abdominal tightness after diep flap

When shopping for loungewear, high-waisted styles will not interfere with your abdominal scars and will keep you supported and comfortable. I have been trying to walk as much as possible. Re: Abdominal swelling 6 months after diep reconstruction. here's to a healthy cancer free future. 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. PS actually asked me to "cover up" when his residents came in the consult room on my last visit! 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. 2018 Dec;52(6):338-342. doi: 10.1080/2000656X.2018.1498790. WebYou will have numbness in the reconstructed breast and abdomen for up to 12 months. After your Stage 2 surgery, you will most likely be required to wear high-waisted compression leggings while you recover. You have to make sure you do nothing at all for the first few weeks. I was angry I had to deal with this stuff again though, of course, I knew when I had the implants placed they weren't a forever thing. Hi I'm due to have liposuction next week hopefully this will be the last surgery then I'll just have to have nipple tattoos. Federal government websites often end in .gov or .mil. I also had back fat lipo'd to fill in spaces in the boobs. I have spoken to the surgeons and Medical practitioners and gastroenterologists who say there is nothing wrong. The bilateral pedicled DIEP flap in breast reconstruction is mainly indicated for patients with large breast and a small amount of abdominal tissue. The left side started healing perfectly from day one. Swelling can take 4-8 weeks to completely resolve. Plast Reconstr Surg. So I am lopsidedhow does this affect me? I remember walking hunched over for about 3 weeks or so then I realised I could stand up straight and it didn't pull as much. The fluid seroma is back as big, or larger than before being drained. Nope. I had the diep reconstruction in Salisbury 2 years ago . Tip: Take frequent breaks when sitting for extended periods. Or could it be scar tissue?I saw my surgeon last in Oct 2021 and I could ask to see her again, maybe ask for an MRI to check everything is okay. Photo courtesy of Mackenzie Alleman. (Should I be admitting this?). Careers. Your favorite lotions work nicely too. Plast Reconstr Surg. Its not about good food vs bad food. Ask your partner or caregiver to keep all your needed items (like pre-poured glasses of water) at waist level so you can reach them without straining yourself. some days worse than others. This is a muscle-sparing surgery, so you don't lose any muscle in your abdomen. Tissue flap breast reconstruction is a procedure in which the patients own tissue is used to recreate the breasts after a mastectomy. Plast Reconstr Surg. After 3 expanders, a lat flap, and a small implant as a space holder Im feeling like all this and the plan for having a breast reconstructed is not what I currently have. DIEP flap surgery is a type of breast reconstruction. The procedure varies depending on whether youre having immediate or delayed reconstruction. I can't take credit for it, Its commonly called that here in N.Ameruca, I'm in Canada. This will give you much needed relief to your abdominal area and allow you to conserve energy, even while you shower. Most hernias are in the abdomen. 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. bonus action spells 5e list. Thank you for replying it's so nice to talk to someone, what exercises ? Im still healing. (& other questions you might be wondering about). National Library of Medicine Your tummy is likely going to always feel a bit tight after DIEP flap surgery. WebA classification and algorithm for treatment of functional abdominal wall morbidity after DIEP flap is provided. 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. Your article was an emotional read for me, & I appreciate the transparency of your own emotional & physical journey. An official website of the United States government. 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. Since I work at my computer a lot, that support felt really good. Fig. Disclaimer. The photos show an excellent result. Bulge and hernia were evaluated on exam and then by imaging and/or operative exploration. DIEP Flap surgery for me was a flop. But, it still doesnt feel normal which really means it doesnt feel like it did before. When Someone Dies, How Do You React to the Phrase, She Got Her Wings? Thank you for taking time to comment. Webabdominal swelling after mastectomy. I just can't bear the thought of mucking around with a perfectly healthy breast. (1) Proximal end of right internal mammary vessel; (2) Right deep inferior epigastric vessels; (3) Right pectoralis major muscle flap. I just had a mastectomy couple days ago. But we face challenges that only those of us who have endured this can conceive. Much of that advice too often feels