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Top Surgery Recovery Updates (a place for all members to update after surgery)

Started by Bimmer Guy, December 28, 2013, 10:42:57 AM

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aleon515

I was very glad I would not have had to go to work in the first 2- 2 1/2 weeks. I think that you are maybe more tired than you think you would be and that sort of thing. Plus there is the stretching and so on.

I don't really care about the feeling, and would probably not have been a good candidate for pedicle since my nipples and areola were really pretty large, esp the nipples. Very happy Dr G doesn't give you much in the way of these. LOL

I think I will get a lot of feeling (esp since I have some feeling now) but probably not erotic sensation. I think when people get that back it's the mind anyway. I don't know how you would really get that back with DI unless you have a very strong sensual feeling, I won't say imagination, not sure what to call it. I don't doubt people saying they do, but I do question that it is actually coming from the nipples and areola.

--Jay
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Alexthecat

Day 14 - 2 Weeks post op

Nipples be peeling like crazy. The edge of the tape has started to come off also.





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Jeatyn

7 Week Update

I am back on track, the infection has cleared up, which means no more antibiotics wreaking havoc on my system. Woohoo! I think I'm at that dangerous stage of recovery where I feel totally fine, which makes it easy to overdo it. I clean the entire house and once I'm finished I realise my chest is super achey and I'm need of pain meds. It's nice to be able to clean though, my partners idea of clean is different to mine :P

I'm able to pick the little'un up for short periods, so I can get her in and out of the bath and her cot. Just in time too, my partner got a new job so I can't rely on him for everything.

I'm still not sure I'm confident enough to take my laptop to uni, I will see how I feel in the morning.

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aleon515

@Jeatyn: Yeah watch out buddy! All the lifting and so on from cleaning house. Now is the time to be a lazy bum. Go to it. :)
@Alex the cat, you are looking VERY good. :)

--Jay
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Bimmer Guy

Hey, guys, looking good!  Glad the infection is gone, Jeatyn!

Alex, we were to cut off the pieces of tape as they lifted up. 

Jay, I thought that with pedicle they could still cut down the areola size.  If not, that would not have worked for me either!
Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



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Kreuzfidel

Jeatyn and Alex - you guys look amazing!

Quote from: Brett on January 27, 2014, 09:03:08 AMKreuzfidel, if you don't mind sharing, is your lack of interest in sensation about not having any before, so you don't care, not wanting them touched before so you don't care, or feeling uncomfortable with having sensation before?

I don't mind - I never honestly get to discuss these things anywhere but on Susan's, so it's nice to have questions. :)

Yeah my lack of interest in sensation is that I never allowed my breasts to be touched or seen - so sensation meant nothing to me.  I'm pretty much the same as you about them being touched - that will obviously change now because they CAN be touched, but I can't really miss something I never had or enjoyed I suppose. *shrug*

Quote from: BrettInteresting thing is that I have heard that guys that were uncomfortable with having their areolas/nipples touched when they were breasts became more comfortable and actually started to enjoy the sensation (or maybe "let" themselves enjoy the sensation), afterwards.

That's something I may experience with the left one as it will still have sensation - I can't imagine that it will affect me greatly if I don't ever regain sensation, though. 

Quote from: BrettLast question.  For some reason I read your post as saying that she used pedicle and on the other she made a DI incision?  For some reason I picture the same incision on both sides, but your one nipple free grafted.

Yeah that's basically what it is.  I haven't seen anything under the gauze yet (that happens tomorrow), but the way I understand it and from what the bandages look like I will have DI on both sides with the incisions in the same places - just one nipple will have a stalk attached and the other will just be a free graft.

Quote from: BrettI think it is great that you took 6 weeks.  I went after 2.5 and even with a desk job, I believe that is what widened my scars a bit.  With travel it was 3 weeks from my job.  Although I had the vacation time, my job includes meeting with clients and I didn't want to not be available to them any longer than that.  I should have worried less about them and more about me.  I didn't want anyone to know at work that I was getting any kind of surgery either, so I said I was just taking vacation.  I haven't even taken a full week from this job in the entire time that I have been there (almost 8 years), and I knew it looked weird.  It was hard to work around people's questions as to what I "did" on my vacation because it was understandably weird to think that someone took off that much time to "go to a few places, but mainly hang out at home".

