will go home with 4 drains (no issue for me since I am a nurse). Your tissue has been injured due to the stretching and cutting during surgery. Some individuals may develop chronic pain following a mastectomy. I. Most women can resume driving 10 to 14 days after surgery. For tissue expander placement, you will go home the day after surgery. I slept in the living room in an overstuffed chair w/ottoman and pillows to elevate my legs and also behind my back. A bilateral mastectomy can yield the need of 2-6 drains depending on the amount of tissue removed and body type. During the mastectomy, the surgeon separates the breast tissue from the skin and muscle. Recovery can be anytime between four to eight weeks. Hi all, I had a mastectomy last Wednesday, and my drains removed 2 days after the op, which was great, but now i am feeling pressure where my breast was and it feels like there's some fluid building up. After you shower, check your incisions and drain sites in front of a mirror in a well-lit room. The tissue around your breasts and arms will be traumatized tissue, which puts out the heat. The reconstruction will take 1 to 6 hours. If you notice redness, swelling, or new drainage from the incisions, or if you have a fever of 101 degrees . Extreme tiredness ( fatigue) Problems that can develop later on include: Tissue death (necrosis) of all or part of a tissue flap, skin, or fat. Infection at the surgery site (s) Wound healing problems. Mastectomy is surgery to remove all breast tissue from a breast as a way to treat or prevent breast cancer. If you notice redness, swelling, or new drainage from the incisions, or if you have a fever of 101 degrees . What They Look Like, Implant Exchange, and Risks. Also, those pain meds will help you feel better over all sooner, take them if your in pain. Fading of scars (although they may always be noticeable) Loss of breast sensation after a mastectomy due to delicate nerves getting severed when the breast tissue is removed. Use a towel to dry your incision thoroughly after showering. I contacted my Breast Care Nurse yesterday and she said if it continues to get worse then . 7. Breast reconstruction won't re-create the exact look and feel of your natural breast. During the first two weeks after your expander placement, you should sleep on your back. To prevent blood clots, your nurses get you up as soon as possible after your operation. Weakness is a common side effect to mastectomy patients, especially to those who proceed with reconstructive surgery. However, many women find that it is more comfortable to sleep in a recliner chair for a while. A week before surgery, I met with my daughters' teachers to explain what was . I was there at least 6-8 weeks. 5. But the extreme soreness on the skin and burning is driving me insane. After your tissue expander has been the correct size for about one to three months, another surgery will be done. ; For tissue-based/flap reconstruction, you will be in the hospital for one to four days after surgery. Tissue expanders are breast implants that can be inflated while they are in your chest. My plastic surgeon said from his point, should only be one night. I just finished my second surgery (thank god). A low-grade fever that is under 100 degrees Fahrenheit is normal the day after surgery. Hi Erica! 3 to 6 hours: Double simple mastectomy d cup 2 1/2 hours. A. Pre-arranging school drop-off, scheduling house-cleaning help, and even little things, like ordering school Valentine's Day cards a month early gave me time to heal. Fluid build up after Mastectomy. Add sentinel ln to both sides make it 3. The procedure can be done at the same time as a mastectomy or after a mastectomy has healed. This drain is a plastic tube from under the skin to outside your body with a bulb attached to it. Add sentinel ln to both sides make it 3. The breast reconstruction process usually requires two or more operations. A 2018 observational study estimated that 20 to 30 percent of people who undergo breast surgery experience some type of chronic pain.. Patients are typically encouraged to begin showering 48 hours after surgery, and to use warm, soapy water. If you add reconstruction with tissue expanders by the plastic surgeons- at the same time starting when you are done one side - it is 4ish. It . You can also expect to several appointments over two to three months after your initial surgery in order to expand and stretch the skin on your chest in preparation for the implant. The fluid that drains from the body after a mastectomy is called serous fluid. Fact: "All implants will eventually break, so there's a finite lifespan to the implants," says Dr. Wu. Showering: Following tissue expander breast reconstruction, you can shower after 48 hours. In the second stage, after the chest tissue has relaxed and healed enough, the expander is removed and replaced with an implant. Use cold packs to help you sleep. Prepare for your mastectomy recovery. As the expanders in