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BR fat necrosis problem

BR fat necrosis problem

Postby kpa2007 » Mon Jun 25, 2007 5:21 pm

Hi Ladies,

Normally, I hang out on the Breast Reduction board. However, it has come to my attention that a number of you have also experienced problems with fat necrosis.

I have seen some of the tummy tuck pictures with the fat necrosis. Mine looks less severe than some, but, I was wondering how you ladies dealt with the healing issue, what advice your PS gave you, how long it took to heal, and did the scar(s) need a revision.

Here's a little background:

1) Had my BR on June 1
2) Noticed lots of bruising on the left breast
3) Extreme dagger-like pain persisted for a day just 3" inches from the left cleaveage
4) Day 8 blackish-blueish blood oozes out when I change my gauze dressing; at this point PS cleans me up and scores the wound and stitches me back up again
5) Vertical incision looked like an earthquake fissure/crack with wound separation after using Aldara cream
6) Advised to put hydrogen peroxide on and the bloody parts & they turn white
7) Start to develop a hole at the t-junction of the anchor incision
8) Advised to do wet and dry compresses using saline solution 4 times a day

I am so sick of dealing with the wound and it bleeds every time I take the gauze off. PS wants it that way and says it is good because it is removing dead tissue.

Any thoughts or ideas on those of you who have experienced this and how did you get through it?

Thanks,

Karen
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Postby maggie07 » Mon Jun 25, 2007 7:27 pm

kpa...sorry to hear about your setback. I am 3 months out and my necrosis is finally healing. It was a long process with all the packing 2 times a day and Dr visits 1 hour each way. I will see my Dr Wednesday and pray for good news.

My Dr sid he wold do a revision if I didn't like how it looks, so we'll see a few months down the road. I had NO idea what necrosis was before surgery and reading it on here and thank goodness I did find it, there are alot of wonderful people on here that helped me through this rough time.

Hopefully Germaine or melbear will chime in and give you advice and moral support. Hope you heal soon..
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Postby jan52 » Tue Jun 26, 2007 5:10 am

I am so sorry you are in this place. It must be tough having it on your breast. This is one reason why I have thought about this surgery after going threw this on my stomach. I think I will pass.

Wet dressing make you heal much faster than dry. It helps with the growth of new skin. It takes time for it to heal correctly but I have one that is healed and looks like an incision. I hope the larger one heals the same. I will include you in my prayers
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Postby melbear » Tue Jun 26, 2007 5:38 am

Hi Karen...i am so sorry that you are one of our necrosis buddies. TT and BR are the surgeries that are more prone to necrosis...there are the risk factors(smoking, diabetic etc) but with these surgeries you have a higher chance even without the risk factors...and if i am not mistaken most of us that have it here are not in these risk groups. Why anybody still uses peroxide is beyond me(not against you...i just don't understand why a doctor would still advice that), it destroys bad and HEALTHY tissue.
After the black skin was removed i used algesite(speeds up the fatty tissue necrosis...does not mess with healthy tissue), then i went to wound care and they used silver nitrate to speed up the fatty necrosis(there are several different ones that doctors can use), it got debrided several times and once the necrosis is done(btw...your wound bleeding when you take the dressing out is a great thing...that means you have blood supply again..which is why this happenend to begin with ..the blood supply didn't go there) they put the wound vac (vac stands for vacum assisted closure) on ....and that closes it much faster For more info on the wound vac you can go to www.kci1.com
And last but not least...this board is a sanity saver...the support you get here is what will really help you.
I have to go for now...have wound care appointment ..but if you have any more questions ...feel free to ask...hope you are healing fast!
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Postby kpa2007 » Tue Jun 26, 2007 7:06 am

Thank you and bless you beautiful ladies.

melbear: yes, I suppose I've had the little attack of why did this happen to me as I am not a smoker or diabetic. While I read about fat necrosis, I never thought it would happen to me :-(. It's sort of like how can one be prepared for it? It's like having your mother die unexpectedly at age 77 with pancreatic cancer. My PS does say it is rare, yet, I've heard of several cases now on this board and at least two on the BR board. Hmmm, I didn't know that about hydrogen peroxide, the PS only had me using it for a very short period of time, 3 days or so. Thanks for letting me know about the wound bleeding; I was getting pissed off by it because I thought it wasn't getting better. This is comforting to know! I have some black skin, too. I'm not sure about the wound vac and whether or not I'm at that point. I'll check out the Web site and it is great to know that this option exists.

jan52: I can totally relate to that emotion. After going through this on my breast, I couldn't fathom doing a tummy tuck, either. Thank you so much for your prayers.

maggie07 Thank you for your kindness :-). My PS has also agreed to a revision if I want one, but he did set my expectations that it was going to take three months to heal. I'll see if I am up to it or not when the time comes.

Once again, thank you from my heart; this information is so helpful and I do so appreciate your support and responses, it really does help me to get through this process.

I may get up the nerve to post some pictures, but I'm a little bit ashamed of how I look right now. It's hard looking in the mirror.

Hugs and my best to all of you who have suffered, too.

Karen
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Postby germaine94514 » Tue Jun 26, 2007 7:13 pm

Karen

Don't be embarrassed. The necrosis gals and the one's that did not get it are a very supportive group. The more you look in the mirror the easier it is to handle having it. That way you can really see the changes. Just keep posting. It helps with the stress and the moodiness. I really did not have much depression with it. I was one of the one's who knew I was most likely to get it. You will heal then later after a time you will have a revision and this will be all behind you.
Germaine

Lipo 7/ 26/05 and 1/21/06
TT 9/21/06
Scar revisions from necrosis 4/3/07, 1/8/08
Necrosis free and had second stage of revision. Still have one more too go.
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Postby maggie07 » Wed Jun 27, 2007 5:49 am

Yea, At first I couldn't look at mine, now I take pics every week so I can compare. That's when you really see a difference. Mine changes after I shower for some reason.

Today is my Dr appt, can't wait to hear what he has to say :D

It's killing me to see my grandkids in our pool and I can't get in yet and it's 90 here.

Take pics, don't be embarrassed, it helps.
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Postby kpa2007 » Wed Jun 27, 2007 3:54 pm

germaine94514 wrote:Karen

Don't be embarrassed. The necrosis gals and the one's that did not get it are a very supportive group. The more you look in the mirror the easier it is to handle having it. That way you can really see the changes. Just keep posting. It helps with the stress and the moodiness.


Thanks Germaine! I did take some pictures and now I have added them to my album.

Here is a link to it:

http://www.makemeheal.com/pictures/view ... bumid=3411

Please PM me for the password if you would like to see my pictures.

Karen
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