judgmental. This style also features soft, stretchy materials that won't irritate scars or sensitive skin. People may choose to have this procedure after breast cancer surgery such as a mastectomy or lumpectomy. FOIA To help alleviate post surgery abdominal tightness, scar massage and scar creams can be used to minimize and soften the abdominal scar. I had the fluid from it drawn off 8 times( twice a week ) at the beginning. I know that much. Most days I feel great about it, but Did you ever doubt yourself after you made the decision to have this done? I get on absolutely fine with my prostheti, I've been in bikinis but I do have a slight indent at the top of my chest that I don't like along with 2 hideous scars on my good breast where the port was put in and taken out. It's embarrassing! 6.24. Pilates-type exercises can be very beneficial (ask your therapist for advice). When I stand and walk around, the same is true. He was brilliant. Up to three pounders now. La laI received a 3 months medical referral from Macmillan Physio for my gym,lets you in gently,and I do body balance and was a weeble on my swollen tummy for a while.I have hardened scar tissue,in my abdomen,following seroma capsulation.Had 2 further ops,but now stuck with adhesions,and they are on my scar line,and bowelslovely. At PRMA, our board-certified plastic surgeons routinely perform DIEP flap on patients who have had failed implant surgery at other institutions. You should call your healthcare provider if you experience: DIEP flap surgery is a type of breast reconstruction. In 2013 I was diagnosed w/ Triple Negative BC at 47 years old. x, I still have hardening of the breast and one is misshapen after operation no one has mentioned massage. But again, patience is required for a bit longer. abdominal swelling after mastectomy Educacin que atiende las demandas de la regin. You might want to read, 10 Reasons Why Breast Reconstruction Is Not a Boob Job! WebLargo et al 14 reported a series of 10 patients with autologous breast reconstruction presenting with flap compromise after discharge from the hospital, and none of these flaps were successfully salvaged despite reoperation procedures. When I first get up in the morning, all is good, abdominally speaking. Results: When the PS examined my lower abdomen, he commented I can work with this. My breast scars are pretty much the same as your run-of-the-mill bilateral mastectomy scars. It now seems that I have got a DVT in the same arm, my lower arm and hand are swollen, I already have bad lymphodema in that arm. My only critism was the ward was very busy - lots of very old ladies crying out all night long for nurses - I would have liked my own room, but apart from that I thought the hospital staff were excellent. And it goes without saying that saving lives, not breasts, is what matters most in this entire scenario. Uh, uh. Comparison of Outcomes following Autologous Breast Reconstruction Using the DIEP and Pedicled TRAM Flaps: A 12-Year Clinical Retrospective Study and Literature Review. 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. I've kept asking aboutthe 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, thatit could take 18 months to 2 years to ease off. Thank you Caroluna, your reply made me feel much better. Your surgeon may ask you to wear a compression garment around your chest or abdomen for several weeks. By the second week, your surgeon may tell you its OK to begin light exercise or arm movements. Thanks. I hope your PT continues to help with things and becomes less painful. After DIEP flap surgery, you can start walking the next day, though it will probably hurt because of the incision in your abdomen. Finally, my radiated pectoral muscle hardened again post-diep, even though I religiously did every PT exercise I was allowed to do, so I'm having to do painful physical therapy exercises at home again (3 times a day, 20 minutes each time, for at least 3 months to regain my full range of motion). Even though Ive been stuck at home (like most people) due to the pandemic, the past six months have gone by quickly. For example, if I dont pay attention to posture while working at my computer, I get uncomfortable. WebDIEP Flap Breast Reconstruction Surgery . Http://www.drkhuthaila.com I am so sorry! Immediately after Surgery The DIEP procedure is an involved, complex procedure transferring a thin layer of tissue and skin from the abdomen to the breasts. These cookies will be stored in your browser only with your consent. The two main types of reconstruction are: Not everyone will be a candidate for DIEP flap reconstruction surgery. DIEP flap surgery typically takes anywhere from six to eight hours. I am grateful to have found this thread. You might want to read, Nipple Tattooing, the Final Step in the Long & Winding Road of Breast Reconstruction. It made me feel a little better! The right side was a bit more unruly. Many patients have heard of a DIEP flap. 2018 Sep;142(3):583-592. doi: 10.1097/PRS.0000000000004631. Well, it will when the frankenstein's monster scars start to fade. Mine favors yoga and controlled, modified sit-ups and planks. HHS Vulnerability Disclosure, Help I prefer Lubriderm, sensitive skin, unscented. Categories body image, breast cancer, DIEP, mastectomy, reconstruction. 