Thursday, February 3, 2011
Back Under the Knife
Here’s a quick reminder of where I’m currently at in the entire prophylactic surgery process. Last April 23rd I had my skin-sparing, nipple-sparing bilateral prophylactic mastectomy with 2-step reconstruction. In the initial surgery, they removed all of my “normal” tissue and placed expanders underneath my chest wall muscle. I did not need the usual fills of the expanders because my plastic surgeon placed all 800cc under my muscle right off the bat (and, by the way, I’m pretty sure that’s not normal!). August 5, 2010 I had my exchange surgery, where they replaced the expander with an implant (silicone in my case). Best case scenario the exchange surgery would be the final surgery, but that is not going to be the case for me, nor is it the case for many women enduring these surgeries.
If I’m being totally honest and upfront, I wasn’t too pleased following my exchange. Only a week or so after, I already felt like the left side was still too low and definitely lower than the right side. Also, as I said in my previous post in August, the implants seemed smaller than my real breasts, but they are the largest silicone implant size. I suppose they could be larger if I wanted saline, but I picked the silicone because I liked the fact that they seemed to feel more “real.” So overall, I wasn’t exactly happy with the new rack (sorry to disappoint you Kir!). I think I also find it frustrating because people in general just assume they must be great because they are fake, but this isn’t like getting a boob job. This is under the muscle and with no other tissue there at all. My plastic surgeon noticed right away how the left side had already started sliding and we decided to wait it out to see how much it was going to fall and what the right side was going to do. Currently, they have both fallen quite a bit, lefty more than righty, but nowhere near the unevenness I had prior to the exchange surgery and they are a bit more durable, so a bra mostly fixes it.
Needless to say, I am going back into surgery; this time a revision surgery on March 4. My plastic surgeon is going to use more alloderm and extra stitches to try to create a stronger pocket that hopefully won’t give as much as has happened with the last two surgeries. I kind of feel like I’m being picky, but there is an empty sunken area above my left breast, especially if I raise my arm, because of how far the implant has fallen. They are both a bit too far over, underneath my arms again too. I feel very lucky that my plastic surgeon has done a wonderful job to make them look natural, so I hope she can fix them and still keep the natural look. Even with no shirt on, besides the scars underneath each breast I’m not sure how noticeable it is. My foobs don’t look fake.
There is another part that no one tells you about and for some reason you don’t think about it prior to surgery, probably because you have no idea really what to expect. But, because the implants are under the chest wall muscle, certain movements squish and deform the breast. For example, push-up like movements, like laying on the floor on your stomach and then getting up from that position, or bending, reaching down for something or raising your arm. It’s actually really strange, and I guess I’m already more used to it, but it’s kind of annoying and frustrating. I know I’m probably being pretty picky with this because in reality no one can probably notice this but me, but I’ve tried to be honest through this journey and share things that may be helpful to other women.
Wow, I feel like I sound like I’m complaining and being whiney… I really apologize for that because in reality I do understand how very fortunate and blessed I have been with regard to my surgeries. I have had very minimal complications/problems and I know women who have practically been through hell and back. This is not an easy process, and even though we all hope ours will be as easy as possible, I think we all know it can only go so smoothly. I mean look at what we are putting our bodies through – physically, emotionally, psychologically. It is a permanent change – it cannot be undone, no take-backs. This was and wasn’t an easy choice as I’ve described previously. With up to an 87% lifetime risk of developing breast cancer it felt like I was just waiting to get cancer, not wondering if I was going to get it. But it is not an easy choice to remove a healthy part of your body. Especially parts that, let’s face it, make you feel like a woman. Do I regret my decision to have the prophylactic surgery? No, not one bit actually – despite the tone of this post. I have had an immense amount of relief since my first surgery. I used to worry during self breast exams that I must be missing “IT” and the cancer was there I just wasn’t checking my breasts correctly or didn’t know what cancer should feel like. I’d worry during and after my screening tests (MRI’s, mammograms, and ultrasounds) that the technicians or radiologists might not take something small seriously enough because of my age. I’d think to myself, “But do they truly understand my risk? Something they think is insignificant in a normal 30 year old (or younger) may actually be very important to pay attention to in me.” I know that sounds a little paranoid, but I watched my Mom go through breast and ovarian cancers at young ages and to be honest, I think cancer is somewhat ingrained in my head as a death sentence. So, overall even though at the moment things aren’t perfect [and the natural ones were,… NOT! :)], I would still make the same choice all over again. I feel a bit guilty like I’m being a little picky, but my family has been amazing at helping me feel better about that. First, my Mother-in-law has said “If you have to go through all of this, you might as well be happy with the results.” And I thought, “You’re right! It sucks to go through all of this, so I should at least be able to feel satisfied with the results!” So true! And then my sister-in-law compared it to having a baby – She said to think about it as if you had a baby and the labor and delivery were smooth and easy, but your friend had are really difficult, painful delivery. You wouldn’t feel guilty that yours was easy just because your friend’s was hard; you would feel blessed that yours went so well. And that clicked in my head. So, I am going to stop feeling guilty for having few complications throughout my surgeries and be more thankful for my countless blessings.
