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Monthly Archives: February 2010

Why I Hid My Surgical Complications

When I wrote this post: breast-necrosis-photos I mentioned that, as the necrosis was developing, I kept the extent of the damage from my husband and my family as long as I could. There are a few reasons. They may not make much sense but if you’re going through this, I think perhaps you can relate.

1) “I don’t want to be a burden”. No one wants to cause problems for their family. As women we generally put everyone else’s needs before our own. When we’re sick or hurt we usually keep it to ourselves until it’s really bad. Even then, most of us hesitate to ask for what we need for fear of being a burden.

2) “It’s my fault. I’ll handle it myself.”. My big guilt trip for the longest time was that somehow, this was all my fault. Because of that, I was going to deal with it myself. I’m a big advocate for personal responsibility. Since I felt responsible for what happened, I was bound and determined to handle it all on my own.

3) Fear. When I was in my late teens my mother went through something similar to what I have gone through. My father had an extremely hard time dealing with it and it drove them apart. I was stark raving terrified that if my husband saw what was happening to my breasts, he would leave me.

4) Sheltering. My husband led a pretty sheltered life before all of this. I wanted to protect him and shelter him from the trauma so that only one of us really had to deal with it. I put up an extremely good facade too. 99.9% of the time he had NO idea that I was in a mental and emotional Hell.

For those reasons, I kept the necrosis hidden. He was not allowed in the bathroom during my bandage changes. He was also not permitted to see me when I showered. I gave him updates after my check ups with the plastic surgeon but he was never permitted to see. Not until much later when I had absolutely no choice in the matter.

Some people call this bravery. Since it was fear based, I still think of it as self preservation.

 

Latissimus Flap Breast Reconstruction Photos

Since I posted the necrosis photos and a description of each one yesterday, for Valentine’s Day I am celebrating the Twins by sharing with you just what a latissimus flap reconstruction looks like not long after surgery. For those not familiar with this type of breast reconstruction, please see this link for more information: living_latflap.htm#how

This is not graphic like yesterday’s post. The link above is actually more graphic and shows part of a lat flap procedure.

The first photo you see is my back. The long scar lines is where the latissimus muscle was removed from before it was migrated under the skin of my armpits. And yes…I AM a tattooed chick ;-)

Where you see the gauze, that is protecting the entry point of my surgical drains. I have talked about those in previous posts. Just do a search for surgical drains for more information. on those.

The second photo below is of the flap itself. It is the oval-shaped inset. This is VERY soon after the surgery. Those wrinkles relaxed over time and I no longer have them.

And finally,  below we have a happy pair of bouncy baby Twins! I went from a C cup with my original breasts to no breasts to an E cup. I still have nipple reconstruction when we can afford it, but right now I’m just thrilled with my Girls. I’d like to add that these results were accomplished WITHOUT breast implants. Those breasts are all my own, natural tissue.

The white tape you see outlining the flaps is to help the scars heal flat. This reduces the chances of keloid scars. I’ve talked about those in other posts too. If you have any questions, please don’t hesitate to contact me at boobcast (at) gmail.com

 

Breast Necrosis Photos

Below you will find photos of what breast necrosis looks like. These are EXTREMELY graphic photos. This post is for MATURE VIEWERS ONLY!!

I am putting these photos up, not for shock value or to evoke pity. I am posting these images of breast necrosis so that when another woman has this happen to her, she will be able to look at the photos and evaluate for herself if she just has really bad bruising or if her tissue is necrotic.

I have said SO many times before that when I was going though this I did not have ANY pictorial references. I didn’t know what to look for. Now YOU, dear reader, do. If you are unfortunate enough to be reading this, searching for answers, please contact me at boobcast (at) gmail.com if you have ANY questions at all.

During the period you see below, I felt so very alone because I couldn’t find anything to compare myself to. I was also sheltering my husband and my family from what was going on. So I WAS alone. YOU don’t have to be.

