Autologous Reconstruction

“After speaking with my plastic surgeon about the various options that were available to me, I made an informed decision to get the latissimus dorsi flap reconstruction done. I had already gone through radiation which caused changes in the elasticity of my skin and also had a history of infection from my lumpectomy one year prior. By doing the latissimus dorsi flap, it would help minimize the risk of infection and allow for more skin elasticity and a more desired outcome by using healthy tissue from my back. 

I was grateful to have a surgeon who explained the process in great detail but also spent a lot of time on the internet doing my own research so I knew what to expect. I also spoke to other women who had been through it and could provide valuable insight as to their own first-hand experience with this type of reconstruction. I think it's important to have as many resources as possible and helps make things a little less scary when you know what to expect. One thing I did not expect though was the significant loss of feeling in my back where the skin and tissue was removed. Although some of the feeling has returned, there will always be a loss of sensation which is troubling sometimes.

Was I pleased overall with the results? Yes and no. While my right affected (cancer) breast looked and felt more natural than expected, my non-affected side was the problem child. I had gaps and indents along my breast and a loose pocket of skin underneath that didn't get filled out from the expansions. I have come to learn though that breast reconstruction is never a perfect process and it can take time (and a lot of patience) to get the results to where you want them to be. 

I think it's really important for others to be prepared going into a surgery like this. The healing time is significant and it is hard to go about your daily activities for at least a couple of weeks. Having a good support system lined up is key to helping do things like making dinner, walking the dog, taking kids to school and cleaning around the house. I had meals prepped beforehand and items on hand that would help keep me comfortable during recovery like a drain dolly to hold the multiple drains in one place, a pillow to stick under each arm for bed or while resting on the couch, and a seatbelt pillow for the car.” 
~Kim~

“One thing that might be good for others to know is the back may feel very numb for a very long time ... I always describe it like feeling like a piece of wood - it can take a couple of years for all the feeling to return to the area. If there is any feeling in the area it should all return eventually.  This surgery sounds very daunting but I found it pretty easy to recover from and have no restriction in movement due to this surgery.

Another thing to be aware of is a small possibility of capsular contracture happening with any permanent implant - this just happened to me and I had surgery to exchange the implant in January. Breast reconstruction can be as easy as one surgery but it can mean several surgeries over time; however everyone I know is happy they had it done, including me. I have met many, many women who either wish they had had reconstruction or wish they had been offered reconstruction, it just makes you feel normal again.

Every woman should at the very least be given all of her treatment options at the time of her diagnosis. I had the best possible care and given every option and my mission is to help all women who have not been as fortunate as I have been. I have been extremely pleased with the results. 
~Susan~

“Its been just over a year since I had the implants put in and honestly I don't like the feeling of them. They feel like a foreign object that now is a part of me. On the side where they removed the cancer, it causes me the most problems while moving certain ways. I was going to go back to the surgeon and let him know, however a bone scan that was done last month showed Costochandral inflammation in the chest and rib on the right side, this is due to previous rib fractures.  

After my double mastectomy the plastic surgeon put in my expanders in the same surgery. Every 3 weeks I went to the plastic surgeon and he would give me my CC's of fluid to fill the expanders. The surgery was June 23 and by Nov, I had my last one and then I ended up in emergency in horrible pain a few days later. Apparently the last amount of fluid was too much for me and it was resting on my diaphragm. A few days later the surgeon drained me on the one side and it gave me instant relief.

We then went to plan B which was the flap surgery where they took about 9 inches in the width of my back and brought that skin and tissue to the front. My back has never been the same since. They look good but there is so much numbness in both the front and the back of me. I was warned it would be like this. The flap surgery affects a lot of the nerves and I’m left with what feels like to me a block of wood in my back. Like something that doesn't belong there. My range of motion has been affected too. I think that is the scar tissue. 

 I’m pleased with the look of the implants and I now have a perfect size C. I don’t have to wear a bra, so some good things did come out of this. 

 I would want others to know that you have to expect to have weird feelings with the implants as they do feel odd, like something is just sitting there on your chest. And that it wasn't until I had the nipple tattoos, that I finally felt I looked whole again and 1/2 normal. I’m still very shy around my husband. I still hide from him. I feel abnormal. I guess it’s the scars, the implants and the fake nipples make me feel not real anymore. Yet on the other hand, in the mirror I look okay.”
~Cheryl~

“I had the Dorsi Flap procedure done, muscle was taken from the back and moved to the front. Expanders were put in and for six months, every second week I would have saline injections to stretch the skin. The biggest challenge was the recovery time after the initial surgery.  It was a hard surgery that I wasn’t properly made aware of.  Surgery was harder than anticipated and recovery time was longer than expected.  I would recommend the full year wait after the mastectomy to ensure you are ready, mentally and physically. 

I was encouraged to go earlier as the hospital had some cancellations before the Christmas season; which was a bad idea. I was not well enough to enjoy Christmas that year and recovery time was way underestimated by the surgeon.  I found the first few fills very painful but got much more tolerable as time went on and also had smaller fills.

I was pleased with the results, the surgeon did a great job.  I waited a couple of years and am now ready for the final procedures, tattoo and nipple reconstruction.  Was physically tired of surgeries after the expanders were removed and the inserts put in. It was a hard surgery and I’m glad now that it is over.  Sometimes I felt the surgery was harder than the cancer treatments.

My advice would be to do your research and get best option for your body type.  Have a couple pieces of clothing with inside pockets (many sports tops/hoodies have them); they were a life savers to carry around the drains in the incisions”
~Corinne~