If you are still reading this – THANK YOU! Thank you for hanging in there with me through my whirlwind of emotions and thoughts. I just had a lot to share and catch everyone up on since it’s been so long since my last post. I truly appreciate all of the support!
Until next time, here’s to venting, blessings and uneven silicone…oops I meant silicone! :)
Saturday, October 23, 2010
The Sisterhoods Among Us
There is something about having strong women in your life that truly makes a difference. A HUGE difference! Sometimes you feel a certain way or need someone to understand, commiserate, empathize or sympathize with you and for some reason only a woman can be that person. I have had excellent examples of strong women throughout my life. My Mother was strong, brave, loving, sweet and funny (to list just a few). She taught me so many wonderful things and had an impact on many lives. At her work at the university she was always referred to as the “Mom away from home.” Something she wrote to me in a letter when I was away doing an apprenticeship before my senior year in high school is something I reflect on often. She had said if she could, she would take away all of the bad things that happen to me and make everything good all the time. She then said that “without the bad times the good times wouldn’t seem so good”. That is so true! If things were always wonderful, what would you have to compare them with to know that they are indeed wonderful? I feel cheated to have lost out on so many years with my Mom, but blessed to have had her for 18 years.
I am extremely fortunate to have been blessed with such an amazing Mother-in-law, who has been through a lot with me: my Mother’s death, my wedding, my college graduations, the birth of my babies, and my recent decisions and surgeries regarding my BRCA1 status. She has been a rock for me and has always treated me like one of her daughters. She came and stayed with us for two weeks following my initial mastectomy surgery. She took wonderful care of the boys, cooked, cleaned, did laundry, made beds, shopped and of course took excellent care of me! I am so lucky to have her.
I have also been blessed in life with 2 sisters and 4 sister-in-laws (whom I’ve known since I was 14!). My sisters (all of them above!) are an incredibly important part of my life. Something my Mother always told us girls was to be nice to one another because one day we were all each other might have. These wonderful ladies have lent ears, given advice and been solid supports through all of this. As a collective unit they came to the hospital every day, made me a surgery basket (that included everything but the kitchen sick!), picked up food and goodies for my husband, brought dinners, sent flowers and goody baskets, called, sent supporting, loving texts, cards and messages, and even dry-washed and brushed my hair when I was still in the hospital and not able to shower yet! My sisters are so sweet and kind – I love them so!
I also have several close female friends who are truly wonderful women who have been so sweet and supportive to me for, well, as long as I’ve known them! One of my dear friends told me she couldn’t figure out how to send yummy hot lasagna, so chocolate and coffee would have to do! Oh darn! I guess if I have to suffer, I’ll force myself to eat chocolate and drink coffee *sigh*! :)
I am so thankful to my family, including many fantastic aunties, and friends – they mean the world to me.
During my search for support and information regarding my choices and decisions for being BRCA1 positive, I found many support groups. FORCE (Facing Our Risk of Cancer Empowered), I already blogged about here. Another one is BRCA Sisterhood on Facebook. It was started by Teri Smieja and Karen Malkin-Lazarovitz. BRCA Sisterhood is a place where you can post anything you need to ask, share or vent about: questions regarding surgeries, screening, doctor appointments, concerns, fears, triumphs, etc. I have found the ladies on this site to be so sincere, helpful and understanding. They are there to lend an ear, ease your worries, tame your fears, or just give you a virtual hug when that’s all that can be said at times. One of the kind ladies on the Sisterhood mentioned the nausea patch to me after my horrendous experience after my initial surgery. Having that tidbit of information allowed me to ask my doctor and get a major reprieve from nausea after my second surgery! What I’m trying to say is it’s extremely helpful to have a support base that truly understands what you are going through and what you are feeling. My family means the world to me, but it has also been a blessing to have found BRCA Sisterhood and have another group of women that want to help, listen and love.
