Bilateral Diep dilemma

Hi,
I met with my surgeon to discuss a left side masectomy. I’d like a diep reconstruction. To everyone’s knowledge, the right side is clear, but due to a fourth tumour being missed in my left side after 3 lumpectomies, the surgeon agreed the right side could be looked at too. She also agreed that given the long and winding road so far, a bilateral masectomy could be done. I will be having an mri to check the right side.

I know a diep reconstruction is a big operation. Is there anyone here who had bilateral diep? What was it like?

Would it be a lot harder to recover from a double than a single?

Thank you :blush:

I’ve just been through a single DIEP, so not the same, but I had a great surgeon and I’m happy with the whole process. I bounced back quickly, 5 weeks post surgery now and I’m at about 80% back to normal.

Double would difficult, I relied alot on my other arm during recovery. But you’d get through it. I think it’s common to have a DIEP and reduction on the other side as well, so there are plenty of people who have surgery on both at the same time.

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Thank you for your reply @bluehourd . Good to know youve bounced back so brilliantly. I hope I’m the same. Leaning towards just the one side unless the mri says there is more cancer. Wishing you a continued good recovery x

Hi @bluesatsuma
I had a double mastectomy with implant reconstruction so no diep. Healing from the mastectomy was straight forward the rules of arm movements and lifting apply whther you have one or both done.

I would think if the surgeon was happy to do both at the same time then go for it. Then it is only one op and one recovery

Good luck hope all goes well for you xxxx

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I’ve heard a lot depends on your own physical strength and stamina beforehand. I had a lumpectomy 14 years ago with chemo and rads. I recall the worst part was the doctor visits and follow ups and not so much the healing. When my cancer came back this year my first thought was crap this will be time consuming. I’ve decided to have a double mastectomy with DIEP reconstruction. There is a lot of sadness in this decision, but I have already had radiation and the chances of implant failure are high. I only have cancer on the left, but there is no way I am going to go through this only to find out the right will get it in 5, 10 or even 15 years. I also have symmetrical breasts now so hoping they will be the same later. The plus is no more mammos.

By the way, I am preparing by getting button down nightshirts, bed wedge pillow for upright sleep and girdle type gym shorts. My plastic surgeon/hospital will supply a drain shirt, bra and abdomen panty. I’m scared to death, but trying to stay optimistic and positive. It’s hard to do.

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Hi @bluesatsuma

I think we have been in contact previously? Really sorry to here about your having to make this difficult decision.

I had a bilateral DIEP reconstruction at the end of April and it was absolutely fine. I was in hospital for 5 nights which was my choice and could have probably been home after 4 nights. The morning after the opp i was up in a chair, showered the next day and able to slowly pootle around the ward by day 3. The week following my surgery i was going out for short walks a couple of times a day and increasing so that by week 3 i was walking a mile or 2 with coffee breaks. I also increase my exercise by walking and doing some basic pilates prior to the surgery. Post surgery I did all of the recommended exercises religiously and still do some stomach exercises now.

My results are fantastic and i don’t regret asking for the bilateral procedure which was done at my request. I had previously had high grade DCIS in my left breast in 2020 that was successfully treated and then in my annual scan DCIS was detected in my right breast ending up with this tough decision.

It is obviously your body and decision, so i can’t say what is right for you. It has removed so much worry about the what ifs, the down side is lack of the full sensation in my breasts but to me that has been a small price to pay.

I am happy to answer any questions to help you x

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Thank you @Ahbc21. I really appreciate your positive advice. I’m so glad it all went well for you and whatever i decide, i hope mine does too. X

I feel your fear @rockym and I share it too. You seem a bit further on with it all than me as I’m still at the not sure whether to have one or both stage. I have no cancer in my right but want to have both done due to the errors in diagnosis and delays in my left side treatment. The surgeon agrees that I’ve been messed around considerably and with a formal complaint in regarding misdiagnosis and the worsened prognosis because of it, they are keen to help me out. I am not sure yet if i will go for one or two, but i am thinking 2.

When is your op?
Hope everything goes really well for you. Kerp me posted. X

I love this positive ‘out the other side’ post @Summer-sunshine.

It sounds like you recovered really well and that your results have been great too. May I ask if you were able to use the toilet, dress, shower independently after op? Did you manage to keep the wounds dry?

Thank you
Keep up the exercises! Xxx

Hi @bluesatsuma

I took things carefully, and was able to go to the toilet independently after the catheter was removed. I was able to dress using front fastening bras and tops with elasticated trousers.

Showering again with the modern dressings wasn’t an issue. At home it depends on your set up as I have a bath that you have to step into which was a bit tricky i know some people who have used a step to help them with this. Lifting i found most tricky as you shouldn’t lift full kettels or big bottles of milk, and reaching high shelves wasn’t possible to start with. I manage by making sure things were kept on work surfaces or lower shelves.

My dressings were remove a week after surgery as i had a reaction to them, so needed antibiotics but all was fine. I also had a slow to heal belly button which the nurses gave me dressings that i used at home and it is now a very normal looking belly button.

I was able to be independent on leaving hospital but you will be delicate and it is good to have people around you in the first couple of weeks following the surgery to help when needed.

Always happy to chat xx

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Thank you. This is helpful to prepare me. I’ll have my husband and 3 kids at home to help me, though the kids will be pretty unhelpful! X

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@bluesatsuma its great to here that you have a good support network around you. All the best with your decision and the surgery, thinking of you xxx

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This is so promising! Thank you for sharing your positive experience. So often I hear or read the worst. I know that is what people may post more about, but hearing that you were having short walks and starting to get exercise again in reasonable time gives me hope. I hope to be like you and come back here to post the results are fantastic. Love that for you and hope that for all of us.

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