I was thinking sit-ups. Other than that, I feel sore and swollen as you describe. This should only be performed once all incisions are completely healed and patients are given the approval from their surgeon. It is helpful. Get a step stool to use while getting in and out of bed, as well as in and out of your car. Please feel free to complete our virtual consultation form here: https://prma-enhance.com/schedule-a-consultation/. I am 8 months post DIEP and 2 months post phase 2, in which my PS got rid of my 'ken doll' and re-tightened what was an already tight and swollen abdomen. While your doctors will equip you with the best knowledge before and after your DIEP flap breast reconstruction surgery, there is one thing they probably won't be an expert in: DIEP flap recovery bras. He was brilliant. How does he really feel about the state of my chest? Definitely more like me. If you were looking for photos of my scar or chest, thats not gonna happen either. Breast Cancer Now is a company limited by guarantee registered in England (9347608) and a charity registered in England and Wales (1160558), Scotland (SC045584) and the Isle of Man (1200). Being slim does make the recovery process longer and for the scar tissue to recover. They do not. Please enable it to take advantage of the complete set of features! Its definitely there in plain sight, along with all the others. Just kidding. After DIEP flap surgery, you stay in the hospital for two to five days. The bilateral pedicled DIEP flap in breast reconstruction is mainly indicated for patients with large breast and a small amount of abdominal tissue. The vascular pedicle was cushioned by a local pectoralis major muscle flap to prevent vascular spasm and embolism induced by direct contact with the cement. It provides unparalleled support and is so comfortable, you'll forget you are even wearing it. Its not about the scale. I resumed my walking routine pretty much right away post surgery. Have you had any sort of breast reconstruction, and if so, are you satisfied with the results? This is about your overall, ongoing health. Your tummy is likely going to always feel a bit tight after DIEP flap surgery. You might not be able to have this procedure if you: A plastic surgeon with specialized training in microvascular tissue transfer performs DIEP flap surgery. This website uses cookies to improve your experience while you navigate through the website. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/documents/News/Statistics/2017/reconstructive-procedures-ethnicity-2017.pdf). 10 Reasons Why Breast Reconstruction Is Not a Boob Job! * To protect your identity do not use your full name. They may be able to assess whether you need to be seen by the surgeon again or whether there are any exercises that may help relieve your pain. I have had scans and tests and they say there is nothing there. It would be helpful to get a physio's opinion about where the pain is coming from and whether it is indeed still scar tissue. My GS wasn't happy, but, didn't say he was upset because you know how that goes-drs don't throw each other under the bus. You may also experience tightness in the abdomen for the first 3 months the abdominal binder will help support this donor site. Im not sure. I can imagine that it must be so frustrating to be left with a lot of discomfort after your surgery. Signs of infection in the incision sites, such as pus or foul-smelling drainage. Why this is Im not entirely sure. Abdominal Tightness After DIEP Flap Surgery. If I wanna eat more, I gotta walk more often and further, so I adjust accordingly. Up to three pounders now. I know expanders wouldn't have worked for me, anything introduced into my body causes me issues--so, DIEP was my option--and most of the time I am happy enough, until my belly bloats and my foobs are achy and sore and I have no interest with all that to give much physical affection to my husband. Yep. Im still in pain and in PT. After DIEP flap surgery, you can start walking the next day, though it will probably hurt because of the incision in your abdomen. The original plan of having expander and then an implant was my anchor getting me through all of this, and now I just see whats left and its not much. Those are no fun at all! WebThe different types of flaps from your abdomen that may be used to re-create a breast mound are listed below: Pedicled Transverse Rectus Abdominis Myocutaneous (TRAM): this flap is rotated on its blood supply and consists of skin, fatty tissue and muscle, with or without fascia. Dear Hubby hasnt said much. Kimberly, I'm glad your surgery is behind you and that you're doing much better post drains. Your article was an emotional read for me, & I appreciate the transparency of your own emotional & physical journey. the stretching exercises are really good to do. Breast reconstruction is a personal choice. When the PS examined my lower abdomen, he commented I can work with this. Lower risk of hernias and abdominal bulging. Elizabeth, seems we all had similar experience re poor advice post op! WebA deep inferior epigastric perforator (DIEP) flap breast reconstruction rebuilds a breast shape by moving skin and fatty tissue only (no muscle) from the abdomen to the chest. Helpful. the charity Breast Cancer Now have a service called 'someone Like Me' where they can try and put you in touch with similar women who have been through similar surgery. A drain kit with instructions and teaching by the nursing staff will be provided at the hospital. I've not had such dreadful problems as you have had - but I'm 2 years post op and my abdomen hurts at the end of the day, i still get spasming off and on. official website and that any information you provide is encrypted Most of us try to do our best, which means entirely different things to each of us. The vascular pedicle was cushioned by a local pectoralis major muscle flap to prevent vascular spasm and embolism induced by direct contact with the cement. Youll need to avoid strenuous activities, heavy lifting or overhead movements. LEARNING HOW TO MAKE THE BEST DECISIONS FOR OURSELVES WHEN IT MATTERS, TOP 5 THINGS TO WEAR HOME POST-MASTECTOMY. To learn more about DIEP flap surgery, visit PRMA Plastic Surgery. And patience. Im not gonna lie, there are still days (over the past ten years, actually) when I look in the mirror and say, WTF happened? Same here! Lightly massaging your abdominal scar area is important and can really help but ONLY if, when and after you get permission from you doctor. (Why do they look so easy?). I did a lot of walking,then after 3 months post op went back to Pilates,Body Balance and now swimming. Concentrate on contracting the muscles below your belly button during each breath out. Would you like email updates of new search results? I'm worried that i would then look like a patchwork quilt, plus he would have to move the nipple and surely that would lead to a Loss of sensation there. Thank you for your story. Mine favors yoga and controlled, modified sit-ups and planks. It may sound strange but because of the effects of DIEP flap surgery, the abdomen is extremely tight, so making big steps on your hard may prove to be hard on your own. Im reminded every day. The success rates of DIEP flap surgery are between 96% and 99%. Its not about deprivation. (Input on this, anyone?). Oh Elizabeth you are still early in your recovery! What is chemo-induced peripheral neuropathy & how do you manage it? How Long Will I Be Out Of Work After DIEP Flap Breast Reconstruction Surgery? This study aimed to conduct a longitudinal analysis of long-term outcomes after immediate DIEP- and TE/I-based reconstruction. I wish you all the best. It's crazy because I buldge so badly that it's difficult to hide under shirts, and now, under bathing suit! WebDeep inferior epigastric perforator (DIEP) flap breast reconstruction (reconstructive microsurgery) uses skin, fat, and blood vessels from the abdomen to create a