3 Weeks Post-Op: Nipple Sparing Mastectomy Update - No More Drains!
Table of Contents
- Introduction
- Post-Op Update
- Drains Removal
- Nipple Sparing Mastectomy
- Nipple Necrosis
- Moving and Packing
- Back to Work
- Meeting with the Medical Oncologist
- Chemotherapy Consideration
- Oncotype Score
- Dealing with the Possibility of Chemotherapy
- Hair Loss and Wigs
- Positive Outlook
- Conclusion
🎯 Post-Op Update
After three weeks of post-op recovery, I wanted to provide you all with an update on my journey. Firstly, I'll address the reason behind my absence from posting videos. Last week, I visited my plastic surgeon and had my drains removed, an experience I was apprehensive about. Surprisingly, the process of pulling the drains did not cause any pain. However, there was a slightly uncomfortable moment during the suture removal on one side due to an error with the scissors used. The tightening of the sutures caused some discomfort, but as long as the correct tools are used, the drain removal process should be painless. Following the removal, the holes where the fluid was draining were covered with a band-aid-like plastic cover, which was later replaced with bacitracin and a band-aid for optimal healing.
The healing process is expected to take around two more weeks for complete closure of the holes. While the holes have closed, there is still tenderness, so it's advisable to wear a bra for protection against any contact with clothes or other items. With the drains out, I'm thrilled with the progress.
Drains Removal
The process of drain removal was relatively painless, with the actual pulling of the drains causing no discomfort. The key is to ensure that the correct scissors or a razor blade is used, as was the case with mine. The incisions were later covered with a band-aid-like plastic cover, promoting healing.
Nipple Sparing Mastectomy
Choosing a nipple sparing mastectomy was a significant decision for me. Although it reduced the risk of losing my nipples, there are potential complications, one of which is nipple necrosis. The nipple on the left side is healing well, but the nipple on the side where I had breast cancer requires more attention. During a nipple sparing mastectomy, tissue is taken from beneath the nipple to test for cancer cells, making it thinner and reducing blood supply. This makes the nipple more susceptible to complications.
Nipple Necrosis
A recent scare emerged when my right nipple started darkening, transforming from a dark brown chocolate color to black in appearance. Naturally, I turned to Google and YouTube for information, stumbling upon the worst-case scenarios and terrifying photos. It was a worrisome experience as I had hoped to keep both of my nipples intact.
Thankfully, my plastic surgeon assured me there was nothing to worry about. He provided me with some nitro gel, which I mixed with bacitracin and applied to the affected area. After a couple of days, the blackened tissue peeled off, revealing new, fresh pink tissue. Over time, the pigmentation will adjust, and if necessary, tattooing can help match it with the other nipple. Despite the initial scare, everything is now progressing well.
Moving and Packing
Amidst all these medical updates, I also find myself in the process of packing. Unexpectedly, my landlord has decided to sell the townhouse I rent, which means relocating during this recovery phase. While it adds another layer of logistical challenges, I'm managing to handle the situation while continuing with my recovery and work commitments.
Back to Work
I have also resumed work, finding solace and a sense of normalcy by embracing my professional responsibilities. Returning to my routine has been therapeutic and has aided in distracting myself from the anxieties associated with my health journey. Balancing work and recovery may be demanding, but it provides a much-needed sense of purpose and normalcy.
Meeting with the Medical Oncologist
Next week, I have an important meeting scheduled with my medical oncologist. During this appointment, I will receive crucial information regarding the need for chemotherapy. The results of my Oncotype test will also be disclosed, indicating whether chemotherapy can be beneficial for my specific type of cancer. While initially, I believed that a small tumor size and clear lymph nodes would exempt me from chemotherapy, it appears that it might be a necessary part of my treatment.
Chemotherapy Consideration
Although the thought of undergoing chemotherapy isn't a pleasant one, I'm coming to terms with the potential reality. Children undergo this treatment, so if they can handle it, I know I can too. Losing my hair is not something I look forward to, but I've resolved to see it as a learning experience. It will undoubtedly make me stronger and more empathetic towards those facing similar challenges. Furthermore, I intend to experiment with wigs and embrace the opportunity for a new look.
Oncotype Score
Online resources have allowed me to gain insight into my Oncotype score, a predictive tool that helps determine whether chemotherapy is necessary. Despite having clear lymph nodes and a small tumor size, it seems that chemotherapy may be recommended in my case. Coming to terms with this possibility hasn't been easy, but with the support of my medical team, family, and friends, I'm learning to accept and adapt to potential changes in my journey.
Conclusion
In conclusion, it has been an eventful few weeks since my surgery. From the delicate process of drain removal to the scare of nipple necrosis, I've faced various challenges along the way. However, I remain optimistic and focused on recovery. Packing for a move amidst all of this adds another layer of complexity, but I'm determined to navigate through it successfully. The upcoming meeting with my medical oncologist holds significant importance as it will shed light on the need for chemotherapy and provide insights into my Oncotype score. Although the prospect of chemotherapy is daunting, I choose to see it as an opportunity for personal growth. While uncertainty lingers, I'm embracing the journey with a positive mindset and a determination to find silver linings along the way.
Highlights
- After three weeks of post-op recovery, I provide an update on my progress.
- The process of drain removal was painless, with the correct tools and techniques.
- Nipple sparing mastectomy can present complications, such as nipple necrosis.
- A recent scare caused by nipple darkening was resolved with proper medical attention.
- Preparing for a move has added to the challenges of recovery.
- Despite challenges, I have returned to work for a sense of normalcy and purpose.
- My meeting with the medical oncologist will determine the need for chemotherapy.
- The Oncotype score suggests that chemotherapy may be necessary despite clear lymph nodes.
- The possibility of chemotherapy is being accepted positively, focusing on personal growth.
- Looking for silver linings, I face the uncertainties with a determined and optimistic mindset.
FAQ
Q: What are the potential complications of a nipple sparing mastectomy?
A: One potential complication is nipple necrosis, where the nipple tissue experiences a lack of blood supply and may deteriorate.
Q: How is nipple necrosis treated?
A: Treatment for nipple necrosis can vary depending on the severity. In some cases, applying nitro gel or a similar product can help promote healing. If necessary, tattooing can be done to match the pigmentation of the affected nipple with the other nipple.
Q: How is drain removal after surgery? Does it hurt?
A: Drain removal is generally a painless process. As long as the correct tools are used and the procedure is performed carefully, it should not cause significant discomfort.
Q: Will I need chemotherapy if my tumor is small and lymph nodes are clear?
A: While small tumor size and clear lymph nodes decrease the likelihood of needing chemotherapy, every case is different. Factors such as the specific type of cancer and other individual considerations influence the decision.
Q: How should I approach the possibility of hair loss during chemotherapy?
A: Hair loss can be emotionally challenging, but it's essential to maintain a positive outlook. Embrace the opportunity to experiment with wigs and consider it as a temporary stage of your journey. Seek support from loved ones and focus on the strength you gain from the experience.
Resources:
