On 1/10/2009 Terriet wrote:
I am trying to get prepared for lumpectomy and radiation. I currently wear a back closing underwire bra. I dont' think that will be comfortable following the lumpectomy. Does anyone have suggestions of a specific bra that worked well following lumpectomy? Any other suggestions for things I will need during recovering and an idea on how long it takes to recover? Trying to get an idea of how many days I can anticipate to take off work. I'm sure alot of this depends on the extensiveness of the surgery and the individual. But I would appreciate any suggestions.
Reach for Recovery can help you find a comfortable support bra. Your surgeon's office should have contact information for a local Reach for Recovery representative. You can also look at this information on Reach for Recovery posted by the American Cancer Society: http://www.cancer.org/docroot/ESN/content/ESN_3_1x_Reach_to_
Underwire bras very definitely are NOT a good idea after lumpectomy - very restrictive and put a lot of pressure on delicate tissue. A lot of women find that sports bras - especially the all cotton ones - work very well - either front-closure or the ones with no fasteners at all. (Front closure has the advantage of being able to undo some of the hooks without removing the bra if you find yourself needing less pressure on the chest.) The big thing to concentrate on is limiting pressure on the shoulder, and beneath the breast on the operative side.
Personally, I do not wear a bra at all anymore. I had my surgeries in 2002 - for years I followed the male surgeon's recommendation to always wear a good supportive bra, and for years I was in agony. When I was being worked up for metastatic cancer in Feb 2007, I mentioned my discomfort to the female oncologist I had gone to for a 2nd opinion. Her response was she recommends for ALL her breast cancer patients: if wearing a bra causes pain or discomfort, don't wear one. I took my bra off in the restroom before driving home that day, and I haven't worn one since, and I no longer have the pain and discomfort.
Certainly a bra can relieve pressure on suture lines immediately after surgery - a somewhat loose-fitting soft sports bra will take care of that - you can go ahead and get one to take with you to the hospital so you have it to wear home. But my best advice is, if you don't want to wear a bra after your incision is healed - DON'T! (Some theorize that the restrictions of a bra on the flow of lymph fluids withing the breasts may actually contribute to breast cancer, and recommend that unless a woman is just really uncomfortable without the support of a bra, that she not wear one.)
Yes, I do understand that for many not wearing a bra raises issues with body - image, and many larger-breasted women need tthe support; I am not trying to disrepect anyone for whom that may be true. My partner would go braless in public for NO amount of money, and she wears a very old but comfortable bra even to bed, because she feels better with the support.
There is excellent information on bras and breast health in Dr Susan Love's Breast Book (get the 4th edition as it is most current.) Many women consider it to be THE bible on the breast - it really is an excellent resource. Also, http://www.imaginis.com is an excellent site for information about breast cancer treatment and recovery. There are also some excellent articles on www.cancerlynx.com.
I returned to work 2 weeks after my lumpectomy. Of course it depends on how soon your surgeon is willing to release you to go back to work, and what type of work you do, but I really do recommend not trying to push to go back sooner than the dr recommends. Recovery isn't just physical; you may well have some emotional / psychological healing to do before you are ready to be out in the world. There are some specifics about your cancer that you won't know until after the actual surgery - just how involved is the cancer, how much did the surgeon have to remove, how do you feel about what your breast is going to look like. Getting those answers can bear a toll. Some women breeze through these things without a 2nd thought - for others, they can represent a hitch in the get-along, like dealing with an extremely tight immediate dead-line to get a certain piece of work done, focusing all your energy on getting it done, and then afterward having the shakes as all the adrenaline subsides. So much time and energy goes into finding out you have cancer, learning what to do about it, getting ready for surgery, dealing with all the anxiety and uncertainly, and for some women, the first couple of weeks after surgery can be a pretty emotional time.
I recommend using time before surgery to get big projects at home out of the way . Get the house in order as much as possible. Prepare some crock pot meals, casseroles, etc, that can be frozen and then easily re-heated. Keeping busy helps keep the mind off the "what if's." It's also good preparation for recovery days - gives you the freedom to concentrate on getting well. I also recommend that you deliberately spend some time having fun - goes a long way toward boosting the immune system, as well as shoring up a positive attitude.
Also use this time to learn the exercises you will need to do after surgery to strengthen your muscles and speed healing. e.g. standing in front of a wall and walking the fingers of your affected arm up the wall, isometric exercise of pushing one palm against the other, raising your arms in an arc to the sides and then stretching toward the ceiling. Already having the muscle memory of doing these things will make it easier to start right away to do them after surgery. Do not OVERDO, but be careful yet zealous about these exercises - they will speed you to recovery, and help to prevent formation of restrictive scar tissue in your breast.
I wish you the best with your surgery, treatment and healing.
Sincerely,
Tre