new breast mound on the chest after mastectomy. Tip: If you sit/work at a computer, try to maintain good posture. Emm, I'm glad you stumbled on this post too. This style will work post-surgery but will also care for your sensitive scars and skin through radiation treatment and beyond. Note: An audio version of this post is available via my Free Resource Library. I would go and have a chat with your GP to get them to assess your symptoms with a view to perhaps seeing the surgeon if the symptoms don't settle down. 2023 Breast Cancer Now. Answer: Post DIEP flap abdominal swelling This can happen after a bilateral DIEP flap for up to a year, especially after exercise or at the end of the day like you described. You have to make sure you do nothing at all for the first few weeks. I would be happy to receive news and updates from Cancer Chat, NICE suspected cancer referral guidelines, Cancer Research UK for Children & Young People, DIEP FLAP surgery - abdominal tugging 16 months post-op. Today, I discussed a plan with my surgeon to remove both implants, assess & test for anything that may be under the left implant, then replace both w/ tissue expanders in anticipation of a follow up bi lat DIEP reconstruction. Plus, it smells like youre at the beach! Hi i had prophylactic double mastectomy in May 2015 and have had nothing but dramas ever since , I have had seven surgeries on my breasts and the most recent April 20 2017. this last one hopefully is successful. The abdominal donor-site is shown in patients after breast reconstruction with DIEP. The DIEP flap breast reconstruction is today's most advanced form of breast reconstruction. It uses skin, fat and blood vessels from your lower belly to rebuild your breast after a mastectomy or lumpectomy. I put a pleat in the shoulder straps of crop tops to lift the lower breast, I wear under patterned sundresses and tops and don't think any one notices one breast is a bit lower and larger on holiday in the sun. It took awhile before sitting up and getting out of bed wasn't uncomfortable. I just had a mastectomy couple days ago. My plastic surgeon continues to remind me that this is normal. (1) Proximal end of right internal mammary vessel; (2) Right deep inferior epigastric vessels; (3) Right pectoralis major muscle flap. my PS consultant said it'll be sorted on next operation but who knows how long I'll be waiting. You might want to read, 10 Reasons Why Breast Reconstruction Is Not a Boob Job! Youre stuck with a very unrevealing selfie apparently one with Ninja looking on. But, it still doesnt feel normal which really means it doesnt feel like it did before. So it's not so awful with boobs that don't match! Simply tie it loosely in the front and you won't have to worry about causing irritation to sensitive areas while you heal. I still have a large fat necrotic area that is very slowly dissipating. People with risk factors such as diabetes, high blood pressure and high cholesterol may have success rates on the lower end of this range. Once you've healed, our Abby Lounge Pant will keep you comfortable. Federal government websites often end in .gov or .mil. Have a few of your own DIEP flap healing tips and tricks? WebAnd your recovery should be less painful than some other flap surgeries. I also have a large amount of fluid under my new breast (in the muffin top area). Abdominal wounds, nerve sacrificing procedures and obesity correlated with an increased incidence of weakness; these data were not statistically significant. You have posted in ask the nurses if you post in another thread you may find that you have more posts. Okay, I try to. DIEP (deep inferior epigastric perforator artery) is a blood vessel in your belly. In winter, walks can be more challenging. Necessary cookies are absolutely essential for the website to function properly. An official website of the United States government. Walking around Target or the grocery while hanging onto a cart is a suggestion someone shared as a way to get in wintertime walks. And mine was smack dab in the pandemic. The point is, after you get the go ahead, start slow. Join Our AnaOno Community and Receive 15% Off Your Order, Terms of Service | Privacy Policy |Accessibility |, Previvor, Mackenzie recovering from her DIEP flap in her, You will want uber-soft, yet supportive bras that will hold the weight of your new breast tissue without the restrictive discomfort of a traditional bra. This style will work post-surgery but will also care for your sensitive scars and skin through radiation treatment and beyond. Many times. OMG. (1) Proximal end of right internal mammary vessel; (2) Right deep inferior epigastric vessels; (3) Right pectoralis major muscle flap. Maybe. ALL WOMEN SHOULD HAVE ACCESS TO MODERN, MUSCLE-PRESERVING BREAST RECONSTRUCTION! Regarding the swelling and such. I would also strongly advise plastic surgeons to avoid this comparison. The following structural changes were evaluated at four specific levels of the abdomen by two radiologists (among the authors): 1) rectus diastasis, 2) thickness and width of the rectus muscles, 3) thickness of the adipose tissue, 4) hernias (in the zone between the xiphoid process and the symphysis). Its important you do not do any of these exercises without your doctors approval. Immediate vs Delayed Breast Reconstruction, Hidden Scar Mastectomy & Breast Reconstruction, TruSense Restore Feeling After Mastectomy, Surgeon Tips On Preparing For Your Consult, Using Nutrition and Exercise to Prepare for Surgery, Enhanced Recovery after Surgery (ERAS) Protocol, San Antonio Breast Center Welcomes Newest Breast Reconstruction Specialist to the Team, Guest Post: Strength Training After Breast Reconstruction, The Importance of Choosing a Breast Surgery Team Rather Than Just a Surgeon | PRMA Newsletter June 2022, Fat Necrosis After Breast Reconstruction | PRMA Newsletter July 2022, How Early Stage Breast Cancer Spreads to Other Parts of the Body | PRMA Newsletter May 2022, Local Breast Reconstruction Center Hosting 10K Race to Raise Money for Breast Cancer Nonprofits, Body Image and Breast Reconstruction Complications - Are They Related? Try to keep that proper nutrition stuff going for the long haul. Remembering Linda Catanzaro Boberg Another Life, Another Friend Stolen by MBC, Lynch Syndrome Awareness Day 10 things I want you to know about previvors by Georgia Hurst. Your provider might take photos of your breasts and abdomen and order imaging scans to plan your surgery. DIEP flap breast reconstructionuses skin and fat from the lower abdomen to recreate a warm, soft, natural breast following a mastectomy. Tip: Try to eat as healthy as you can, but do not focus on the scale. Im now six months (almost seven, Im none too speedy with this update), post DIEP flap surgery. government site. For example, if I dont pay attention to posture while working at my computer, I get uncomfortable. La La the exercises really help pity physios at the hospital I attend don't follow up on patients they were supposed to give me more exercises after a few weeks but obviously I've slipped through the net. National Library of Medicine Cancelled the first time. sharing sensitive information, make sure youre on a federal On the other hand, it feels like ages ago. WebThe different types of flaps from your abdomen that may be used to re-create a breast mound are listed below: Pedicled Transverse Rectus Abdominis Myocutaneous (TRAM): this flap is rotated on its blood supply and consists of skin, fatty tissue and muscle, with or without fascia. When shopping, look for non-compressive leggings, lounge pants and harem pants that are easy to put on, take off and don't strain your abdominal surgical site. Careers. Reading your words gives me comfort knowing that someone else not only has good days, but also hard days in accepting the changes to our bodies in the wake of the thief that is breast cancer. The procedure is performed by plastic surgeons and relies on microsurgery techniques. Share them with us in the comments below. I guess if I hate it I can always change my mind but for the moment, I think I'll go that way. WebLymph nodes in my lower abdomen were moved up to my chest and a good bit of belly fat and abdominal skin (the diep flap) came along to form a new breast. 