Below is the definition of sisterhood:
Main Entry: sis•ter•hood
Function: noun
Date: 14th century
1 a : the state of being a sister b : sisterly relationship
2 : a community or society of sisters; especially : a society of women in a religious order
3 : the solidarity of women based on shared conditions, experiences, or concerns
(http://www.merriam-webster.com/dictionary/sisterhood)
I especially love #3 “the solidarity of women based on shared conditions, experiences, or concerns.” Doesn’t that seem to include all of us? Even our mothers and friends are part of a sisterhood with us because of a solidarity we all share, even if it’s just being a woman. That is the remarkable thing about women – we bond with each other. Even if it’s not someone we know all that well – we are willing to help, listen, and share. We want to help others out and don’t like to see someone suffer or feel alone. We are there for each other because that’s what we do. I am so happy to be a part of numerous sisterhoods in which I have created everlasting bonds with wonderful women who have taught me how to be a better woman.
From the bottom of my heart, THANK YOU! All of you tremendous women in my life who have shown me love, compassion, kindness, strength, bravery and courage. I am forever in your debt.
Until next time, here’s to WOMEN, STRENGTH and SISTERHOODS!
Tuesday, September 7, 2010
September is Ovarian Cancer Awareness Month
I wanted to share the details with you because ovarian cancer is known as the silent killer. Ovarian cancer survival rates are much lower than many other cancers that affect women. The symptoms that seem to be most associated with it can often be mistaken for other health issues, which in turn can contribute to a later stage diagnosis. To spread awareness of 4 main symptoms of ovarian cancer, several organizations, including the Ovarian Cancer National Alliance, the National Ovarian Cancer Coalition (NOCC), the Ovarian Cancer Research Fund (OCRF) and the Gynecologic Cancer Foundation (GCF) have combined forces to spread the word, BEAT. BEAT stands for Bloating that is persistent, Eating less and feeling fuller, Abdominal pain, and Trouble with your bladder. Additional symptoms commonly reported include fatigue, indigestion, back pain, pain with intercourse, constipation and menstrual irregularities; however it is important to note that these occur at an equal rate in the normal population of women without ovarian cancer (http://www.ovariancancer.org/). A woman in the normal population has a lifetime risk of about 1.4% and women with a BRCA1 or BRCA2 mutation have a lifetime risk ranging from 10-60% of developing ovarian cancer. The 5- and 10-year relative survival rates for ovarian cancer patients are 46% and 39%, respectively (http://www.ovariancancer.org/). The survival rates, of course, vary depending on the diagnosis stage. Although mortality rates for many cancers have decreased over the last 30 years, ovarian cancer mortality rates have remained unchanged. The Ovarian Cancer National Alliance has a wealth of information and statistics and also flyers to spread the word on BEAT (http://www.ovariancancer.org/).
The main message of this post is to please be aware of your body and trust that you know your body better than anyone else. Trust your instincts and be your own health advocate. Maybe spreading a little knowledge on known symptoms will one day help a woman get to her doctor a bit quicker than she normally would have. Please pay attention to your body, know your family history and stay persistent. Awareness and knowledge are power!
Oh and go teal this month! It’s the ovarian cancer awareness color. Check out Teal Toes!