my chest were being filled weekly to prepare . One can expect your implant to last approximately 10 to 15 years. Implant rupture rates are approximately one percent per year but go up after 10 years. As for exercising, ask your surgeon when you may begin working out again, because advice may vary based on the type of surgery you had performed. Between 10 days to four weeks after a mastectomy or insertion, plan to visit your surgeon and have a saltwater solution injected into the expander to start stretching out the tissue. If the seroma isn't causing you too much discomfort, it will usually absorb back into the body in about a month, though sometimes it can take much longer. In the second phase, the tissue expander is removed and the breast implants are placed, then they are allowed to settle for several months. If you have breast reconstruction during the same surgery, you may have a longer hospital stay,. Please give yourself time, 3 weeks is not long for such a major surgery. Their one-size-fits-all approach saved . The length of your hospital stay after surgery depends on the procedures you have to reconstruct your breasts. Regaining sensation in your breasts, which Dr. Kanchwala says usually takes about a year and will vary from patient to patient. Sleeping for me. You shouldn't worry if water comes in contact with your incisions or drains. Answer: Expanders to Implants Every surgeon does this differently, however in the expansion process, I ensure that patients are happy with their size and let the expanders stay in place a minimum of 6-8 weeks after the last fill before we proceed with expander to implant exchange surgery (2nd stage reconstruction). It hit pretty close to home when the same week that I underwent my double mastectomy, my yoga teacher got her 17-year-old implants taken out. What to expect after a total mastectomy & insertion of a tissue expander (plastics) Author: Royal Women's Hospital Subject: info about total mastectomy surgery, after surgery care and insertion of a tissue expander \(plastics\) Created Date: 5/21/2015 11:20:57 AM After surgery, you're at risk of blood clots developing in your legs. My surgeon utilized support matrix called alloderm. Patients are typically encouraged to begin showering 48 hours after surgery, and to use warm, soapy water. 5 This will be done over a series of appointments and usually takes two to six months. They are hard and stiff compared to implants, which will feel and appear more natural. 2. Add formal axillary dissection to one or more sides adds 1 1/2 hours therefor 5 to5 1/2. 12 Days Post Mastectomy Recovery. End of story. Be careful not to touch or remove the steri-strips or sutures. Women who have (or had) breast cancer share what they wish they had known pre-surgery. Answer (1 of 3): In my case I was in the hospital for almost a week. ( Amazing doctors who pulled strings so I could stay there a few extra days) you can go home if you are lucky enough to live close by to get to your follow ups. In my case I lived 2 hours from the doctors and hospital I chose. The surgery usually involves a short hospital stay of 1 to 3 days and a follow-up in 1 to 2 weeks, but it may be longer if your procedure is more complex, or if you also opt for immediate. 8 Fluid build-up in the breast or the donor site (for a tissue flap), with swelling and pain. Your body has been though so much, take more time and rest. If you add reconstruction with tissue expanders by the plastic surgeons- at the same time starting when you are done one side - it is 4ish. Your nurse will teach you how to empty your drain. I will be having a double mastectomy on 5/11/15 and am just wondering how long others have stayed in the hospital with this. ; If we are exchanging your tissue expanders for breast implants, you will go home the same day of surgery. You can let your drains just dangle in the shower. 8 Things No One Tells You About Getting a Double Mastectomy. Bruising and some swelling are common in women after surgery. Approximately one to three months after the tissue expander has reached the correct size, you will undergo a second operation. This is the bra that got me through the dreaded expansion phase of reconstruction, where my breasts went up in size every week. Here are five tips I learned from my mastectomy experience. I was told it would take five months from start to finish, and that I would be completed by April. The second technique is a two-phase approach using tissue expanders later exchanged for implants. A mastectomy recovery tip that can help with sleeping after surgery is to wear two lightweight cotton sports bras, and slip a cold pack in between them. I had bilateral mastectomy three weeks ago, and expanders put in. The surgery lasts about one to two hours, and you'll stay in the hospital for anywhere from a few hours to 24 hours. Tissue expanders are eventually replaced with permanent breast implants. One method of reducing drainage is to have the surgeon "quilt" the skin while performing the surgery. And I prefer you not do any exercises that involve your pec muscles for a few weeks. The expander has a port (a metal or plastic plug, valve, or coil) that allows the surgeon to add increasing amounts of liquid (a salt water solution) over time (between 2 to 6 months) until the skin gradually is stretched . So, something like a stationary bike is a good thing to do initially. The purpose of atissue expander is to stretch your skin to prepare it for an actual breast implant. Feb 11, 2014 • 8:16 PM. For the last 10 years of my life, I've been someone who has been dedicated to working out regularly. Showering: Following tissue expander to implant exchange, you can shower after 48 hours. This is the reconstruction technique that was right for me. During this surgery, the expander is removed and an implant is inserted in its place. They encourage you to move around or do your leg exercises. Due to different circumstances, and since there's no rush for me, I haven't put the implant in yet. Its job is to stretch the skin to provide room for the eventual . 3 to 6 hours: Double simple mastectomy d cup 2 1/2 hours. A month later I started with the expander. You shouldn't worry if water comes in contact with your incisions or drains. We recommend that women who want to sleep in bed place pillows under their head and knees to support their body. I heard that the average time to keep the drains in was 1 . A mastectomy recovery tip that can help with sleeping after surgery is to wear two lightweight cotton sports bras, and slip a cold pack in between them. April 2013 #5. How long will it take to recover? was a huge adjustment. Showering: Following tissue expander breast reconstruction, you can shower after 48 hours. It involves expanding the breast skin that remains after a skin sparing mastectomy with the use of a tissue expander. Prior to having breast cancer, I naively thought a bilateral mastectomy consisted of removing old boobs and putting in new "permanent" implants. How long did you have JP drains after mastectomy with reconstruction? Once your tissue expander is in place, your surgeon will fill it with liquid or air over about 6 to 8 weeks. Additionally, how long does it take for mastectomy incision to heal? Out of the 10 million women in the world who've received implants, 359 women have been identified with this type of cancer according to my plastic surgeon at UAMS. You will have a Jackson-Pratt (JP) drain after your surgery. You're not lazy, not one little bit. I had reconstruction at the same time, and came home w/4 drains and a pain pump at stomach level, not chest. Discuss quilting with your surgeon. Expanders out, implants in. The truth is, this is a very invasive surgery with an intense recovery. Coobie Fusion Yoga Bra, $22. At five weeks, I thought they were all crazy, but you do turn a corner. 1. I am hoping they will remove both of them at my appointment on Thursday but the right one is still consistently putting out 25-30 cc's per day. I rang and was told it was going to be June, then I went round to find it would be September, and today I rang to be told its now October 21st which will mean that I will have had my expander in for 11 . Today marks 22 days since my double mastectomy with tissue expander reconstruction and I still have 2 of the 6 JP drains in. It may be an option for women having double mastectomy to prevent breast cancer. Its most often felt in the areas of the chest wall, armpit, or arm. It may take time to regain that muscle strength. If immediate breast reconstruction is performed during the mastectomy, the surgery will take longer (about 3 to 4 hours for reconstruction with tissue expanders or breast implants and 6 to 8 hours for reconstruction with tissue flaps). 1. Only the patient's skin and fat are used. This may hurt, but it should feel better in a few days. A. Use cold packs to help you sleep. The surgery is typically performed by a plastic surgeon. After you shower, check your incisions and drain sites in front of a mirror in a well-lit room. I thought I was doing really well- no infection etc.. That means you may go home the same day as your surgery. Inserting the tissue expander can take between one to two hours of surgery time. The surgery lasts about one to two hours and is followed by a hospital stay of four to 24 hours. Most everyone I talked to before the surgery told me to give myself six weeks to heal. After you recover from your mastectomy and your incision heals (around four weeks after the surgery) saline will be injected into your tissue expander to gradually stretch the surrounding tissues and create space for a permanent breast implant. I'm taking Panadol, and anti-inflammatories, but they don't seem to make any difference. The healing process varied day to day. Complications are possible but rare. Ask your surgeon if this is a possibility for you. The chest tissue is usually ready for the implant 2 to 6 months