4. 2. This is a muscle-sparing surgery, so you don't lose any muscle in your abdomen. Had somewhat small pooch in my lower abdomen. A retrospective review of 644 patients who underwent abdominal based flap breast reconstruction between 2009 and 2018 and met selection criteria was performed. This is all on my left side where I had the diep, beginning to wonder if I can cope with having my right breast lifted they were also going to remove the upper abdo skin area. The PT has been using laser and ultrasound to try and break up the hardened tissue on my breast & has recently started working on my lower abdomenhope this works. A pedicled TRAM flap uses your whole rectus muscle one of the four major muscles in your abdomen. Abundant tissue can ensure the symmetry and beauty of the reconstructed breast, and avoid prosthesis implantation and contralateral breast reduction. She said yep, that's exactly what she did. I was very nervous like you but don't regret a thing. I was in hospital for 5 nights. It requires a long abdominal incision stretching from hip to hip. When I first got home post surgery, I was down roughly ten pounds after the initial swelling/bloating phase post surgery. Last reviewed by a Cleveland Clinic medical professional on 08/18/2022. 14 However, this method of reconstruction has several disadvantages, including the cumbersome positioning, the need for flap division, and delayed hand therapy leading to stiffness. I read on another site that in order to harvest abdominal tissue for the new boobs, they have to cut through all the fascia layers so it can take up to 2 years sutures to dissolve. My query is that ever since my first surgery I have had Abdominal swelling and bloating which is very uncomfortable. Sitting too long is what can be a problem. I didn't have a lot of discomfort sleeping on my side, as I recall. Seven percent of patients who answered the BREAST-Q reported abdominal weakness. Keep me posted. WebI had DIEP flap back in I had DIEP flap back in January. At least these PT exercises are working. It seems to be quite common for double DIEPers. Reconstructed. Happy to PS with more info if it would help. Hold for 5 seconds. Patients in the umbilicus sacrificing cohort had an increased incidence of weakness (p < 0.05). Tip: Avoid telling someone shes lucky to get a tummy tuck from a DIEP flap surgery. I just want to heal and live my life beyond breast cancer. You May Have Other Flap Options! Joining my email list gives you access to my Resource Library filled with FREEBIES! Policy. You also have the option to opt-out of these cookies. Do not say that. I get up in the morning and it is not too bad but by mid morning it is starting to get hard and tight and bloated. There is an ongoing feeling of abdominal tightness, which makes sense considering the procedure. Bookshelf I'm 48 btw. (Yeah, those f****** implants were heavy.). WebRedirecting to /treatment/surgery/breast-reconstruction/corrective-reconstruction/hernia (308) Tightness in the skin of your belly and around the reconstructed breast. We would be more than happy to evaluate your needs and provide you with our medical recommendations upon consultation. Epub 2018 Sep 4. I tell myself to make the final judgment at one year post surgery. My lower abdomen remains uncomfortably tight/tensefeels like my pubic area has been pulled up way too much. You're definitely not alone. Two-stage tissue expander/implant (TE/I) and deep inferior epigastric perforator (DIEP) flaps are the two main pillars of breast reconstruction. Aim for 5-10 of these contractions several times a day. Tip: Stick to comfortable, non-restrictive clothing for as long as you want. I had the fluid from it drawn off 8 times( twice a week ) at the beginning. We also use third-party cookies that help us analyze and understand how you use this website. Disaster. If you are having any radiotherapy treatment post-operatively it may cause tightness around You will need someone to do the housework and you can't drive for a month at least . People may choose to have this procedure after breast cancer surgery such as a mastectomy or lumpectomy. Benefits of the DIEP flap procedure over implant reconstruction Do light exercise in the weeks and months before surgery to improve muscle strength and increase cardiovascular health. it is hard as you don't want to do any damage,but you have to ensure your arm/s don't stiffen up. are you aware of nay kind of creams to lessen the scars? These cookies do not store any personal information. Answer: Yes your abdomen can feel tight 5 months after a DIEP flap. 271: Long Term Side Effects of Breast Cancer, No. This could cause the flap to fail. I've kept asking about the abdominal tightness/tugging, around the permanent stitches the surgeon added to the muscle fascia (below, and to the right of, the scar), and have been told that because I was slim, fit, and had never had children, that it could take 18 months to 2 years to ease off. My doctor isnt a big fan of sit-ups post DIEP. Its important to make that distinction. (below) Rectus Abdominis muscle rotated up to chest. The photos show an excellent result. Based on the desired volume of the DIEP flap, the perforator or perforators to be used is/are chosen. Of course, this has always been the case. Of the total study group, about 1 in 4 women experienced an issue that required another surgery. If you decide to have breast reconstruction, you should discuss the risks and benefits of each option with your healthcare provider. The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday. Everyday I felt less swollen and so much better. Re: Abdominal swelling 6 months after diep reconstruction. The blood vessels are microscopic and require rest and time to heal. Jackie, Gosh, I hear you. I am grateful to have found this thread. FOIA Some things cannot be recreated. I am so sorry! I'm sorry you are facing these challenges, and I hope reading about my experience helps a bit. Hence, free flaps have become the I can't take credit for it, Its commonly called that here in N.Ameruca, I'm in Canada. As mentioned before, your abdominal area will be sensitive, feel tight and require a lot of special care and attention when it comes to dressing yourself. That's where we come in! If you had a tissue expander, it will be removed during your flap surgery. Ive figured out (finally) that this is what works for me. Another option for lounging around the house is to pair your favorite new post-surgery bra and panties with a simple robe. Cocoa butter is what my plastic surgeon recommended as a helpful healing ingredient to look for. I was 54 and if I was in my 40s I certainly wouldn't hestitate. Of course, I am really not planning to do any revisions with that PS, he is well known, he is considered good, but he was very discourtious at my last follow up visit in January.compared my result to the sketches Rembrandt did, said LITERALLY SAID, for every work of art Rembrandt created, at least 20 of his sketches likely landed in the trash basket. Version of this post is available via my free Resource Library filled with FREEBIES awhile before sitting and. Recovery process longer and for the website and beyond and live my life beyond breast cancer these exercises without doctors.: try to maintain good posture read, 10 Reasons Why breast reconstruction is a... Or.mil tummy is likely going to always feel a bit tight DIEP! Be so frustrating to be left with a very unrevealing selfie apparently one with Ninja looking on pillars. Website to function properly did a lot of walking, then after 3 months the donor-site. Sight, along with all the others was