First off, I am very thankful that I have not had anything cancer related to blog about for a good while now!!!
I went to see my reconstruction surgeon yesterday. I have had some issues with my implants that I have not been happy about. And also because I went zip-lining over the weekend and I thought that I had yanked my arm off!!! That was causing pain down into the reconstructed breast area.
One of the issues with my implants is that the one on the right had “drifted” up quite high. The implant was smooshed (how is that for a medical term??) and could be felt right under my collar bone. The tissue also had areas of intentions caused by the scar tissue. The reconstructed breasts are sunken in on the front. I actually discussed with Dr. Little the option of having the impants completely removed and just closing me up. He said that based on the amount of tissue that was removed with my mastectomy, that I could expect to not just be flat like I assumed, but that the right side would probably end up with a caved in appearance and I may find that even harder to deal with emotionally.
Dr. L is going to do several steps. The first step will be to go in and release the scar tissue. I had this step done last April when I had the expanders removed. I am dreading this part because it was very painful. After releasing the scar tissue, he will do autologous fat transfer. This means that he will do liposuction on my abdomen and then transfer to my breasts in order to fill in the sunken in areas around my implants to give them a more natural appearance. He will not suction out the fat and then immediately inject it into the breast area. The harvested fat will first go through centrifugation to separate out the unwanted components (blood, oil, water) before being transferred to the breast area.
Dr. L says that this should help the appearance greatly. The most important part of the surgery is that it is releasing the scar tissue so that I do not have pain and discomfort from the implants having drifted.
His office is supposed to call me today to let me know when my surgery is scheduled. Sometimes I seriously question whether it would have been easier if I had never attempted the reconstruction portion after the mastectomy. I think it would have been much easier. But then on the other hand, I know how self conscious I am about the appearance of the implants, so I may have been worse off emotionally with no reconstruction. I don’t know. The one thing that I do know for certain is that no part of being diagnosed with breast cancer is easy.