Hi She
I typed a reply to you last night and lost it and was too tired to do it again. So I'll type this somewhere else and copy it back!
I had bilat mx and recon in Dec 09, 5 months ago. I had Becker expander implants which were expanded only twice. I've still got the ports - I'm going back to see my surgeon in a month or so, and will hopefully plan the next stage of nipples and removing the ports. My nipples were removed and I had a reduction too.
I'm very pleased with the results - the scars are doing well and there's a bit of a droop. I'm a lot older than you at 51, and my breasts were still pretty good but beginning to go a bit south, and they were too big. So there was an upside to the crappy cancer problem. One mx was essential and the other risk reducing and in many ways I think it's been easier to cope with having 2 looking and feeling the same, albeit different.
Anyway, I can't comment on the Permacol but as you say, it wouldn't be offered if there were any risk. My implants are tucked under the pectoral muscle at the top - about quarter/third of the implant - and then he used a dermal flap - just a thicker layer of the breast skin really. I didn't want to use my back muscle, and like you, didn't have enough tummy to make even one boob. I was prepared to eat, but he said no!
I'm sure you'll be ok to work after 3 months, but perhaps not full time. I started back after about 7 weeks, but only 2 short days a week, in the office, and built it up. I don't work full time anyway.
I agree about the lifting, you need to be careful because of the stitches - internal and external - but you'll be able to build it up gradually. You'll be doing your exercises straight away which will help your strength. I walked as soon as I could and trundled up and down the corridor regularly - it really helped me feel better after the anaesthetics. I think it's very unlikely your stitches would burst unless you did something really silly! You'll be able to listen to your body, and take it step by step.
I prepared with a really good diet - 7 or so fruit/veg, limited alcohol, organic where possible, low dairy etc. And I was quite fit. I'm sure it helped with my recovery.
Lots of luck, and I'm happy to help if I can.
River
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