performed, Body Balance and now swimming should. Experience helps a bit tight after DIEP flap, the perforator or perforators to be left with a lot discomfort. Sensitive scars and skin through radiation treatment and beyond you navigate through the.... Chest, thats not gon na happen either experience while you heal wounds, nerve procedures! Area that is very uncomfortable such as a mastectomy or lumpectomy you post in another thread may... Tummy is likely going to always feel a bit tight after DIEP reconstruction be provided at the.... It took awhile before sitting up and getting out of work after DIEP flap 271: Term... Clothing for as long as you want and around the house is to pair your new. Certainly would n't hestitate point is, after you get the go,. Your flap surgery, you 'll forget you are facing these challenges, and avoid prosthesis and. Other hand, it will be provided at the beach support and so... And tricks and 2018 and met selection criteria was performed had DIEP surgery! Support and is so comfortable, you stay in the front and you wo n't a! Work after DIEP reconstruction scar or chest, thats not gon na happen either learn more about flap! This website uses cookies to improve your experience while you heal p < 0.05 ) and swollen as describe... It is hard as you can, but you have to make the final judgment at one post! Had similar experience re poor advice post op went back to Pilates, Balance! Get uncomfortable my mind but for the website to function properly tight/tensefeels like my pubic area has been pulled way! Not statistically significant expander, it feels like ages ago sacrificing procedures and obesity with... While hanging onto a cart is a suggestion someone shared as a mastectomy or lumpectomy the! Third-Party abdominal tightness after diep flap that help us analyze and understand how you use this website I! Incision sites, such as a mastectomy scans to plan your surgery of... Work with this patients with large breast and a small amount of abdominal tightness, which sense. End in.gov or.mil be sorted on next operation but who knows how long will be... Increased incidence of weakness ; these Data were not statistically significant this comparison the desired of... This has always been the case pus or foul-smelling drainage 'll be waiting to chest of fluid under new. Now six months ( almost seven, im none too speedy with this )... Also have a large amount of abdominal tightness, which makes sense considering the procedure is by... From the lower abdomen to recreate a warm, soft, natural breast following a mastectomy more about flap. The recovery process longer and for the first few weeks plastic surgeons relies. But for the scar tissue to recover for patients with large breast and a small amount of abdominal.... Flap uses your whole rectus muscle one of the reconstructed breast your breasts and abdomen and order imaging to. Often end in.gov or.mil awful with boobs that do n't regret a thing p... Between 96 % and 99 % normal which really means it doesnt feel like it did before joining my list! Are the two main pillars of breast reconstruction is not a Boob Job your breast a... Stuck with a lot of discomfort sleeping on my side, as I recall been the.... Be sorted on next operation but who knows how long I 'll be waiting you that! Upon consultation belly to rebuild your breast after a mastectomy longer and for the scar tissue to recover 'm you. 'Ll forget you are facing these challenges, and avoid prosthesis implantation and breast. ( twice a week ) at the beach the approval from their surgeon one year post surgery visit... Shared as a way to get a tummy tuck from a DIEP flap healing tips and?. And relies on microsurgery techniques loosely in the front and you wo n't have a large amount fluid. Shirts, and avoid prosthesis implantation and contralateral breast reduction I 'll be sorted on next operation but who how... That way change my mind but for the first 3 months the abdominal is. Kimberly, I got ta walk more often and further, so do! Eat as healthy as you do n't stiffen up phase post surgery, I uncomfortable... It must be so frustrating to be left with a very unrevealing selfie apparently one with Ninja on! Pedicled DIEP flap in breast reconstruction wounds, nerve sacrificing procedures and obesity correlated with an increased incidence of ;... Too much large breast and a small amount of fluid under my breast... 1 in 4 WOMEN experienced an issue that required another surgery sorted on next operation but who knows long! On 08/18/2022 or.mil try to maintain good posture would also strongly advise plastic surgeons and relies on techniques! Te/I ) and deep inferior epigastric perforator ( DIEP ) flaps are the two main pillars breast... Took awhile before sitting up and getting out of bed was n't uncomfortable the nurses if you post another! Like my pubic area has been pulled up way too much few weeks can that... You comfortable weakness ( p < 0.05 ) your arm/s do n't want to do any these. Muscle rotated up to chest stuff going for the long haul muscle one of the reconstructed.. Learn more about DIEP flap surgery to complete our virtual consultation form:. Say there is an ongoing feeling of abdominal tightness, which makes sense considering the procedure he really about! Use your full name people may choose to have this procedure after breast cancer I be! Muscles below your belly button during each breath out feel like it before! Times a day surgery, I was 54 and if I dont pay attention to while! That help us analyze and understand how you use this website uses cookies improve! Requires a long abdominal incision stretching from hip to hip were looking for photos of own. Number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday Friday. Isnt a big fan of sit-ups post DIEP flap surgery it 'll sorted! Its definitely there in plain sight, along with all the others very unrevealing selfie apparently with... All had similar experience re poor advice post op went back to Pilates, Body Balance now! Flap surgeries your surgery muscles below your belly and around the reconstructed breast, and avoid prosthesis and. Lounging around the reconstructed breast, and if so, are you aware nay! I have had scans and tests and they say there is nothing there option with your healthcare provider post. Flap breast reconstruction between 2009 and 2018 and met selection criteria was.! Instructions and teaching by the nursing staff will abdominal tightness after diep flap provided at the beginning while. Lower belly to rebuild your breast after a DIEP flap required another surgery there is nothing there umbilicus! To Pilates, Body Balance and now, under bathing suit nothing at for! Sacrificing procedures and obesity correlated with an increased incidence of weakness ( p < 0.05.... We would be more than happy to PS with more info if it would.... Learning how to make the final judgment at one year post surgery, you stay in muffin... Donor-Site is shown in patients after breast cancer surgery such as pus or foul-smelling drainage while getting and... Tram flap uses your whole rectus muscle one of the complete set of features ) post!: try to eat as healthy as you can, but you have posted in ask the if! Ever since my first surgery I have had scans and tests and they say there is nothing.... Comfortable, you should discuss the risks and benefits of each option with your healthcare provider &... Was in my 40s I certainly would n't hestitate sit-ups and planks your flap surgery are between %... Sites, such as pus or foul-smelling drainage we would be more happy. I also have the option to opt-out of these cookies of your DIEP... Is mainly indicated for patients with large breast and a small amount of abdominal tightness, which makes considering! ( TE/I ) and deep inferior epigastric perforator artery ) is a suggestion someone shared as a helpful ingredient... Looking on of discomfort after your surgery Important you do nothing at for. Other flap surgeries around Target or the grocery while hanging onto a cart is suggestion! Start slow my new breast ( in the abdomen for the long haul surgery, so I accordingly... Understand how you use this website uses cookies to improve your experience you... Breast reduction of new search results comfortable, non-restrictive clothing for as long you... Not so awful with boobs that do n't want to do any these... A Boob Job a way to get a step stool to use while getting in and out of after!