Wow that's a pretty short amount of time.  I know what you're saying though - I'm a bit of the same, I want to be there for my job, but I know that I tend to push myself and over-work so I had better just bite the bullet and take off as much time as I can get away with.

I struggled with telling them about the surgery - I'm stealth at work, so I had to make something up.  Fortunately I was vague enough that everyone just kind of accepted that it was something to do with my other health problems.

Quote from: BrettAnyway, I wish I had done at minimum 3 weeks after surgery, maybe more.  Oh well, next time!  lol

lmao That is the funniest thing I've read all day!  ;D
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Alexthecat

Quote from: Brett on January 27, 2014, 07:41:09 PM
Hey, guys, looking good!  Glad the infection is gone, Jeatyn!

Alex, we were to cut off the pieces of tape as they lifted up. 

Jay, I thought that with pedicle they could still cut down the areola size.  If not, that would not have worked for me either!
Yeah I've been doing that, it's starting in the armpit to come off. Though the nurse didn't say how to do it specifically.

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aleon515

Quote from: Brett on January 27, 2014, 07:41:09 PM

Jay, I thought that with pedicle they could still cut down the areola size.  If not, that would not have worked for me either!


They can, probably also can do nipples (not sure but I'd guess) but I imagine there is a limit to this. TBH, had trouble finding this out.  I also thought that it wasn't really good for bigger chests, though not sure what "bigger" is.

--Jay
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Jeatyn

I've had issues finding much info about the pedicle technique online too. My areola were trimmed down but weren't huge to start with, apparently I can get the length of the nipples trimmed if I get a revision, but I won't, they seem alright to me. My chest more than likely fell into the realm of "bigger" at an E cup - all the info online suggested that I would have been most suitable for a T-Anchor - my surgeon apparently disagreed :P I'm glad I don't have to deal with the extra scars, I would have hated having to deal with delicate nipples for ages, mine seem 100% healed other than that one stupid suture that's still stuck in one :P

I know a lot of people wouldn't be too happy with all the dog-ear type bits I have and the folds, who knows if they would have been less likely with a different technique? I remember my surgeon saying something to me along the lines of "the great thing about the NHS is that I can offer revisions without it costing you anything - so I can take my time and focus more on the blood vessels than on getting all the tissue the first time around - it would more than likely be fine if I did it all in one go but I haven't done it before, and you are not going to be my guinea pig" - this was when he was telling me that I would more than likely still be left with a small amount of tissue and possibly still have to bind for 6 months after the first surgery until I got the revision, which I protested.

I'm still not sure if he actually DID make me his guinea pig, they seem totally fine to me, the way he described it I was sure I'd still have A cups at the very least. I have a bit more tissue in one side than in the other, which ironically I actually think looks better than the flat one...the extra fat fills out the ruffled skin a bit better and I'm not a skinny guy anyway. My partner has bigger moobs than me now despite being in better shape :D
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Kreuzfidel

So today I'm 6 days post-op. 

I visited Dr. Hassall's office this morning to have my dressings changed and so that she could have a look at the state of my nipple graft on the right nipple.  It was the first time I've seen my chest completely unveiled under the dressings.  I was blown away!  It looks amazing.  I've got a couple of photos to show you:

Front View:



The "puckering" or wrinkly look around the incisions is from the clear skin-like waterproof bandages that I've been wearing.  Not a permanent feature thank goodness.  The right (grafted) nipple has the dressing stitched to the nipple itself - according to my surgeon, it's to make sure that it's kept secure as it can slip around pretty easily.  Underneath she said that the graft is pinking up nicely which means that it's getting a blood supply.  Happy to hear that, hoping that it keeps on doing well and survives.

Side View:



I'm really happy that she ended up going with the "across the nipples" incision that she is pretty well-known for.  All in all, I'm just ecstatic and she is a really amazing surgeon.

Today I'm still pretty sore.  I'm not "in pain" as such, but it feels like really really sore muscles in my pecs and the front of the ribs.  It starts up when I try to have a sleep.

I'm holding off the Endone because I was pretty traumatised by the constipation/impaction horror.  Panadol is doing an okay job so I'll be keeping on it for a while yet.  I get the sutures out of the left side on Monday and on Wednesday will see Dr. Hassall to have the sutures removed from the grafted nipple.