The first photo (below) is approximately a week after surgery. Most of what you see is bruising. However the black spots are necrotic tissue.

The next photo you will see is closer shot. In this second photo you can see the difference between the bruising and the necrotic tissue. Here you can see the difference in the texture of the skin where it has really started to die.

This next photo is blurry and I’ll ask your forgiveness for that. You can see where a hole has opened up in the dead tissue.

There is a process called debriding where dead tissue is cut away. It doesn’t hurt because the tissue has died and has no nerves. It’s just rather horrifying knowing that part of your body has died and is being cut away. They don’t put you to sleep or anything. They just cut it off with surgical scissors. The completely black area used to be my nipple. That is was totally necrotic tissue looks like.

The yellow tissue is, as you may have already suspected, breast fat.

A photo of my other necrotic nipple and areolae:

Finally, a VERY graphic closeup of one of my breasts after the debriding:

 

Boobjob Verus Breast Augmentation

Dr. Grant Stevens speaks out on the subject:

n excellent breast augmentation can look natural, feel real and have a natural shape. Plastic surgeon Dr. Grant Stevens, Los Angeles, makes a distinction between successful breast surgery and the obvious “boob job” where it’s easy to tell a woman has had surgery

“Part of an excellent breast augmentations the fact that the breasts look as if they could actually occur in nature,” he explains. “There should be a question in the viewer’s mind as to whether or not these are real or are surgically created.”

A good breast augmentation has a natural fullness and gentle sloping off the chest wall. There should be natural cleavage, without webbing between the breasts and a certain amount of perkiness. Dr. Stevens lists five basic considerations that make for a desirable breast augmentation:

  • which incision to use
  • what type of implant to use
  • placement of the implant
  • texture of the implant
  • size of the implant

Before having surgery, you should go over photographic examples of the breasts you want with your surgeon so that you both have a clear, visual understanding of the desired result. “My job is to make the breasts look like the photographs,” says Dr. Stevens.

There are four choices regarding where to make the incision for a breast implant: underneath the arm, around the nipple, or in the inframammary fold (where the breast meets the chest wall). The fourth is the umbilical incision, but is not as preferred as the others. There are advantages to each incision.

“l allow the patient to direct me as to which incision she wishes to have,” says Dr. Stevens. “We know that each incision has a certain amount of scarring, but our goal is to have the scar so minimal it’s inconspicuous.”

Sometimes there are ethnic factors(in terms of skin type and color) that might encourage one incision over another. Dr. Stevens refuses to recommend any incision per se but notes that: “Of all the breast augmentations I have performed on nurses, physicians or even my own employees, none have ever asked me to do either the inframammary fold or armpit approach. I find it highly significant that women who have been surrounded by the plastic surgery industry and have seen the most results, have never asked for an incision other than beneath the areola.”

The type of implant used has certain limitations in terms of availability. Currently, there is a moratorium on silicone implants; the silicone gel implant has been limited to women who fit into specific inclusion criteria. “lf there were no moratorium I would be putting in far more silicone gel implants than saline implants,” says Dr. Stevens. “The silicone gel implants, in general, feel more like a breast and look more like a breast. However, we can certainly adjust the saline implants and in most cases are able to give the woman a natural-looking breast.”

The next question is where to put the implant. It can be placed either on top of or behind the muscle. “l place implants behind the muscle so the implants are partially covered,” says Dr. Stevens. “The muscle allows a nice smooth take-off from the chest wall. lf put directly on top of the muscle they can look like a half-grapefruit or rounded balloon the chest.”

The fourth criterion in an excellent breast augmentation is the choice of specific implant. Should it be smooth, textured, low profile, high profile or anatomic? It’s important that each implant is individualized to achieve the size and shape the patient desires. According to Dr. Stevens, that individualization should dictate the decision.