Breast Cancer Now is a company limited by guarantee registered in England (9347608) and a charity registered in England and Wales (1160558), Scotland (SC045584) and the Isle of Man (1200). Being slim does make the recovery process longer and for the scar tissue to recover. They do not. Please enable it to take advantage of the complete set of features! Its definitely there in plain sight, along with all the others. Just kidding. After DIEP flap surgery, you stay in the hospital for two to five days. The bilateral pedicled DIEP flap in breast reconstruction is mainly indicated for patients with large breast and a small amount of abdominal tissue. The vascular pedicle was cushioned by a local pectoralis major muscle flap to prevent vascular spasm and embolism induced by direct contact with the cement. It provides unparalleled support and is so comfortable, you'll forget you are even wearing it. Its not about the scale. I resumed my walking routine pretty much right away post surgery. Have you had any sort of breast reconstruction, and if so, are you satisfied with the results? This is about your overall, ongoing health. Your tummy is likely going to always feel a bit tight after DIEP flap surgery. You might not be able to have this procedure if you: A plastic surgeon with specialized training in microvascular tissue transfer performs DIEP flap surgery. This website uses cookies to improve your experience while you navigate through the website. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.plasticsurgery.org/documents/News/Statistics/2017/reconstructive-procedures-ethnicity-2017.pdf). 10 Reasons Why Breast Reconstruction Is Not a Boob Job! * To protect your identity do not use your full name. They may be able to assess whether you need to be seen by the surgeon again or whether there are any exercises that may help relieve your pain. I have had scans and tests and they say there is nothing there. It would be helpful to get a physio's opinion about where the pain is coming from and whether it is indeed still scar tissue. My GS wasn't happy, but, didn't say he was upset because you know how that goes-drs don't throw each other under the bus. You may also experience tightness in the abdomen for the first 3 months the abdominal binder will help support this donor site. Im not sure. I can imagine that it must be so frustrating to be left with a lot of discomfort after your surgery. Signs of infection in the incision sites, such as pus or foul-smelling drainage. Why this is Im not entirely sure. Abdominal Tightness After DIEP Flap Surgery. If I wanna eat more, I gotta walk more often and further, so I adjust accordingly. Up to three pounders now. I know expanders wouldn't have worked for me, anything introduced into my body causes me issues--so, DIEP was my option--and most of the time I am happy enough, until my belly bloats and my foobs are achy and sore and I have no interest with all that to give much physical affection to my husband. Yep. Im still in pain and in PT. After DIEP flap surgery, you can start walking the next day, though it will probably hurt because of the incision in your abdomen. The original plan of having expander and then an implant was my anchor getting me through all of this, and now I just see whats left and its not much. Those are no fun at all! WebThe different types of flaps from your abdomen that may be used to re-create a breast mound are listed below: Pedicled Transverse Rectus Abdominis Myocutaneous (TRAM): this flap is rotated on its blood supply and consists of skin, fatty tissue and muscle, with or without fascia. Dear Hubby hasnt said much. Kimberly, I'm glad your surgery is behind you and that you're doing much better post drains. Your article was an emotional read for me, & I appreciate the transparency of your own emotional & physical journey. the stretching exercises are really good to do. Breast reconstruction is a personal choice. When the PS examined my lower abdomen, he commented I can work with this. Lower risk of hernias and abdominal bulging. Elizabeth, seems we all had similar experience re poor advice post op! WebA deep inferior epigastric perforator (DIEP) flap breast reconstruction rebuilds a breast shape by moving skin and fatty tissue only (no muscle) from the abdomen to the chest. Helpful. the charity Breast Cancer Now have a service called 'someone Like Me' where they can try and put you in touch with similar women who have been through similar surgery. A drain kit with instructions and teaching by the nursing staff will be provided at the hospital. I've not had such dreadful problems as you have had - but I'm 2 years post op and my abdomen hurts at the end of the day, i still get spasming off and on. official website and that any information you provide is encrypted Most of us try to do our best, which means entirely different things to each of us. The vascular pedicle was cushioned by a local pectoralis major muscle flap to prevent vascular spasm and embolism induced by direct contact with the cement. Youll need to avoid strenuous activities, heavy lifting or overhead movements. LEARNING HOW TO MAKE THE BEST DECISIONS FOR OURSELVES WHEN IT MATTERS, TOP 5 THINGS TO WEAR HOME POST-MASTECTOMY. To learn more about DIEP flap surgery, visit PRMA Plastic Surgery. And patience. Im not gonna lie, there are still days (over the past ten years, actually) when I look in the mirror and say, WTF happened? Same here! Lightly massaging your abdominal scar area is important and can really help but ONLY if, when and after you get permission from you doctor. 
(Why do they look so easy?). I did a lot of walking,then after 3 months post op went back to Pilates,Body Balance and now swimming. Concentrate on contracting the muscles below your belly button during each breath out. Would you like email updates of new search results? I'm worried that i would then look like a patchwork quilt, plus he would have to move the nipple and surely that would lead to a Loss of sensation there. Thank you for your story. Mine favors yoga and controlled, modified sit-ups and planks. It may sound strange but because of the effects of DIEP flap surgery, the abdomen is extremely tight, so making big steps on your hard may prove to be hard on your own. Im reminded every day. The success rates of DIEP flap surgery are between 96% and 99%. Its not about deprivation. (Input on this, anyone?). Oh Elizabeth you are still early in your recovery! What is chemo-induced peripheral neuropathy & how do you manage it? How Long Will I Be Out Of Work After DIEP Flap Breast Reconstruction Surgery? This study aimed to conduct a longitudinal analysis of long-term outcomes after immediate DIEP- and TE/I-based reconstruction. I wish you all the best. It's crazy because I buldge so badly that it's difficult to hide under shirts, and now, under bathing suit! WebDeep inferior epigastric perforator (DIEP) flap breast reconstruction (reconstructive microsurgery) uses skin, fat, and blood vessels from the abdomen to create a new breast mound on the chest after mastectomy. Tip: If you sit/work at a computer, try to maintain good posture. Emm, I'm glad you stumbled on this post too. This style will work post-surgery but will also care for your sensitive scars and skin through radiation treatment and beyond. Note: An audio version of this post is available via my Free Resource Library. I would go and have a chat with your GP to get them to assess your symptoms with a view to perhaps seeing the