Until next time, know and spread the word of BEAT, pay attention to your body, and stay healthy! :)
Friday, August 13, 2010
Exchange Surgery Aftermath
Also, triumphantly, I had NO nausea this time around! Hooray! Some lovely ladies on BRCA Sisterhood on Facebook mentioned a nausea patch to me after I explained my terrible nausea following the mastectomy. I asked my PS and she ordered it during my preop appointment and I picked it up at the pharmacy. The patch was called a scopolamine transdermal patch that I placed behind my ear the morning of the surgery and wore for 72 hours. It was so wonderful to wake up and not feel like absolute crap! Supposedly my PS came and talked to me afterwards and I don’t remember that at all, even though my husband says I was talking, smiling and thanking people. :)
I am very thankful to my plastic surgeon and the anesthesiologist for their hard work. My PS did a wonderful job making my “foobs” look like natural breasts. I’m pretty sure if you didn’t know any better you would think they were natural and that’s not just with clothes on! However, if I’m being totally honest I am still trying to get used to them. I feel like they are smaller than my real breasts were and my PS must have felt so as well, because she said she would have liked to have put 1000cc implants in, however, silicone only goes up to 800cc. Oh well. I also sort of feel like they need to be over toward the middle a little bit more…you know how with natural breasts there is space between them, but then when you put them in a bra they push together a bit? Well, they probably look natural because of the space which is great, but they don’t really move...at least right now since I still have stitches and pain I haven’t exactly tried hard, but in any case I almost worry they look too far apart. Whatever. I’m sure it’s too soon to actually tell anything. I need to wait and see how they settle and what they look like in several months, so I guess I’m being too critical and picky, but that’s just kinda how I feel at the moment. Hope that’s not TMI, but just thought I’d share what I’m really feeling for those who may go through all of this at some point – trying to keep it as honest as I can!
Until next time, here’s to a quicker recovery, being healthy, and (tada!) silicone!! :)
Monday, August 2, 2010
Back on the Table
So, here it comes, the second big day. My exchange surgery is scheduled for Thursday August 5. To remind those of you unfamiliar with the process, this is the surgery where the plastic surgeon removes the expanders that are underneath my chest muscle and replaces them with the implants (silicone in my case). Some of the lovely ladies with BRCA Sisterhood on Facebook call it Operation Squishy Boobs. I love that! The expanders are very firm and are unmovable. They are not too tight or majorly uncomfortable right now for me because instead of sequential fills to slowly expand the expanders, my plastic surgeon added all 800cc right off the bat during the original surgery. So, I am fairly used to the extent to which my muscle is stretched. However, the silicone implants should feel more soft and pliable, hopefully a bit more natural. In addition, as I mentioned in my previous post right now my breasts are very uneven and under my underarms instead of towards the center of my chest as they should be. This is something else that the surgeon will take care of during the exchange surgery.
This surgery is going to be much less traumatic than the prophylactic double mastectomy with reconstruction surgery in April. For example, the surgery is going to be performed at the clinic closer to my house, as opposed to the larger clinic/hospital the initial surgery was done at. Also, the first surgery was about 6 hours long and this one is supposed to only be a couple of hours and then it is outpatient where I go home right after. I am sure I will still feel pretty beaten up, sore and tired, but nothing like how I felt after they took out all of my breast tissue from the bottom of my breasts to my collar bone. I will have lifting restrictions for 1-2 weeks, depending on how I am recovering. My plastic surgeon also told me it is a 50-50 chance of having drains, so I am keeping my fingers crossed that I get the 50% chance of NO drains! But I will deal with them of course if that’s what needs to happen. The drains, which I explained more here, are not the worst things ever, just a bit of a nuisance.
It is strange how fast this surgery snuck up on me. In some ways it felt like it was taking a long time to get here, but looking back the last 3+ months went by very fast! I was originally hoping to have the exchange surgery at the end of July, but then ended up having to wait for one part of the right side to finish healing. To explain, when I woke up from my original surgery I had a blue tattoo-looking area (if you put the tips of your thumb and forefinger together it was about the size of the space in between, just larger than a quarter). This was from the dye used to determine which sentinel lymph nodes to remove and it didn’t happen on my left side and I don’t think it is very common. My body did not take kindly to that dye and it stayed for weeks and then the top layer of skin finally started to peel, but then it turned into a thick scab. After a bit, the plastic surgeon removed the scab explaining that at a point it is doing more damage than good because water can get trapped underneath and bacteria start to grow. So, once she removed that scab I had a crater on my boob that was kinda gross and took forever to heal completely. Once it did heal about 2.5-3 weeks ago, my plastic surgeon felt comfortable with scheduling my exchange surgery. She wanted to give my skin a few weeks to be healed and give the scar a chance to shrink, etc. before she performed another surgery. Sorry if that was TMI, but I wanted to give an explanation for others who may find themselves in the same situation at some point.
