Dec. 5, 2016. Week 5 Day 35

Well the weekend has passed and I was throughly lazy.  With that said I gained 1.5 lbs from doing nothing.  We just watched TV and talked.  My husband was gone for the week working so last week I was by myself.  It made me realize how much I have depended on my husband for the past 5 weeks.  So great to have a person that will totally take care of me.  Hard for me since I am so independent but I am learning to receive the help with grace and love.

I seem to be retaining fluid around my tummy incision, and will be asking the Dr. next week if it is a seroma.  The amount of movement my lower tummy does when pushed looks like a waterbed.  Hopefully it will take care of itself.  Seroma’s are very common when a tummy tuck type of procedure is done.  Of course I would be an example of everything that can happen, but so far everything is fixable and not much of a problem to fix.  I am now wearing a compression belt to help with the swelling.  This also just takes time to heal.  I will let you know after my visit next week.

As for my wounds they are healing.  With the bad on on my left breast you can now see a large amount of very red skin around the circular wound and along the sides of the upper wound.  This is new skin which is good.

Anyone visiting this page can leave me a message if they would like.  God bless everyone and I will write more tomorrow.

Pictures below

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Dec 5 1.JPG
Healing nicely

 

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Top of the big wound is looking better and you can see the new red skin on the sides of it.  Slow process

 

Dec 5 2.JPG
Big wound looking better.
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Everywhere there is bright red skin surrounding the hole is new skin so the hole is actually getting smaller.  Looks bad but actually is better.  Takes time.

 

 

 

 

 

 

 

 

Better Day today. Dec 3, 2016. Week 5 Day 33

In one day the new wound looks so much better.  The dead tissue is almost gone on the right.  Great news for me.   The pictures below will show the difference.  So excited to be going in the right direction.

On other news, when I took the measurements for my new bra size my actual breast measurements were 43″ which along with my 40″ band size I was a D cup.  Before surgery I was a DD cup.  Well today when I removed my bra and camisole my breasts actually jiggled.  They have been so firm and solid I quickly grabbed the tape measure and measured my breasts and they are now 42″.  They jiggled because some of the swelling has gone down.  So now I am actually a C cup.  So excited.

Nothing else to report so early in the day.  I just wanted to share some good news and the excitement I am feeling right now.

By now you know the routine.  Pictures are below.

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Dec 3 2.JPG

In one day it looks better.  Only a very small amount of dead skin and incision stayed closed.

Dec 3 1.JPG
Right side.  Dead skin is slowly getting smaller.

Total wound care. Dec 2, 2016. Week 5 Day 32

 

Today’s post is all about my wound care.  The pictures will show what I have to do twice a day.

Each morning I remove the dressings and use warm soap and Dial Antibiotic soap to clean the wounds and then rinse them.  I pat dry and put on the Sulfadiazine Cream that the Dr ordered for me.  I then put on a non stick pad to cover them and then put on the camisole over them.  The camisole helps with the pressure on my breasts, especially the top sensitive areas that I have.  Next goes on the bra, which was rotated from the type I wore yesterday.  That helps with the pressure points on my skin.

I repeat this procedure before bed.  Getting to be a routine that I do not think much about any more.  Just part of the healing process for me.

Pictures below show the procedure.

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Dec 2 2.JPG
Right side after cleaning
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Left side after cleaning
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Left side showing underneath the large hole
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Showing the Cream application.  I put a steristrip on the right side to help the incision stay closed.  
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The non stick pads are next and then I get dressed.
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This is the prescription cream that the Dr. ordered.

Trying new things. Dec. 1, 2016. Week 5 Day 31.

The tops of my breasts are so sensitive so I put on a camisole first and my bra on top of it and it seems to help.   Since I am not having much pain, the sensitivity of my breasts is OK.

I have been doing  a lot of stretching today.  My arms are tight so the stretching really helps.   I never thought I would look forward to exercising.  I can hardly wait to do some crunches, and leg lifts.  I was going to start swimming as soon as my incisions healed but with the open wounds I now have I can not get in a pool.  Sounds like I am feeling sorry for myself.  I probably am but I do not regret having this surgery, even with all of the minor complications I am having.