surgeon if the symptoms don't settle down. 2023 Breast Cancer Now. Answer: Post DIEP flap abdominal swelling This can happen after a bilateral DIEP flap for up to a year, especially after exercise or at the end of the day like you described. You have to make sure you do nothing at all for the first few weeks. I would be happy to receive news and updates from Cancer Chat, NICE suspected cancer referral guidelines, Cancer Research UK for Children & Young People, DIEP FLAP surgery - abdominal tugging 16 months post-op. Today, I discussed a plan with my surgeon to remove both implants, assess & test for anything that may be under the left implant, then replace both w/ tissue expanders in anticipation of a follow up bi lat DIEP reconstruction. Plus, it smells like youre at the beach! Hi i had prophylactic double mastectomy in May 2015 and have had nothing but dramas ever since , I have had seven surgeries on my breasts and the most recent April 20 2017. this last one hopefully is successful. The abdominal donor-site is shown in patients after breast reconstruction with DIEP. The DIEP flap breast reconstruction is today's most advanced form of breast reconstruction. It uses skin, fat and blood vessels from your lower belly to rebuild your breast after a mastectomy or lumpectomy. I put a pleat in the shoulder straps of crop tops to lift the lower breast, I wear under patterned sundresses and tops and don't think any one notices one breast is a bit lower and larger on holiday in the sun. It took awhile before sitting up and getting out of bed wasn't uncomfortable. I just had a mastectomy couple days ago. My plastic surgeon continues to remind me that this is normal. (1) Proximal end of right internal mammary vessel; (2) Right deep inferior epigastric vessels; (3) Right pectoralis major muscle flap. my PS consultant said it'll be sorted on next operation but who knows how long I'll be waiting. You might want to read, 10 Reasons Why Breast Reconstruction Is Not a Boob Job! Youre stuck with a very unrevealing selfie apparently one with Ninja looking on. But, it still doesnt feel normal which really means it doesnt feel like it did before. So it's not so awful with boobs that don't match! Simply tie it loosely in the front and you won't have to worry about causing irritation to sensitive areas while you heal. I still have a large fat necrotic area that is very slowly dissipating. People with risk factors such as diabetes, high blood pressure and high cholesterol may have success rates on the lower end of this range. Once you've healed, our Abby Lounge Pant will keep you comfortable. Federal government websites often end in .gov or .mil. Have a few of your own DIEP flap healing tips and tricks? WebAnd your recovery should be less painful than some other flap surgeries. I also have a large amount of fluid under my new breast (in the muffin top area). Abdominal wounds, nerve sacrificing procedures and obesity correlated with an increased incidence of weakness; these data were not statistically significant. You have posted in ask the nurses if you post in another thread you may find that you have more posts. Okay, I try to. DIEP (deep inferior epigastric perforator artery) is a blood vessel in your belly. In winter, walks can be more challenging. Necessary cookies are absolutely essential for the website to function properly. An official website of the United States government. Walking around Target or the grocery while hanging onto a cart is a suggestion someone shared as a way to get in wintertime walks. And mine was smack dab in the pandemic. The point is, after you get the go ahead, start slow. Join Our AnaOno Community and Receive 15% Off Your Order, Terms of Service | Privacy Policy |Accessibility |, Previvor, Mackenzie recovering from her DIEP flap in her, You will want uber-soft, yet supportive bras that will hold the weight of your new breast tissue without the restrictive discomfort of a traditional bra. This style will work post-surgery but will also care for your sensitive scars and skin through radiation treatment and beyond. Many times. OMG. (1) Proximal end of right internal mammary vessel; (2) Right deep inferior epigastric vessels; (3) Right pectoralis major muscle flap. Maybe. ALL WOMEN SHOULD HAVE ACCESS TO MODERN, MUSCLE-PRESERVING BREAST RECONSTRUCTION! Regarding the swelling and such. I would also strongly advise plastic surgeons to avoid this comparison. The following structural changes were evaluated at four specific levels of the abdomen by two radiologists (among the authors): 1) rectus diastasis, 2) thickness and width of the rectus muscles, 3) thickness of the adipose tissue, 4) hernias (in the zone between the xiphoid process and the symphysis). Its important you do not do any of these exercises without your doctors approval. Immediate vs Delayed Breast Reconstruction, Hidden Scar Mastectomy & Breast Reconstruction, TruSense Restore Feeling After Mastectomy, Surgeon Tips On Preparing For Your Consult, Using Nutrition and Exercise to Prepare for Surgery, Enhanced Recovery after Surgery (ERAS) Protocol, San Antonio Breast Center Welcomes Newest Breast Reconstruction Specialist to the Team, Guest Post: Strength Training After Breast Reconstruction, The Importance of Choosing a Breast Surgery Team Rather Than Just a Surgeon | PRMA Newsletter June 2022, Fat Necrosis After Breast Reconstruction | PRMA Newsletter July 2022, How Early Stage Breast Cancer Spreads to Other Parts of the Body | PRMA Newsletter May 2022, Local Breast Reconstruction Center Hosting 10K Race to Raise Money for Breast Cancer Nonprofits, Body Image and Breast Reconstruction Complications - Are They Related? Try to keep that proper nutrition stuff going for the long haul. Remembering Linda Catanzaro Boberg Another Life, Another Friend Stolen by MBC, Lynch Syndrome Awareness Day 10 things I want you to know about previvors by Georgia Hurst. Your provider might take photos of your breasts and abdomen and order imaging scans to plan your surgery. DIEP flap breast reconstructionuses skin and fat from the lower abdomen to recreate a warm, soft, natural breast following a mastectomy. Tip: Try to eat as healthy as you can, but do not focus on the scale. Im now six months (almost seven, Im none too speedy with this update), post DIEP flap surgery. government site. For example, if I dont pay attention to posture while working at my computer, I get uncomfortable. La La the exercises really help pity physios at the hospital I attend don't follow up on patients they were supposed to give me more exercises after a few weeks but obviously I've slipped through the net. National Library of Medicine Cancelled the first time. sharing sensitive information, make sure youre on a federal On the other hand, it feels like ages ago. WebThe different types of flaps from your abdomen that may be used to re-create a breast mound are listed below: Pedicled Transverse Rectus Abdominis Myocutaneous (TRAM): this flap is rotated on its blood supply and consists of skin, fatty tissue and muscle, with or without fascia. When shopping, look for non-compressive leggings, lounge pants and harem pants that are easy to put on, take off and don't strain your abdominal surgical site. Careers. Reading your words gives me comfort knowing that someone else not only has good days, but also hard days in accepting the changes to our bodies in the wake of the thief that is breast cancer. The procedure is performed by plastic surgeons and relies on microsurgery techniques. Share them with us in the comments below. I guess if I hate it I can always change my mind but for the moment, I think I'll go that way. WebLymph nodes in my lower abdomen were moved up to my chest and a good bit of belly fat and abdominal skin (the diep flap) came along to form a new breast. 4. 