Nipple aureola reconstruction, also some fat transfer from abdomen - MarianneT

Procedure or Surgery Associated with Invasive (Infiltrating) Ductal Carcinoma . Posted on August 27, 2013 View this journey (8 Experiences)

wow! This was definitely more difficult than I thought. Not terrible painful, just uncomfortable and awkward. I thought it would be a breeze! Firstly, the skin graft donor area was the groin. Ouch and very hard/awkward to care for. Bandage was practically off by the time I got home from the hospital! I was bandaged from the groin to the collar bone. Not fun in this hot weather, ha ha! Had my "unveiling" yesterday and that was stressful...a combination of excitement and nervousness the grafts may not take. This was tough emotionally as well being (God willing) the last surgery it seemed to just bring it all back for me. I usually don't handle things so emotionally so maybe it was time. Cried all day long!!! Oh, and seeing the final outcome was more unsettling than expected. I still have stitches to come out next week so it still looks like a surgical site. For anyone going through this surgery, just be prepared that it will still look a bit ugly. I knew it but wasn't prepared. I need to remind myself to give it time to heal. They also took fat from my abs and filled in a dent above my left implant. That looks so awesome ...no more fake boob look. It looks so natural.

Went as Expected: Neutral/NA
Minimal Recovery: Disagree
Minimal Side Effects: Disagree
Minimal Impact to Daily Life: Not Specified
9 Comments
  • ld_105's Avatar
    ld_105

    The surgeons are so matter of fact when describing the procedures and recovery. The truth is it takes much longer than you think to recover. Give it time, I too am waiting for my reconstructed breast to heal. I won't see the plastic surgeon for another month but I am curious about the fat transfer you mentioned because I have an indent above the implant on the right. It may be too soon to address this but my PS never mentioned this option. When you are feeling better could you give more details. Take care.

    almost 8 years ago
  • MarianneT's Avatar
    MarianneT

    Sorry I did not see the comment initially. anyway, they took fat from my abs using liposuction. Anyway, my incision from the groin took forever to heal. Parts of the incision were still not healed at 4 weeks. The doctor removed some stitches that did not dissolve and then most of the open sections of the incision closed. about 1/2 inch at the top was still open for another couple of weeks. I was just about to go back to the doctor when I tried a cream that was given to me in a goodie bag during a survivor event I attended. After 4 days of using this cream my incision began to close and is just about healed. I was final able to exercise a bit and walked 3 miles today. some stitches had to be removed also and then the chest incisions healed well. The left side looks awesome. The right side looks good, just not as perfect as the left. I guess it doesn't matter much...not like the original pair was perfectly even, lol.

    over 7 years ago
  • ld_105's Avatar
    ld_105

    Marianne, where was the incision for the liposuction?

    over 7 years ago
  • MarianneT's Avatar
    MarianneT

    They went in through the belly button. I have to say all these months later the results are amazing!!!! Scars are faded and the aureola that was grafted looks so real its incredible. The groin was slow to heal...some stubborn stitches wouldn't dissolve (which seems to be a problem every time I have surgery) and the scar is a funny looking purple however it is now healed up nicely.

    over 7 years ago
  • MarianneT's Avatar
    MarianneT

    also, I am going to consider having another fat transfer. I was hoping the indent would have filled more. That was really the easy part so I am not too fussed if I need to do it again

    over 7 years ago
  • ld_105's Avatar
    ld_105

    Thanks Marianne, It's good to read that you are happy with your results. I had nipple sparing UM so just need the fat transfer to fill in a groove above the implant. My goal is to return to work two days after the surgery so looking for as much feedback as possible. From your feedback it seems possible. I too had issues with stitches healing, but on the right breast and around the areola, after a breast reduction to match the left breast. Thanks again for your feedback, I am looking forward to getting this done.

    over 7 years ago
  • MarianneT's Avatar
    MarianneT

    even with the graft from the groin I only was out of work 1 week

    over 7 years ago
  • MarianneT's Avatar
    MarianneT

    good luck! Let me know how it goes

    over 7 years ago
  • ld_105's Avatar
    ld_105

    Thanks, good to hear. It seems very doable.

    over 7 years ago

Read and answer Invasive (Infiltrating) Ductal Carcinoma questions.