Julie billar, m.d.: patients can expect changes in the way their breast look and feel after a mastectomy with reconstruction. A lot of that will depend on the type of reconstruction they have had. How your breasts look and feel after a mastectomy for breast cancer with reconstruction will vary depending on the type of reconstruction you have had, so we will start with reconstruction with tissue expanders or implants.
Generally, your plastic surgeon will review with you what your expectations are, but the way the breasts look immediately after your surgery are not the way that they are going to look when your surgeon is done with the reconstruction. If you are starting with tissue expenders, generally you can feel the expanders under the surface of your skin where your surgeon has placed them in a pocket where they have recreated your breast. The expander is usually deflated and over time, your surgeon will inflate that tissue expander to stretch.
Out the skin so that it creates a nice pocket for the final implant to be placed. during this time, you will experience some numbness of the skin, especially over the incision, but over the skin itself and when the tissue expander is being inflated, you may notice and feel some stretching and aching of the muscle underneath your breast skin as well. Over time, though, all of those sensations will pretty much come back in regards to the skin envelope and it will usually start with you resuming the feeling of pressure when.
You are able to touch the skin and then most people will feel the regular sensations in the skin over time. If you have had a nipple sparing mastectomy for your reconstruction, though, please note that the nipple will never really regain its sensation at all. It is there to augment the appearance of the breast, but it will not regain its sensation. For the patients who have mastectomy with reconstruction using autologous tissue or.
Tissue from your own body, the appearance and feel of the breast is different from if you have had reconstruction with a tissue expander implant, so the look of the breast is more like the final version of what your breast shape will look like immediately after your surgery, so your breast reconstructive surgeon will shape the breast as much as possible to reform the breast as it will be in its final stage and sometimes there are some adjustments that need to be made down the line, but the shape of the breast will pretty much look.
As much as its final form as your surgeon can make it to be. the feeling will not be there, it’s similar to a mastectomy with tissue expander reconstruction. The sensation to the skin will be gone. There will be numbness there, but over time, it is anticipated that the sensation to the skin envelope will return again. It just takes some time, it depends on the individual, but again you will usually be able to start feeling the pressure back again and then over time, the regular sensation to.
KP Newborn Care Baby care basics
Wouldnt it be nice if babies came with instructions? lots of parents have questions about how to change diapers or give baby a bath. Well talk you through it. At home, give your baby sponge baths until the umbilical cord stump heals usually 2 to 4 weeks. Heres what you do: Get everything you need for the bath ready and close by. You always want to keep one hand on the baby for safety, and of course never leave baby alone even.
For a second. Undress your baby in a warm room, and keep wrapped in a towel. You can unwrap different body parts as you wash them, so that your baby doesnt have to be naked all at once. Starting with your babys face, wipe the nose, ears, and eyes with warm water and a washcloth. Make sure to clean the creases under the arms and neck, and the genital area.
Keep the umbilical stump area dry. once the stump falls off, you can give your baby a bath in the sink or a baby bathtub. Fill a clean sink with 2 to 3 inches of warm water. Check the temperature to make sure its not too hot. Remember to always support your babys head. You can use a gentle, unscented baby shampoo to wash the hair.
Rinse with a washcloth and pat dry with a soft towel. Theres no need to use lotion. If you choose to do so, make sure its gentle and unscented. The umbilical cord will heal on its own. Keep it clean and dry. And dont use alcohol or cover it. Erika: Um, the first bath is at, um, Victors grandma. Uh, we have a ritual where she gives the bath.
Of, uh, all the newborn children. i was very lucky that she has helped us assist with our first new bath. Victor: Its like a Latino thing that she decided to do it, and, uh, Erika was okay with it and my grandma was like, Let me do this. So, it worked out. And I think like it helped, because she like saw it for the first time how to do it, and my grandma had done it like several, several, several times with many babies, so it was good.
Bath time is a good chance to examine your babys skin from head to toe. several skin conditions are quite common in newborns and arent cause for concern. You may notice any of these things, which usually go away over time: White bumps. Blotchy, red skin. Dry, flaky skin. Reddish marks around the forehead, eyes, or the back of the neck. Dark blue mark on the buttocks or lower.
Back. baby acne. Cradle cap, or a flaky scalp. What about nails? Babys nails grow fast! You can use a baby nail file or infant clippers to cut the nails as they grow. One word of advice is to do this when your baby is sleeping. Babies can be very wiggly, even at this stage! Many parents also wonder, How many diapers will my baby go through in a day? Probably around 10. Making lots of wet diapers helps you know your baby is getting enough.
To eat. Lets talk about poop. The babys first stool is dark, green, sticky and called meconium. You should see your babys poop change over the first few days. Some babies, especially those who are breastfed, have several bowel movements each day. Other babies poop once a day, or every other day. For girls, always wipe front to back to prevent urinary tract infections.