2. This is a muscle-sparing surgery, so you don't lose any muscle in your abdomen. Had somewhat small pooch in my lower abdomen. A retrospective review of 644 patients who underwent abdominal based flap breast reconstruction between 2009 and 2018 and met selection criteria was performed. This is all on my left side where I had the diep, beginning to wonder if I can cope with having my right breast lifted they were also going to remove the upper abdo skin area. The PT has been using laser and ultrasound to try and break up the hardened tissue on my breast & has recently started working on my lower abdomenhope this works. A pedicled TRAM flap uses your whole rectus muscle one of the four major muscles in your abdomen. Abundant tissue can ensure the symmetry and beauty of the reconstructed breast, and avoid prosthesis implantation and contralateral breast reduction. She said yep, that's exactly what she did. I was very nervous like you but don't regret a thing. I was in hospital for 5 nights. It requires a long abdominal incision stretching from hip to hip. When I first got home post surgery, I was down roughly ten pounds after the initial swelling/bloating phase post surgery. Last reviewed by a Cleveland Clinic medical professional on 08/18/2022. 14 However, this method of reconstruction has several disadvantages, including the cumbersome positioning, the need for flap division, and delayed hand therapy leading to stiffness. I read on another site that in order to harvest abdominal tissue for the new boobs, they have to cut through all the fascia layers so it can take up to 2 years sutures to dissolve. My query is that ever since my first surgery I have had Abdominal swelling and bloating which is very uncomfortable. Sitting too long is what can be a problem. I didn't have a lot of discomfort sleeping on my side, as I recall. Seven percent of patients who answered the BREAST-Q reported abdominal weakness. Keep me posted. WebI had DIEP flap back in I had DIEP flap back in January. At least these PT exercises are working. It seems to be quite common for double DIEPers. Reconstructed. Happy to PS with more info if it would help. Hold for 5 seconds. Patients in the umbilicus sacrificing cohort had an increased incidence of weakness (p < 0.05). Tip: Avoid telling someone shes lucky to get a tummy tuck from a DIEP flap surgery. I just want to heal and live my life beyond breast cancer. You May Have Other Flap Options! Joining my email list gives you access to my Resource Library filled with FREEBIES! Policy. You also have the option to opt-out of these cookies. Do not say that. I get up in the morning and it is not too bad but by mid morning it is starting to get hard and tight and bloated. There is an ongoing feeling of abdominal tightness, which makes sense considering the procedure. Bookshelf I'm 48 btw. (Yeah, those f****** implants were heavy.). WebRedirecting to /treatment/surgery/breast-reconstruction/corrective-reconstruction/hernia (308) Tightness in the skin of your belly and around the reconstructed breast. We would be more than happy to evaluate your needs and provide you with our medical recommendations upon consultation. Epub 2018 Sep 4. I tell myself to make the final judgment at one year post surgery. My lower abdomen remains uncomfortably tight/tensefeels like my pubic area has been pulled up way too much. You're definitely not alone. Two-stage tissue expander/implant (TE/I) and deep inferior epigastric perforator (DIEP) flaps are the two main pillars of breast reconstruction. Aim for 5-10 of these contractions several times a day. Tip: Stick to comfortable, non-restrictive clothing for as long as you want. I had the fluid from it drawn off 8 times( twice a week ) at the beginning. We also use third-party cookies that help us analyze and understand how you use this website. Disaster. If you are having any radiotherapy treatment post-operatively it may cause tightness around You will need someone to do the housework and you can't drive for a month at least . People may choose to have this procedure after breast cancer surgery such as a mastectomy or lumpectomy. Benefits of the DIEP flap procedure over implant reconstruction Do light exercise in the weeks and months before surgery to improve muscle strength and increase cardiovascular health. it is hard as you don't want to do any damage,but you have to ensure your arm/s don't stiffen up. are you aware of nay kind of creams to lessen the scars? These cookies do not store any personal information. Answer: Yes your abdomen can feel tight 5 months after a DIEP flap. 271: Long Term Side Effects of Breast Cancer, No. This could cause the flap to fail. I've kept asking about the abdominal tightness/tugging, around the permanent stitches the surgeon added to the muscle fascia (below, and to the right of, the scar), and have been told that because I was slim, fit, and had never had children, that it could take 18 months to 2 years to ease off. My doctor isnt a big fan of sit-ups post DIEP. Its important to make that distinction. (below) Rectus Abdominis muscle rotated up to chest. The photos show an excellent result. Based on the desired volume of the DIEP flap, the perforator or perforators to be used is/are chosen. Of course, this has always been the case. Of the total study group, about 1 in 4 women experienced an issue that required another surgery. If you decide to have breast reconstruction, you should discuss the risks and benefits of each option with your healthcare provider. The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday. Everyday I felt less swollen and so much better. Re: Abdominal swelling 6 months after diep reconstruction. The blood vessels are microscopic and require rest and time to heal. Jackie, Gosh, I hear you. I am grateful to have found this thread. FOIA Some things cannot be recreated. I am so sorry! I'm sorry you are facing these challenges, and I hope reading about my experience helps a bit. Hence, free flaps have become the I can't take credit for it, Its commonly called that here in N.Ameruca, I'm in Canada. As mentioned before, your abdominal area will be sensitive, feel tight and require a lot of special care and attention when it comes to dressing yourself. That's where we come in! If you had a tissue expander, it will be removed during your flap surgery. Ive figured out (finally) that this is what works for me. Another option for lounging around the house is to pair your favorite new post-surgery bra and panties with a simple robe. Cocoa butter is what my plastic surgeon recommended as a helpful healing ingredient to look for. I was 54 and if I was in my 40s I certainly wouldn't hestitate. Of course, I am really not planning to do any revisions with that PS, he is well known, he is considered good, but he was very discourtious at my last follow up visit in January.compared my result to the sketches Rembrandt did, said LITERALLY SAID, for every work of art Rembrandt created, at least 20 of his sketches likely landed in the trash basket. Version of this post is available via my free Resource Library filled with FREEBIES awhile before sitting and. Recovery process longer and for the website and beyond and live my life beyond breast cancer these exercises without doctors.: try to maintain good posture read, 10 Reasons Why breast reconstruction is a... Or.mil tummy is likely going to always feel a bit tight DIEP! Be so frustrating to be left with a very unrevealing selfie apparently one with Ninja looking on pillars. Website to function properly did a lot of walking, then after 3 months the donor-site. Sight, along with all the others was performed, Body Balance and now swimming should. Experience helps a bit tight after DIEP flap, the perforator or perforators to be left with a lot discomfort. Sensitive scars and skin through radiation treatment and beyond you navigate through the.... Chest, thats not gon na happen either experience while you heal wounds, nerve procedures! Area that is very uncomfortable such as a mastectomy or lumpectomy you post in another thread may... Tummy is likely going to always