“It’s my feeling that if the surgeon is wedded to only one type of implant then all the breast augmentations will look the same. This is not cookie-cutter surgery. Cookie-cutter breast augmentations are, in my opinion, ‘boob jobs’.”

Finally, although there is a size range from which to choose, the breast implant must be appropriately sized for the individual.

“When a breast augmentation is extremely large compared to the woman’s body, in my mind, it falls into the category of a ‘boob job’ because any one can certainly spot it,” notes Dr. Stevens. “If you take a little woman and you give her size double-D breasts, most people would agree that this is inappropriate. For a larger woman however, that size may be reasonable.Mostlf my patients want to be In the C to D range but certainly some women want to be a large D and some women only desire to be B-cup size.”

“Boob jobs” are often hard, round balls on a woman’s chest. Beautiful breast augmentations have a natural shape and size. Allowing natural movement, the implanted breasts slope gently off the chest and feel soft to the touch.

 

Talking Is Harder Than Writing

I’ve been writing BoobCast for so long, one would think that losing my breasts to necrosis would have gotten somewhat easier to talk about. I would have liked to believe that writing about it makes it easier to deal with at all.

It hasn’t.

Yesterday I hung out with someone I haven’t seen in about a year and a half. After we talked about the initial reason she contacted me again, she asked me what had been going on with me since last we saw each other. So I told her. Not in vivid detail mind you but enough so that I was kind of choking up.

What surprised me even more is how much anger I still have towards the man I feel is responsible for all of this. I’m still legally constrained from mentioning his name or the name of his practice. That doesn’t keep me from hoping that some day someone will break his hands with a sledgehammer so he can’t put some other poor woman through this.

Almost 2 and a half years and I’m still angry beyond belief. I think what made me the most angry has always been his manner. There was The Valium Incident, generally replying “I don’t know” when asked what was going on and insulting my practice as an herbalist by calling it voodoo even though, as part of prep for the surgery I was given herbal supplements to take. Add to that, telling me to stop screaming as he sewed cadaver skin onto my rotting breasts to try to act as some kind of bandage. The screaming happened because he was sewing it on to a spot that hadn’t been numbed. Of course I left out those details. I can write about them but, as I type, I’m choking back tears.

When does this get easier??

It HAS to one of these days or I’m never going to be able to talk about this on stage. I still have hopes of turning BoobCast into a Vagina Monologues style stage show.

Do any of you know how to get speaking gigs?

For new readers, please read my earliest post in the Archives.

 

Huff Puff Huff Puff

I just got done with Day 3 in the first week of the C25k.com program. I finally made it through without stopping!!! On Wednesday I only did 15 seconds of the last running segment. Not today. Today I made it through without a single stop!! YAY ME!!

I will be repeating Week 1 of the program next week.

In other news: I am in desperate need of new sports bras and another pair of either sweats or long workout pants. Right now I am wearing a 38 C. The Twins look like a UniBoob. So this weekend it’s work out clothes shopping time!!

 
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Posted by on February 12, 2010 in Uncategorized

 

Boobie Bounce

Today we’re talking about sports bras. No matter what your cup size, a good sports bra is key when working out. A well-fitting sports bra will help prevent pain and even chest ligament damage.

Many women think that if they are an A or small B cup, a regular bra will work just as well. This is simply not true. “Ordinary bras can stop the bouncing but the new study by University of Portsmouth scientist Dr Joanna Scurr shows that breasts also move side-to-side and in and out and estimates are that more than 50 percent of women experience breast pain when exercising, regardless of cup size.” according to this article bouncing_breasts_bring_on_science_challenge

Sports bras are specially engineered to reduce movement, Not only do they keep breasts from bouncing up and down too much, they also reduce the side to side movement. Breasts have very limited support that comes from the body. The Twins can hurt for three main reasons: tenderness during the menstrual cycle; permanent breast pain, and exercise-related pain due to stretching of the breast tissue.

How do I know if my sports bra fits right? This article will give you the basics for finding just the right sports bra for your activity sports_bra.php

No matter whether you’re lifting weights, doing yoga or running a marathon, having the right sports bra will make those activities so much more comfortable.

 

C25K-Day 2

Today was my second day taking on the goal of running 5K in 9 weeks. I’m still really sure that I will be repeating the first week for one or two weeks. The important thing is that I am actually moving.

Report: YES!!! I did it!! The last time the program chimed to cue a run i only managed about 15 seconds out of the 60, BUT I kept walking until after the program ran itself out!! WOOHOO!!

I came to the conclusion that running, and for me I use that term VERY loosely, is a sport in which you compete against yourself. The goal is to do better or the same every time you run. If I tried to compete against someone who was already a runner, or even a week further along in the program, I would feel like a failure. But I’m not. I’m competing against myself.

Today, I won.

Friday I’ll probably make it all the way through. I am SO going to repeat this week though. Maybe three times. But what matters is that each time I get better and faster.

 

Fallout – The Implant Difference

If you are one of my regular readers, you know that I had implants with the initial breast augmentation and lift surgery. If not, implants are used to replace the breast volume that has been lost either over time or due to breastfeeding and pregnancy. They can also be used in the case of benign fibroid removal to help fill out the breast blGflA

My surgery was purely cosmetic. My breasts had degraded as far as they could go. According to the RN at one consultation, “they weren’t going to get any worse”. By degraded I mean that the areolaes covered the entire end of my breasts, my nipples pointed at the ground and my breasts had very little volume. They looked like a couple of pizza slices hanging from my chest wall.

It is not physically possible to put breasts back where they were when you were 18. Skin stretches far too much for that. What they CAN do is add volume. That’s where the implants come in. But there are big differences once the implants are in. Remember, these are foreign objects placed in your body. So they are not going to act like your own natural breasts.

Here’s what I’m talking about when I say “Headlight breasts”. They look like they were pasted on her.

Whether they are saline or silicone, they are not going to feel or act like your own natural tissue. For instance, with a natural breast in a 30+ year old woman, when we lay down, we end up with our breasts migrating towards our armpits. This is commonly referred to as fallout.

It’s just what breasts do after a certain age.

With implants, those puppies aren’t going anywhere. You lay on your back and they stay where they were put. They may move a little but not like real tissue.

This is one reason I advocate for tissue-based reconstruction whether it be TRAM flap or Lat Flap reconstruction for women who have lost their breasts.

The other reason is the feel of the breast. I can only speak from the point of a woman who has had saline implants. You can FEEL the implant through the skin. From my perspective it feels like you’re squeezing a warm, overfilled water bottle.When I poked at them, I could HEAR the saline sloshing sometimes.

My husband says, “They were very hard kind of like groping a hard, squishy melon. Well, something not as hard as melon but not as soft as breast tissue.”. He enjoys my reconstructed breasts much more. The reason he likes the tissue reconstruction better is that “they’re natural. They’re all you”.

The down side to tissue reconstruction is that, on a deep feel, you can feel the edges of the flap. You really have to search for it, but it’s still there. For my husband, there IS no down side now that the flap has softened.

 

Scar Tissue Stretching

This morning while I was experimenting, I found a way to stretch the layer of scar tissue in my back.

1) Sit with your feed flat on the floor on the edge of a chair

Then cross one arm over the other as demonstrated below.

Notice how my shoulders are straight and level?

2) Hunch the shoulder of the extended arm in towards the body and bring the extended arm in towards the opposite elbow as seen below. This stretches the muscle and scar tissue on the corresponding side. Hold this stretch for 30 seconds then slowly release.

3) Repeat for the opposite side.

4) To Stretch the entire back, hunch both shoulders in towards the body, bow head forward and cross both wrists in front of the center of the chest with elbows bent at  nearly 90 degree angles as seen below. Hold for 30 seconds, then release slowly. Repeat.

 
 
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