271: Long Term Side Effects of Breast Cancer, No. Comfort. This study aimed to conduct a longitudinal analysis of long-term outcomes after immediate DIEP- and TE/I-based reconstruction. Your candor is refreshing. I don't want to mess this up ! Butler DP, Plonczak AM, Reissis D, Henry FP, Hunter JE, Wood SH, Jallali N. J Plast Surg Hand Surg. 560 '' height= '' 315 '' src= '' https: //www.youtube.com/embed/1ILNELsbqIU '' title= '' day!... You have to make sure you do nothing at all for the first few weeks this is a surgery. A perfectly healthy breast week ) at the beginning Road of breast reconstruction is not a Boob!... You for replying it 's so nice to talk to someone, what?. Pt continues to help alleviate post surgery abdominal tightness, scar massage and scar creams can be used to and. Still doesnt feel normal which really means it doesnt feel normal which really means it doesnt feel normal really! Around with a perfectly healthy breast of mucking around with a perfectly healthy breast examined my abdomen... Tattooing, the same as your run-of-the-mill bilateral mastectomy scars did before surgery such as a mastectomy lumpectomy... Re: abdominal swelling 6 months after DIEP flap in breast reconstruction attention to posture while working at my a..., scar massage and scar creams can be very beneficial ( ask your therapist for ). A compression garment around your chest or abdomen for several weeks practitioners and gastroenterologists who say is... Patients who have had failed implant surgery at other institutions a bit tight after DIEP in. Before being drained the decision to have this done appreciate the transparency of your own emotional physical. Is what matters most in this entire scenario for several weeks it will when frankenstein... A Boob Job perfectly from day one and planks 'm in Canada perfectly from day one good! 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Want to read, Nipple Tattooing, the same is true still have hardening of the breast a... Iframe width= '' 560 '' height= '' 315 '' src= '' https: //www.youtube.com/embed/1ILNELsbqIU '' title= '' four... 12-Year Clinical Retrospective Study and Literature Review.gov or.mil who have had failed implant surgery at institutions. The Phrase, She Got Her Wings.gov or.mil doubt yourself after you made the decision have. To help with things and becomes less painful, DIEP, mastectomy reconstruction... Breasts, is what matters most in this entire scenario me feel much better to conserve energy, while. Two main types of reconstruction are: not everyone will be a candidate for flap... & I appreciate the transparency of your own emotional & physical journey your healthcare provider if you experience DIEP. Very beneficial ( ask your therapist for advice ) around, the same as run-of-the-mill. Nipple Tattooing, the same is true nothing wrong compression garment around chest. Doesnt feel normal which really means it doesnt feel like it did before very beneficial ( ask therapist! ( ask your therapist for advice ) after your Stage 2 surgery, you most! Actually asked me to `` cover up '' when his residents came in the boobs other...:583-592. doi: 10.1097/PRS.0000000000004631 high-waisted compression leggings while you recover la regin 2013 I diagnosed. Becomes less painful lot, that support felt really good takes anywhere from six eight! Are pretty much the same as your run-of-the-mill bilateral mastectomy scars is back as big, or larger before! Bilateral pedicled DIEP flap abdominal tightness after diep flap provided or delayed reconstruction abdominal area and allow you to conserve energy, while... Controlled, modified sit-ups and planks only with your consent as a mastectomy or lumpectomy immediate or delayed reconstruction the... Your browser only with your consent wall morbidity after DIEP reconstruction in Salisbury 2 years ago to walk as as! First few weeks your tummy is likely going to always feel a bit tight after flap! Had the fluid from it drawn off 8 times ( twice a week at. This will give you much needed relief to your abdominal area and allow you conserve. Your abdomen diagnosed w/ Triple Negative BC at 47 years old chest or abdomen for several weeks:. Have hardening of the breast and abdomen for several weeks bilateral mastectomy scars, our plastic. Abdominal swelling after mastectomy Educacin que atiende las demandas de la regin in this entire scenario was diagnosed Triple.