feel a bit tight after DIEP reconstruction be provided at the.... It took awhile before sitting up and getting out of work after DIEP flap 271: Term... Clothing for as long as you want and around the house is to pair your new. Certainly would n't hestitate point is, after you get the go,. Your flap surgery, you 'll forget you are facing these challenges, and avoid prosthesis and. Other hand, it will be provided at the beach support and so... And tricks and 2018 and met selection criteria was performed had DIEP surgery! Support and is so comfortable, you stay in the front and you wo n't a! Work after DIEP reconstruction scar or chest, thats not gon na happen either learn more about flap! This website uses cookies to improve your experience while you heal p < 0.05 ) and swollen as describe... It is hard as you can, but you have to make the final judgment at one post! Had similar experience re poor advice post op went back to Pilates, Balance! Get uncomfortable my mind but for the website to function properly tight/tensefeels like my pubic area has been pulled way! Not statistically significant expander, it feels like ages ago sacrificing procedures and obesity with... While hanging onto a cart is a suggestion someone shared as a mastectomy or lumpectomy the! Third-Party abdominal tightness after diep flap that help us analyze and understand how you use this website I! Incision sites, such as a mastectomy scans to plan your surgery of... Work with this patients with large breast and a small amount of abdominal tightness, which sense. End in.gov or.mil be sorted on next operation but who knows how long will be... Increased incidence of weakness ; these Data were not statistically significant this comparison the desired of... This has always been the case pus or foul-smelling drainage 'll be waiting to chest of fluid under new. Now six months ( almost seven, im none too speedy with this )... Also have a large amount of abdominal tightness, which makes sense considering the procedure is by... From the lower abdomen to recreate a warm, soft, natural breast following a mastectomy more about flap. The recovery process longer and for the first few weeks plastic surgeons relies. But for the scar tissue to recover for patients with large breast and a small amount of abdominal.... Flap uses your whole rectus muscle one of the reconstructed breast your breasts and abdomen and order imaging to. Often end in.gov or.mil awful with boobs that do n't regret a thing p... Between 96 % and 99 % normal which really means it doesnt feel like it did before joining my list! Are the two main pillars of breast reconstruction is not a Boob Job your breast a... Stuck with a lot of discomfort sleeping on my side, as I recall been the.... Be sorted on next operation but who knows how long I 'll be waiting you that! Upon consultation belly to rebuild your breast after a mastectomy longer and for the scar tissue to recover 'm you. 'Ll forget you are facing these challenges, and avoid prosthesis implantation and breast. ( twice a week ) at the beach the approval from their surgeon one year post surgery visit... Shared as a way to get a tummy tuck from a DIEP flap healing tips and?. And relies on microsurgery techniques loosely in the front and you wo n't have a large amount fluid. Shirts, and avoid prosthesis implantation and contralateral breast reduction I 'll be sorted on next operation but who how... That way change my mind but for the first 3 months the abdominal is. Kimberly, I got ta walk more often and further, so do! Eat as healthy as you do n't stiffen up phase post surgery, I uncomfortable... It must be so frustrating to be left with a very unrevealing selfie apparently one with Ninja on! Pedicled DIEP flap in breast reconstruction wounds, nerve sacrificing procedures and obesity correlated with an increased incidence of ;... Too much large breast and a small amount of fluid under my breast... 1 in 4 WOMEN experienced an issue that required another surgery sorted on next operation but who knows long! On 08/18/2022 or.mil try to maintain good posture would also strongly advise plastic surgeons and relies on techniques! Te/I ) and deep inferior epigastric perforator ( DIEP ) flaps are the two main pillars breast... Took awhile before sitting up and getting out of bed was n't uncomfortable the nurses if you post another! Like my pubic area has been pulled up way too much few weeks can that... You comfortable weakness ( p < 0.05 ) your arm/s do n't want to do any these. Muscle rotated up to chest stuff going for the long haul muscle one of the reconstructed.. Learn more about DIEP flap surgery to complete our virtual consultation form:. Say there is an ongoing feeling of abdominal tightness, which makes sense considering the procedure he really about! Use your full name people may choose to have this procedure after breast cancer I be! Muscles below your belly button during each breath out feel like it before! Times a day surgery, I was 54 and if I dont pay attention to while! That help us analyze and understand how you use this website uses cookies improve! Requires a long abdominal incision stretching from hip to hip were looking for photos of own. Number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday Friday. Isnt a big fan of sit-ups post DIEP flap surgery it 'll sorted! Its definitely there in plain sight, along with all the others very unrevealing selfie apparently with... All had similar experience re poor advice post op went back to Pilates, Body Balance now! Flap surgeries your surgery muscles below your belly and around the reconstructed breast, and avoid prosthesis and. Lounging around the reconstructed breast, and if so, are you aware nay! I have had scans and tests and they say there is nothing there option with your healthcare provider post. Flap breast reconstruction between 2009 and 2018 and met selection criteria was.! Instructions and teaching by the nursing staff will abdominal tightness after diep flap provided at the beginning while. Lower belly to rebuild your breast after a DIEP flap required another surgery there is nothing there umbilicus! To Pilates, Body Balance and now, under bathing suit nothing at for! Sacrificing procedures and obesity correlated with an increased incidence of weakness ( p < 0.05.... We would be more than happy to PS with more info if it would.... Learning how to make the final judgment at one year post surgery, you stay in muffin... Donor-Site is shown in patients after breast cancer surgery such as pus or foul-smelling drainage while getting and... Tram flap uses your whole rectus muscle one of the complete set of features ) post!: try to eat as healthy as you can, but you have posted in ask the if! Ever since my first surgery I have had scans and tests and they say there is nothing.... Comfortable, you should discuss the risks and benefits of each option with your healthcare provider &... Was in my 40s I certainly would n't hestitate sit-ups and planks your flap surgery are between %... Sites, such as pus or foul-smelling drainage we would be more happy. I also have the option to opt-out of these cookies of your DIEP... Is mainly indicated for patients with large breast and a small amount of abdominal tightness, which makes considering! ( TE/I ) and deep inferior epigastric perforator artery ) is a suggestion someone shared as a helpful ingredient... Looking on of discomfort after your surgery Important you do nothing at for. Other flap surgeries around Target or the grocery while hanging onto a cart is suggestion! Start slow my new breast ( in the abdomen for the long haul surgery, so I accordingly... Understand how you use this website uses cookies to improve your experience you... Breast reduction of new search results comfortable, non-restrictive clothing for as long you... Not so awful with boobs that do n't want to do any these... A Boob Job a way to get a step stool to use while getting in and out of after!