Tuesday, December 13, 2016

Stop, Drop, and Fluff

So for those of you living under a rock, I’ve had breast cancer this year.  I have done chemo, double mastectomy and reconstruction. I am cancer free. I am one month post implant surgery. Things are healing up.

Things were looking good. And then it happened. One boob went south for the winter. One boob is visiting Santa at the North Pole and one boob has gone south for the winter. And then there’s me—the person these boobs are attached to—just wondering what they are going to do next.

Let me go ahead and backtrack and get this out while I’m discussing breast reconstruction after mastectomy. I feel like I need to say this for all who have ever gone through this and all who will in the future. I get it that people don’t know what to say—I’m right there with you. I can never eloquently express condolences or support after tragedy or illness. I get it. But reconstruction is not a “boob job.” This is not our “prize” after having breast cancer. Living is our prize. If we choose to have reconstruction, that is a consolation prize to say the least. Rest assured, we aren’t going to be working at Hooters next spring. After my reconstruction surgery, my breasts looked like flattened hamburger buns. I don’t have feeling in my breasts. I don’t have feeling in the back of my left arm or in my chest up to my collarbones or in portions of the top of my back near my arms. I don’t have nipples. And currently I have completely lopsided boobs. This is not a boob job and we are not “lucky.” This is an attempt to reconstruct something that was taken from us. I know people are well-meaning when they say “Well at least you’ll have great boobs” but really I am mentally rolling my eyes and throat punching you when you say that.

I look at my boobs every day in the mirror. I check for healing and any changes. I take pictures so I can see the change over time. The other day my daughter happened to be there when I was doing my daily check. She said “Oh my gosh! That one fell down!” I turned to the side and then to the other side and I said, “Holy crap, it did!” So then I was sure that I had a flat. I was already pulling out the emergency roadside assistance kit, lighting the flare and getting ready to jack this baby up. Then I remembered. Drop and fluff. I had read about drop and fluff. The plastic surgeon had talked to me about this (although drop and fluff is not a medical term and not what he called it) but I guess I didn’t realize exactly how this was going to happen. Drop and fluff is the process during which breast implants settle and when this happens, the upper breast fullness decreases and the lower breast fullness increases. The breasts become softer and more teardrop in appearance. My left breast has done the drop and fluff. My right breast hasn’t dropped and fluffed yet. Hopefully it will undergo that change in the next few weeks. It’s still very early and as much as I want to know exactly how things are going to look, you really can’t be sure until after six months or so. If things are still lopsided, I will have to have a revision which will go in and correct the pocket in which the implant sits.  I really like the more natural appearance of my dropped and fluffed breast. It moves a little more and is less like a snowball sitting on my chest. I am hopeful that the other breast will get its drop and fluff on soon.

After this part gets lined out, then I get to decide on my reconstructed nipples. I can leave things just as they are and be nipple-less. Plenty of women choose to do that and I totally understand why. I can choose to have an actual nipple that protrudes out of my breast and then the nipple and areola filled in by tattoo. All of that is done right in the plastic surgeon's office. The third option is something called 3D nipple tattooing. Everything is completely flat but the tattoo is made to look like an actual 3D nipple. I'm not sure which route I'm going with that yet and there's no time frame on when you have to do it so I'm in no rush to make that decision. I have talked to lots of women and no two women feel the same way. It's just personal preference.

When we were at the Pajama Jam, my friend Scarlet asked a lady what type of breast cancer she had. Scarlet went on to tell the lady that I had triple negative and she told her that I had done a good job of educating my friends and community about breast cancer and my particular type. That meant so much to me to hear her say that. The things that I have written about are to better educate those who are going through breast cancer and those who have someone they love going though breast cancer. Unless you have gone through this, you don't know the process. I certainly didn't before I journeyed though. 
-lightningbug