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Tissue expanders play an important role in breast reconstruction. Right after hearing the radiologist say he was 95% certain I had breast cancer, I decided I wanted both boobs completely removed. After your surgery, the following guidelines may be helpful. This was an outpatient surgery, and it lasted about four hours total. Post-Operative Instructions.

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Please remove the garment and the dressings over the incision but leave the steri-strips (paper tapes) in place. This poor body that has been attacked and mutilated. Side note, if you want a brow product that will last through surgery and days of recovery, get the new Brow Definer Pencil from Anastasia Beverly Hills. After your surgery, you'll wake up in the Post-Anesthesia Care Unit (PACU) or recovery room. After your expansion your chest may be sore, like after you have exercised. At your preop appointment you will be given three prescriptions. Is Sleeping with Tissue Expanders Painful. You can drive when you have full range of motion in your shoulder on your affected side and are not taking any prescription pain medication. Avoid heavy lifting for at least 6 weeks after surgery. Then an implant or tissue from another part of the body will replace it. It pretty much looks like a deflated breast implant. This stage is an outpatient surgical procedure that usually only lasts 1-2 hours. Verywell / Brianna Gilmartin Why Tissue Expanders Cause Pain A tissue expander is usually put in during mastectomy surgery.

After 6 weeks you may resume more strenuous aerobic work and lifting activities. The next thing I remember is waking in the recovery room for the second time with the same friendly nurses by my side. Most people describe the drain removal as a slight pulling or stinging feeling that lasts only a few minutes. Empty and record (in "cc" amounts) the drainage amount once or twice per day after discharge from the hospital and bring your drain record with you to each clinic appointment. This is because your tissue expander is only partly filled when it's placed. Your drain site(s) may itch. Tissue expander pain at night life. If it does not improve or gets worse, please contact our office. The other downside is the discomfort that some women feel while the tissue is expanding, which is described as tightening in the chest. Your body will just tell you what's comfortable and you adapt to it. After the drain(s) is removed, keep wearing the surgical bra or your own supportive bra.

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It is now more than 18 days after my double mastectomy with reconstruction, and I still have lots of pain, physical and emotional. Do not soak in a pool, bathtub, or hot tub until your healthcare provider tells you it's safe. The incision across your breast will be closed with sutures (stitches) placed inside your body. Temperature elevations from 100-101 degrees in the first 2-4 days are usually due to collapse of the small air passages in the lungs after general anesthesia. Board-Certified Plastic Surgeons Serving Denver & Lone Tree, Colorado. When breast implants deflate the saline solution leaks out of the silicone implant shell. They ended my second surgery with external stitches on the problematic side, unlike the internal dissolvable stitches used before. Significant pain and swelling in the leg or sudden onset of shortness of breath are very important symptoms that demand immediate attention. If an infection does not respond to antibiotics, the implant may have to be removed, and another implant may be placed after the infection has resolved. Does getting an expander hurt. Your healthcare provider may recommend: NSAIDs: A 2017 study in Cancer Control reported that taking a nonsteroidal anti-inflammatory drug (NSAID) like Advil (ibuprofen) or Aleve (naproxen) 30 minutes before each fill and again a few hours afterward can usually provide sufficient pain relief during tissue expansion. This soreness will decrease slowly over the next several weeks.

I got to the point where I allowed my plastic surgeon to insert only 20 cc's at each appointment. It is not uncommon that an occasional dissolving suture will surface along the wound presenting as a small open area. One way to fill your bra is to use a soft breast form. Avoid tops that are tight or rub against your breasts. Thanks for your feedback! Please use laxative or stool softeners as needed. Bring the record of the drainage amounts with you to your next appointment. Your nurses and nursing assistants will care for your JP drains while you're in the hospital. If you see drainage (liquid) coming from your incision, call your doctor's office. What Is a TRAM Flap? The sutures that were used are absorbable. Sleep, tissue expanders, pain medication. Reconstruction of the nipple can be performed alone or can be combined with other contouring procedures such as fat grafting or scar revision. It made life on the couch for days on end much easier.

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One cannot drive while taking narcotic pain relievers. Distraction: Relaxation tapes and other distractions can take your mind off the pain. The second prescription is for pain. I changed into my fashionable hospital gown and mushroom hair cap ready to get the surgery over and done with.

Do not take tub baths until your incisions and drain sites are fully healed. Please leave the steri-strips on the incisions as long as possible; eventually they will come off by themselves. Implants may deflate or rupture within the first few months or several years after surgery. Breast Reconstruction Using a Tissue Expander. They'll give you a written resource with instructions. If you are receiving radiation therapy, your skin may be too sensitive and you shouldn't use ice or cold packs. They should only be used under the direction of the treating healthcare provider. That pencil is magic.

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This information is meant to add to, not replace, discussions with your healthcare providers. Tissue expander pain at night common. What is your feedback? Careful surgical planning and technique can minimize but not always prevent such results. For some patients who undergo a unilateral (one-sided) breast reconstruction, adjustments on the opposite breast are often needed to match the reconstructed breast. A mastectomy is a surgery to remove your breast.

Walking felt like a nightmare. When they got there, there were signs that the nurses had struggled to get me to a stable point. Why did I think I could do this? I was poked and prodded constantly for 3 days (7 different needle sticks – not to mention the 2 sticks to retrieve arterial blood. This is a work in progress.

Causes include: damage by surgical instruments, overfilling or underfi1ling of the implant with saline solution, capsular contracture, trauma, intense physical manipulation, excessive compression during mammographic imaging, and other unknown reasons. Please limit lifting to nothing greater than 10 lbs.

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