So overall I am in good spirits. I am nervous, but less so than for the mastectomy. This time I already have a nausea patch that I asked my doctor to order since I had such a rough time with the anesthesia and medications last time…sensitive stomach! I am hoping I may actually be able to wake up from the anesthesia and feel well enough to even think about looking down at my chest as I have read about others doing! It is a relief to know that I am *hopefully* almost done with this portion of the prophylactic surgeries. If all goes well and I don’t need any revisions, I will be done with the breast portion and the ovaries will be next…when I’m 35.
I am very appreciative to all of my family and friends for all of their wonderful support throughout this BRCA experience. I have had such sensitive, kind responses to my decisions and I am so thankful for everyone. I am especially very grateful to my husband who has been truly amazing during, well, the entire time I’ve known him, which goes back to high school and being there for me during my Mom’s death. He is more than words can describe and I love him more deeply with each passing day!
Until next time, here’s to no more rocks on my chest, squishy boobs, and silicone!!! J
Thursday, July 15, 2010
Boobs, Boobs, The Magical...Fruit?
Needless to say, I’m jealous! I’m jealous of small boobs, big boobs, perky boobs, saggy boobs, bouncy boobs. Pretty much, any boobs, but mine! As one of my friends has mentioned – I have boob brain! I am wearing clothes to camouflage my unevenness. A shirt under a button-up shirt, shirts with something distracting to the eye, shirts that have coverage “frill” around the cleavage area, etc, etc. I would love to just wear a regular t-shirt or tank top! And I know, I know. This is only temporary and my plastic surgeon will fix everything and make it all look “normal” during my exchange surgery. My husband is so sweet and keeps reminding me that it’s only temporary. Yeah, yeah. :) That doesn’t help me right now when I go to my closet and try to find one of the 4 shirts that actually help conceal my dysfunctional chest!
I know I do not have to live with my step-like chest for too much longer. It is just frustrating at times. It’s not like my natural breasts were perfect. They were fairly saggy after breast-feeding two babies and were actually a tiny bit uneven themselves. However, they could be placed in a bra and viola! They looked pretty great in a shirt – if I do say so myself. Of course, that could just be elaborate fake memories I am giving myself to feel better? These imposters under my chest muscle do not budge. I am not allowed to wear an underwire bra, but pretty certain it wouldn’t do the trick anyway. A sports bra can tug lefty up a tiny bit, but not enough to get away with wearing a t-shirt. I even feel very self-conscious in, ahem, intimate moments with my husband.
On the other hand, being perfectly honest, things are actually moving along nicely. With rightie finally healed, my plastic surgeon said we could start the ball rolling on scheduling the exchange surgery. She wants a few weeks to keep an eye on the new scar, see how it shrinks, etc. The temporary boobs finally have an end in sight! *Sigh of relief!* My husband helps me remember how wonderful my plastic surgeon is and how I need to trust that she will do her job and make everything look great. I know, I am trying! That really is supposed to be her job, right? She has done a lot of breast reconstructions, following mastectomies. She doesn’t seem in the least bit concerned about my unevenness now and says she will fix all of that during the exchange. So, okay - I need to trust in her and be patient. I need to suck it up and deal with what I’ve got. It definitely could be a ton worse and I am so very lucky at how well things have gone so far, considering. I’ll just have to admire others seemingly perfect racks and believe that I will be back to looking “normal” soon, with a shirt on anyway.
Until next time, here’s to boobs, boobs and more boobs…oops I mean silicone! :)
Tuesday, June 22, 2010
A Chance to Give Back!

There have been several organizations that have been irreplaceable during my BRCA journey, including the BRCA Sisterhood (on Facebook), the Young Breast Cancer Survivor Group at my hospital and the FORCE (Facing Our Risk of Cancer Empowered) organization (http://www.facingourrisk.org/). FORCE is an organization that has been very helpful to me and my family during our BRCA journey. The FORCE community gives people a place to share and get support and information on hereditary breast and ovarian cancer. It is a community where others understand what you or your loved ones are going through. I have found it extremely helpful to learn more about what other women have been through and found it useful in preparing myself prior to my surgery. The message boards are a safe place to ask questions, talk about your fears and concerns and talk to women who have been through similar experiences. My city even has a FORCE support group that I have attended. They also have a yearly conference that involves experts in hereditary cancers, physicians, surgeons, and information on understanding your risks, surveillance, surgery, healthy living, support groups and so much more. It is a wonderful support base.