after mastectomy. If you are prepared, stay on a schedule, and have a supportive caretaker (or community help), it's very manageable. There is also a small risk of a blood clot in your lungs. Anyways, my mom passed away 2 years ago and watching that happen was the only reason I was brave enough to do this. A double mastectomy procedure may include: Subcutaneous mastectomy removes all or most of the breast tissue under the skin. The final stage may include nipple reconstruction and any refinement of the results you and the plastic surgeon decide to . Bleeding. Most people who have a mastectomy only need a short hospital say. This is typically 3 days or less . Benefits of the DIEP flap procedure over implant reconstruction include: No foreign objects. Accept whatever emotions arise, and know that it is normal to feel grief, anger, sadness, and fear after this type of procedure. According to BreastCancer.org, they can show up 7-10 days after surgery, typically after the drainage tubes have been removed. How Long Does Breast Reconstruction Surgery Take? If having a unilateral mastectomy, most patients can expect 1-2 drains. I'm 25 and currently going through the exact same thing you did, the bilateral prophylactic mastectomy due to the mutated BRACA1 gene. What's involved? Typically, that happens within 10 to 15 years. Your surgeon will place it during your mastectomy. The tissue around your breasts and arms will be traumatized tissue, which puts out the heat. You can let your drains just dangle in the shower. This surgery is to replace the expanders with implants. If immediate breast reconstruction is performed during the mastectomy, the surgery will take longer (about 3 to 4 hours for reconstruction with tissue expanders or breast implants and 6 to 8 hours for reconstruction with tissue flaps). Preparation for the procedure, including anesthesia, may take 2 hours. During the process of breast reconstruction, tissue expanders help the body to safely rebuild. Write down the amount drained on a sheet of paper. A mastectomy without immediate breast reconstruction can take 1-3 hours. I was given Tamal, but they play havoc with my stomach. I am scheduled for March 24th, however, due to work, I want to move it off another couple of weeks. What is the fluid that drains after a mastectomy? Tissue expanders can also be inserted immediately after a mastectomy or later. Empty the drain two to three times per day or when the bulb is full. how long can a tissue expander stay in? Blood clots. It leaves the nipple-areola complex intact. mhc39. 10 Weeks Post Op I am currently 10 weeks post op and life has completely resumed to normal. But after my mastectomy, one of the hardest parts of recovery was not being able to get my . After my bilateral mastectomy, a tissue expander was placed on each side behind the chest muscle. The expander is slowly filled with saline during periodic visits to the doctor after surgery. A tissue expander is an implant that's more like a balloon. I had a prophylactic bilateral (right and left) skin and nipple-sparing mastectomy with immediate reconstruction using . Prepare for your mastectomy recovery. Chronic pain after mastectomy happens due to nerve damage. How long is surgery to remove expanders and put in implants? Pre-arranging school drop-off, scheduling house-cleaning help, and even little things, like ordering school Valentine's Day cards a month early gave me time to heal. I have to wait 2 full months from my last fill to ensure the skin over my breasts and muscle have stretched enough before my second surgery to have the final implants put in which will likely be sometime in early March. Muscle Weakness. 9 May 2012 18:30. I had a prophylactic mastectomy in November and had a tissue expander put in. A week before surgery, I met with my daughters' teachers to explain what was . First, your breast tissue will be prepared for the implants with a tissue expander. Exercise: You can exercise after 1 week as long as you're not doing anything that involves bouncing. It stretches the skin to make room for the final implant. Essentially, the surgeon sews part of the skin flap down so that you don't have as much room in your chest to produce drainage. Tissue expansion is a type of breast reconstruction commonly used for mastectomy patients. Redirecting to https://www.breastcancer.org/treatment/surgery/mastectomy/expectations (308) Add formal axillary dissection to one or more sides adds 1 1/2 hours therefor 5 to5 1/2. 7. Take your time, but don't ignore the muscles. Length of hospital stay after bilateral mastectomy with expander placement. If your doctor's suggested a double mastectomy . The procedure uses the patient's lower abdominal skin and fat to reconstruct a breast after mastectomy but unlike the TRAM flap procedure, preserves all the abdominal muscles. Nipple-sparing mastectomy and skin-sparing mastectomy are other names for this procedure. 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