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Jeatyn

Looking good Kreuzfidel! I've never seen anyone with incisions like yours....and never seen the dressing actually stitched on....what happens when it's time for it to come off?

I went to college today with my laptop in a backpack, it was totally fine. I also went to the library and ended up taking three books out, which were also fine to carry. ;D yay

I've also realised I've had a nice walking speed increase. It's about a 1km walk to my daughters nursery. I time myself every now and again, my best time from before surgery when going at a flat out power walking exhausting pace was 11 minutes. Yesterday I did it in 8 minutes at a casual pace. Wearing a binder was hindering me more than I thought, I can't wait to start working out again!

Edit: Also, last night the suture on my nipple was poking out a bit more, so I tried to pull it out, it was having none of it, so I trimmed it. The rest of it sorta scooched back inside and has left behind a hole -_- I have a band aid over it and am gonna leave it well alone. An infected nipple is the last thing I want.
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aleon515

One reason I didn't take Vicodone, heard all the stuff guys said about being constipated, and was more worried about that. I think really it's more uncomfortable than out and out pain anyway. Itchy and constricted that's what I felt.

--Jay
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Kreuzfidel

Quote from: Jeatyn on January 29, 2014, 09:24:06 AM
Looking good Kreuzfidel! I've never seen anyone with incisions like yours....and never seen the dressing actually stitched on....what happens when it's time for it to come off?

Thanks, mate :) 

Dr. Hassall's method is fairly unique from what I know.  A lot of guys dislike the way it looks as it goes across the nipple, but it's pretty much that you either love it or hate it.  I liked it and so that was why I chose to have her do it.

She will apparently just snip the sutures that are holding the dressing on - they're separate to the actual sutures that keep the nipple on, so from what I gather they're just long and a bit loose and will come out pretty easily.

@aleon - Yeah the discomfort is what really gets me.  I guess some may call it pain, some may call it discomfort.  I just refer to it as soreness since it's not "pain" in the sense of excruciating or searing.  I'll be quite happy when I can sleep without this post-op binder, though.  It's not tight, but it squeezes just enough to pull and smush the sensitive tissue.
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Alexthecat

When would you say is a safe point that the whole incision line would be closed up?

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Bimmer Guy

Excellent looking chest, Kreuzfidel!  I think the incision lines/scars are going to look just fine when they heal.  I like Hassall's work!
Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



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Bimmer Guy

4 MONTH UPDATE (16 weeks)

Hi, guys. 

It has been 4 months, so I thought I would do an update.  The picture does not indicate much change, and it is true that you really can't tell when comparing the two pictures.

However, there are a couple of things different with my chest:

* The scars are lighter.  I would not say they are flatter than they were at 3 months, however.
* Although not noticeable on the last picture, the puckering along the incision lines has pretty much gone away.
* I feel feel hardly any pulling if I lift my arms straight up above my head, which was not the case just a month ago.
* The "puffiness" on either side under my arms where the drains were have decreased.  On the right side it is completely gone and I feel no tenderness when I press on the area.  The left side continues with some puffiness (although significantly less), and only slight tenderness when I press on it.  I hope this area goes completely flat and I have more hopeful now since the right went all the way down.  The left drain is the one that was more painful during the time the drains were in.  Either the drain was put in with more of an angle or Garramone made this part of the bandage tighter on this side (I actually have some theories about the cut of my incision lines and how the drains were placed/tightened against my body based on Garramone being - I assume - right handed).  :)
* The "spit suture" is completely filled in and probably was a week or so after my last update.  On the whole it was not a big deal.
* I talked about how you could see small pieces of the areola being pulled away and stitched into the white background of the chest around the entire areola.   Fortunately,it is smoothing/rounding out.  I don't know how that works exactly, but I like the fact that my areolas no longer look sewn on like a child's homemade doll's eyes do (if that makes any sense).
* Since my 3 months update, I said in subsequent posts that that my scars seem to have widened.  This is not accurate in looking at pictures.  It may not be pencil thin, but I think it is still on the thinner end of what is most common.  I think in looking at other people pictures it is really hard to tell width, anyway.  Regardless, I believe that it will flatten and lighten quite well in time, based on another long scar I have on my body (colon resection).