I was a 40 DD before I started this journey and I measured tonight and I am a 40 D.  I know that they are smaller than the evening of the 31st but with all of the swelling I am sure they will be smaller when all healed.

Enough for tonight.

Pictures below

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Dec 1 4.JPG
My solution for the constant rubbing of my different bras and upper breast sensitivity.
Dec 1 1.JPG
Tummy incision is looking great.  Very pleased.   The incision goes up on the actual right side (left on picture) because I have a tattoo on my back hip and they did not want to cut through it.

 

Wound Care pictures. Nov. 30, 2016. Week 5 Day 30.

I am posting the pictures in order by date showing the difference in my wound.  Very graphic so if it bothers you please skip this post.

Graphic pictures 

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Nov 3 4.JPG
Nov 3, 2016.  You can already see the dark area in this picture that will be the problem
Nov 9 3.JPG
Nov 9, 2016.  You can see the greenish, black skin that has died.  
Nov 11 3.JPG
Nov 11, 2016.  The white is the cream they have me put on it.  

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Nov 15, 2016

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Nov 19, 2016
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Nov 22, 2016
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Nov 25, 2016
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Nov 27, 2016
Nov 30, 2016.png
Nov 30, 2016

More wound care. Nov 30, 2016. Week 5 Day 30

I was taking pictures this morning and I usually enlarge them so I can actually see my wound.  When I looked at my right breast I was able to see dead tissue.  The tell tale green color.  It is small and I hope that I caught it early enough that it will not get too bad.  I at least know how to treat it so now both breasts are in “wound care”.

Both breasts are still rather swollen but once again not as much pressure.  I have about 4 different kinds of bras to wear.  I have to change to a different type everyday or else the pressure on my skin from the bra actually starts to hurt.  So I rotate daily.  So much to remember.

I can completely reach above my head now.  No pain just tightness when my hand reaches the top of the extension.  It actually feels like the tendon pulling not the chest muscle.  I gained 5 lbs during the Holiday so I am on a diet again.  My life story.  I will post this now and add to it tonight.

The Graphic pictures are below.  

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Nov 30 1.png

Took picture and saw it.  There is a small wound on my right breast.

Nov 30 5.JPG
I can see the small dead area on the right breast inside the small red area.
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Camera actually makes it easier to see it.
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I left this big so it is easier to see what I am talking about.  The yellow green area is a lot smaller and there is bright red skin all around the whole wound.  No opening into the deep tissue.  Pleased with that.

Nov 29, 2016. Week 5 Day 29

It is hard to believe that I am starting week 5.  Time does fly by fast.  I am alone all day by myself this week.  My husband has been so wonderful staying home with me, but alas his work needs his attention also.  I am able to do almost anything that does not involve lifting 10 or more lbs.

I am glad at this point that the underside of my breasts do not have any feeling.  If they did I am sure I would be in a lot of pain.  My wound looks awful, but I can see less of the dead skin and more red skin, even though it is in the huge circular wound.  It does not go deep, just a few layers.

I did some more research on breast wounds and was not able to find much under the DIEP Flap breast reconstruction sites so I tried Breast Reduction surgery, BINGO did I find a lot of information.  I choose to have my breasts reduced since they were very large and I wanted smaller ones.  15% or more women have wound healing problems with a reduction.  The underneath skin is so stretched and blood flow is not as good down there.  It all makes sense.  I was prepared for it since Dr Nabil Habash did warn me that is was a good possibility that this would happen to me.

The recovery time for wound healing on a reduction is 3 to 6 months.  It will be a long 5 more months.  At least there is no infection, just dead skin that has to slough off.  I am trying to keep a positive attitude with my left breast.  She has been through so much and I just need to baby her for awhile.

On a good note the swelling is not as bad today.  I can not tell a difference in size but the pressure is not as bad as usual.  Off to wrap more Christmas presents.

 

Pictures are below.

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Nov 29 7.JPG
Left side, Looking good, except for the left over glue.
Nov 29 6.JPG
Right side
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Belly Button looks almost normal
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The struggling left side
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At least for now the incision is holding closed
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The 3 scabs that are left are possible wound problems also.  I will know more when they fall off
Nov 29 1.JPG
Full front picture.