Okay, so this is really unlike me to ask others for something...but I have found the FORCE organization to be very helpful during my quest for answers and support during my BRCA journey. If they were to place high enough in the Chase Community Giving Campaign it would be very beneficial to many people. The FORCE website was one of the first places I went when I found out about my BRCA1+ status because my sister had already been going there for a few years. If you have a free minute, your vote would count and could help numerous people. Below is some information explaining the Chase Community Giving Campaign, more information about FORCE and how you could vote to help a wonderful organization. Voting really is quick and easy! Thank you so much for your support!
What is Chase Community Giving?
In a nutshell, Chase has a campaign on Facebook and is going to be giving away a total of $5 million dollars to be split between 200 charities. The charity with the most votes will receive $250K, 4 runner-ups will receive $100K, and 195 charities will receive $20K.
What is FORCE?
FORCE is the only national nonprofit organization dedicated to serving the needs of and improving the lives of individuals and families affected by hereditary breast and ovarian cancer (such as BRCA mutants like me!). They provide lifesaving information on the latest medical treatment and risk management, resources, and awareness.
Voting on Facebook starts June 15, 2010 and 200 winning charities will be announced on July 13, 2010.
What would FORCE do with the money if they won?
For starters:
$1,000 delivers the latest in BRCA research and information to 500 families.
$500 gives 60,000 visitors access to their website for one month.
$300 provides a scholarship to FORCE’s annual conference to one person that could not otherwise attend.
$200 provides life-saving information to 100 people through their newsletter.
$100 provides phone-based support and resources via the Helpline for one month.
$50 provides a package of informational brochures to doctor’s offices and hospitals.
Just think – if $2250 can do all of that – how much good could be done even if we only place among the bottom 195, and win the lowest amount of $20,000! That’s a whole lot of help, to a whole lot of people!
FORCE’s MISSION
“To improve the lives of individuals and families affected by hereditary breast and ovarian cancer.”
To this end, FORCE has eight mission objectives:
• To provide women with resources to determine whether they are at high risk for breast and ovarian cancer due to genetic predisposition, family history, or other factors.
• To provide information about options for managing and living with these risk factors.
• To provide support for women as they pursue these options.
• To provide support for families facing these risks.
• To raise awareness of hereditary breast and ovarian cancer.
• To represent the concerns and interests of our high-risk constituency to the cancer advocacy community, the scientific and medical community, the legislative community, and the general public.
• To promote research specific to hereditary cancer.
• To reduce disparities among under-served populations by promoting access to information, resources and clinical trials specific to hereditary breast and ovarian cancer.
Why is all of this important? As someone who has a BRCA genetic mutation, having an organization like FORCE on my side is invaluable. Without knowledge of what these genetic mutations mean, people can and do die from hereditary breast and ovarian cancer. Spreading information saves lives, and provides much needed peace of mind, education, and emotional support for those of us afflicted with this mutation.
If you are on Facebook then it’s very simple to vote. First click here:
The next step is to join the movement by scrolling down just a little bit on the page & clicking the ‘Like’ button.
Next step: Click the big green ‘Search’ button and copy this text: Facing Our Risk of Cancer Empowered and paste it in the box that says ‘Charity Name.’
Click the big blue ‘Search’ button to the right of that.
After you click that, you’ll see Facing Our Risk of Cancer Empowered in blue lettering. Click it.
Scroll down & check the box that says: “Please display my name and profile picture below so this charity knows it can contact me to get more involved.”
Click submit. A ‘Request for Permission’ box will pop up. Click ‘Allow’.
Vote – and share with your friends, and ask them to share with their friends, and so on.
I really appreciate your consideration in voting for FORCE. Although you are only able to vote for each organization one time, you have 20 votes total, so you can look at helping other organizations close to your heart as well! Thank you very much to anyone who is able to vote! I really appreciate your support! :)
Until next time, here’s to FORCE, Chase Community Giving and silicone!