SCAR TREATMENT

Silicone treatment - I have changed my scar treatment.  At the 3 months update I said that I had changed to the Scar Away serum because the strips were a hassle.  The other thing about the strips is that they irritated my skin.  Purely psychological or not, I felt like the strips were keeping the puckering along the incision lines from going away.  A couple of weeks ago I tried the strips again.  Waiting for the serum to dry (4-6 minutes), was not my favorite thing to do, being it is winter here.  Yes, using a hair dryer was an option, but it still took awhile and I didn't like the high heat on my skin.  Additionally, the serum needed to be reapplied before I got home from my relatively long workday.  Moreover, it seemed like it made the scar dry.  I found myself using lotion after first waking up prior to shower just to decrease the dryness.  This lead me to reach back to trying the strips again after about 8 weeks on the serum.

The width of my incision allows me to use one strip for both sides as I can cut it lengthwise.  My incisions are a bit longer on each side than the 7 inch strip, so I use 1.25 strips per week (as I have to add two small pieces).  They stay on well and I am very pleased with them.  They are NOT irritating my skin this time.  I believe that this is a function of the strips being not as wide (I did not cut them in the past).  It seems as though the strips irritate the surrounding skin, but not the scars.  Less skin is being touched now that I am cutting them.

Massage - Massage has also been known to lighten/flatten scars.  At the time of my 3 month update, I shared that I was using Bio Oil.  Although there are no studies that actually prove that Bio Oil lightens/flatten scars (only anecdotal evidence), I figured that since I wanted to do massage anyway, why not use the Bio Oil.  A few weeks later I found out that Bio Oil is indeed toxic for our bodies.  I listed this in another post.   http://www.ewg.org/skindeep/product/160511/Bio-Oil_Scar_Treatment/

Please consider stopping using this product and pass the information along to your friends.

With Bio Oil out, I needed another massage agent.  Originally I purchased a 100% silicone lube (which worked fine), but I decided I really needed something that would moisturize the skin too, as although with the strips the scars do not get as dry as the serum did, using a lotion or some sort of moiturizer is still necessary for me.

I started a thread asking for opinions.  I ended up going with an organic jojoba oil.  It works fine, I really have nothing interesting to report on it.

In terms of working out/strength training, I really haven't gotten back in the game yet.  I did start some cardio which pumps oxygen into our bloodstream.  It makes sense to me that could be helpful to scar healing.  I am still going to wait a couple of month be
fore working on my pecs/upper body.  I know that scars widening is based on our bodies and not as much on what we do (unless we do really stupid stuff in the beginning), but my natural inclination is just to wait a bit more.  I figure as long as I get it going in the Spring, my chest will look fine under t-shirts by summer!

Ok, so here is the picture.  As stated in my first post, I am not on testosterone:

Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



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aleon515

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Bimmer Guy

Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



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Kreuzfidel

Brett, that's a fantastic update - very helpful to read about what you're going through at this stage of your healing and I'm glad things are looking good from your perspective, as well. :)

Your chest really looks great!  Your nipple placement looks bang on perfect IMHO - just an observation as I've been thinking a lot about nipples the last few days lol
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Bimmer Guy

Quote from: Kreuzfidel on February 03, 2014, 01:32:45 AM
Brett, that's a fantastic update - very helpful to read about what you're going through at this stage of your healing and I'm glad things are looking good from your perspective, as well. :)

Your chest really looks great!  Your nipple placement looks bang on perfect IMHO - just an observation as I've been thinking a lot about nipples the last few days lol

That does sound hilarious!  Especially since I know you mean you are thinking about surgical nipples and not the nipples on your wife (I think your partner is your wife)!  Yes, I am very happy with my nipple placement.  I continue to be very happy with Garramone's work.  I feel very fortunate to have what I perceive as a good outcome.  I really was concerned with not being on T that it would not look that great.  I had a really hard time finding videos of anyone who had top surgery without being on T.  I only found two.  That is why I think it is important that I always mention that I am not on T any time that I post a picture.  It gives people who are not on T an example of a "non-T chest" (for lack of a better word!).

Thanks for the kudos.  I hope that OTHERS (Jay, as his last update was a month ago), do some thorough updates as well.  I am hoping you will update us with pictures on Wednesday after you get all the sutures removed.  Also, what do you plan to do for scar treatment, if anything?
Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



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