My Surgery After Care
Aug. 27th, 2022 09:32 amI had a double mastectomy, and reconstructive surgery to a flat chest with nipple resizing and movement.
I'm very happy with the results. I'm particularly impressed with the look of the nipples, I hadn't really thought about how different they would be, and am impressed with how well they seem to belong.
I'm still working on scar reduction, and stretching, but otherwise I'm all healed.
EXERCISE/STRETCHING
I started late on this because my doctors office was very much more focused on not lifting (and thus reopening wounds) than on possible stretching, and regaining range of motion.
Once I got the approval to stretch I was told to do:
Snow Angels: This looks like a good video for it, but I just did it while standing
https://www.youtube.com/watch?v=eEbAKsgc3Zw
Wall climbs
https://youtu.be/kuJjYd-rdww
I thought there had to be more to do, so I found this video, and got permission to follow it as long as I was comfortable with the exercises that had been described. I obviously started much later than described in the video.
https://youtu.be/Ii84exRSdVU
For all of these listen to your body it should feel like a mild stretch, not pain.
WOUND CARE
BINDING
There was a binder I was sent home in. It's important to keep the area tightly wrapped to minimize liquid retention. It covered the area a corset would, so much more than the area needing compression. I found a wide ace bandage much more comfortable. I was worried about messing with anything for quite a while, so I think I was 3 weeks out before I tried this. I suggest switching earlier, but it's a good idea to check with your medical team.
FIRST 2 WEEKS
So for the nipples there was a suction machine that was creating a really tight connection, and it involved like an enveloped section on my chest with a water proof barrier covering enough of my chest that I didn't have access to it to clean or re-dress.
So I mostly needed not to get that space wet. This meant sponge baths for the first couple of weeks.
It also involved 2 tubes from there to machines (each about the size of a paperback book).
I found a belt of pockets really helpful for this. I tried a shirt with pockets for drains, and they worked, but swung around which was uncomfortable. I have one of these, and it's great. (mine's brown)
https://www.blue-moon-designs.com/product/xl-blue-chenille-greek-key-pocket-belt-high-quality-festival-belt-plus-size-pocket-belt-extra-large/143?cp=true&sa=false&sbp=false&q=false&category_id=2
There were also the 2 tubes coming from my sides with drains. The bulbs on these were lighter, and less of a problem with the shirt, but since I already had the belt on, I mostly used it. The bulbs needed to have the liquid in them measured and removed twice a day. More if they fill up.
Brian was super helpful with this. We were provided with jars with measurements on the side. We dumped the liquid in the toilet, and hand washed the jars. This continues until there is a very low amount of liquid regularly, and your doctor takes them out.
AFTER SUCTION
Once that was removed I could shower, but not have the spray directly on the chest, and got to start doing more. Regular showers without worry about the direction of a shower around when my drains were removed.
On the nipple area
Xeroform on the healing area, and neosporin under gauze. Re dress daily.
I got this Xeroform
https://www.amazon.com/dp/B09T4R8C87?psc=1&ref=ppx_yo2ov_dt_b_product_details
but if you find one that includes more per package that's probably better. For this size I found cutting it in half diagonally gave a triangle that covered the healing area.
for gauze
https://www.amazon.com/gp/product/B00KJ6NIJ0/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1
This continues until the nipples are completely healed. I just got the approval to stop yesterday.
On the scars
This is suggested for 6 months. This is to minimize the scar rather than to avoid infection or such, but it does seem to help a good deal.
Gently massage aquaphor healing ointment into the scar, and then conver scars with scar sheet. The instruction I got was to do this 3-4 times a day. Apparently you can increase benefit by doing it every 2 hours, but realistically especially once I got back to work I do this once a day twice on a good day. This is to minimize the scar rather than to avoid infection or such, but it does seem to help a good deal.
In general I've been providing Amazon links for clarity, I'm not a huge fan of Amazon, but I don't know a better source for these supplies in larger amounts.
Aquaphor was easy to get at my local drugstore, I got the jar and don't expect to run out any time soon.
For scar sheet, do not use the pack of rectangles like this
https://www.amazon.com/Aroamas-Professional-Silicone-Scar-Resulting/dp/B09BZX26PK/ref=sr_1_7?keywords=scar+sheet&qid=1661624195&sprefix=scar+sheet%2Caps%2C176&sr=8-7
Nothing against this brand, just this form the scars for this are long, so you need to use several, and it's just a lot more work, and higher likelihood that they'll fall off.
This is the one I'm using, it stays better than the other couple I tried:
https://www.amazon.com/dp/B09Q6FB85S?psc=1&ref=ppx_yo2ov_dt_b_product_details
Scar sheet can be reused, as long as you can keep it clean, and flatten it out. When you wash it you don't actually want it to completely dry, moisture helps it stick.