The naked truth – five months on

Me - post surgery, 5 months on

It’s now almost five months since my surgery, so this is an update for those women who want to know more about this “muscle sparing TRAM” reconstruction procedure that I’ve had, following my preventative double mastectomy. I figure this is the type of info I would have liked pre-surgery and it’s reassuring to be able to compare notes with others during recovery too, so here it is …

I thought that by now my stomach would be feeling pretty much back to normal (albeit with a whacking big scar across it!) Sadly, it is not. I feel like it hasn’t improved since around the three month mark. It is stiff and solid in a wide band from above my belly button to below my bikini line. It hurts there when I cough or sneeze and I can’t lie on my stomach because the whole surgery area is still tender underneath the numbness. It’s not comfortable at all and it’s hard to sit up from a lying position, and clumsy when turning over in bed or getting up. It is totally numb across a big area (see my little chart, showing how it is to be me at the moment). The numb zone can’t feel any touch or even the most extreme heat. My torso often feels really full, stretched, bloated and distended, like someone has stuck a bike pump in there and pumped it up! It is not good! (Yes, it could be worse .. I could be in severe pain rather than just uncomfortable … but still, it’s no fun! There’s not many moments of the day that I’m not aware of it, feeling solid and stiff.)

Meantime my bosoms continue to be totally numb too. Really, this surgery is so brutal! On the upside, my breasts are a good shape and look totally fine (with clothes on!). They feel firmer than before but are softening up. I have little pain, other than the occasional twinge or nerve ‘zap’. I can fit into a ‘normal’, non underwired bra but after a few hours of wear it is quite uncomfortable, especially on the under bust scar line, so I’m just sticking with the soft “pull on” bras for now (And maybe forever… I don’t care! I just want to be comfortable!) The scars are slowly, slowly healing up and becoming a little lighter. With the help of silicon strips at night, the scars are smoothing out a bit and becoming less rigid. The under bust scars are disappearing, but the vertical scars are still quite wide (about 1 cm wide and 6- 7 cm long). I can see that there will be a day where they have faded to become a much fainter line. Time will heal them. I won’t regain any erogenous touch sensation and I am grieving that loss. It’s a big thing to lose, something that I have always taken for granted. How I feel about my breasts now is more like how I feel about say, my elbows– just there and they do a job. They’re a decent shape to fill out my clothes, but not special and precious and feminine like they were before. (Note to all women – appreciate your bosoms and how lovely and soft and sensitive they are! I don’t care what shape they are, they are a big part of FEELING like a sensuous, feminine, woman! Hooray for them! With no sensation of touch, I promise you, you really don’t feel like yourself – and only you know or care about it. It is sad. And yes, I am sad for me.)

However, I am keeping the faith that there is much that can be done to improve things with my stomach. I have done a bit of research online and came across a forum with women complaining about the same abdominal stiffness and discomfort as me. A few of them recommended “lymphatic drainage massage”. So I have investigated that and I think it is going to help. Your lymph system carries toxins away from your blood stream. It is little talked about but it is important! Especially when recovering from surgery. A few weeks ago I noticed that my wrists, ankles and fingers are just slightly swollen. Only I would notice but my rings and watch are tighter than before. Then bizarrely, the term “post surgery edema” popped into my head. I’ve since found that’s what I have – swelling after my surgery, which is a symptom of poor lymphatic drainage. Anyway, to cut a long story short, there are only a few lymphatic massage specialists in Sydney and one of them is just a few minutes walk from our house! (Of course! The universe delivers, as Martha would say!) I have had one massage and definitely feel that the swelling is going down a bit (THAT’S why my stomach feels distended!). So I’m having one of them regularly in coming months to get things moving along, and bring the swelling down.

I’m also having weekly acupuncture and moxa (warming) treatment on my stomach scars (ie: fine needles inserted and a burning hot coal held over the scar area – I can’t feel it so thank goodness I trust Kaye, my lovely acupuncturist!) I believe that helps to get the blood circulating and accelerates the healing too.

Anyway, I am on a mission to heal myself as best I can. I still become tired really easily too. This is post surgery fatigue AND another “poor lymphatic drainage” symptom. Martha had the most dreadful lymphedema when she passed away so maybe it runs in our genes. Also I had glandular fever when I was a teenager, which damages your liver, and that’s not good for an efficient lymphatic system either.

So thought I’d post this in case these treatments help others with the same challenges. I still have another “touch up” surgery to go some time this year. I’m NOT looking forward to that … AT ALL! But I feel I might as well get everything looking as best as it can after enduring this much.

And for those who’d like to see the “real deal” (seriously, what woman’s torso looks like that sketch?!), I am going to be brave and show you my actual stomach scar, and new (slightly off center!) belly button, as they look this week. My big scar is brutal, but better than it was, with much more progress yet to come. I will make sure of that!  … We shall overcome!

Brace yourselves ….

photo 1[17]_2

Here you go. I have been a bit apprehensive about revealing the real thing in this public domain (I had never planned to!), and up until recently I have been too sad for myself to share it really at all. But I figure I am always interested to know how other women looked afterwards, at various stages, so this is my abdominal scar, almost five months on – it’s big, it’s healing and it’s not that pretty. No wonder it does my head in, when my whole aim in life – as Martha tells me – is “to be happy and make things look pretty”. It does not make me happy. It does NOT look pretty! Some people have said to me that it is like a tummy tuck scar. However, I never wanted or needed a tummy tuck. And the scar line sits higher than a tummy tuck scar I think, so it’s visible above bathers and underwear (unless I want to wear full briefs, which I don’t!). Now I will never make the cover of Swimsuit Illustrated!

But it WILL get better! I know it will! I will keep on with these treatments and keep the faith.

photo[208]_3_2And this is me, a full body version, so you can see what I mean about the distended stomach – see how it looks like a barrel? (SO attractive, just pointing out my body defects here!) But I do want other women to see how it looks. I took this shot for me BEFORE I started my lymphatic drainage so as I could see my progress (hence why I am not looking that glamorous, I was not planning to share!). And I WILL progress from here – you just wait and see!

Through all of this, I don’t have any regrets. It’s a MUCH bigger procedure than I had anticipated, but it’s WAY better than having cancer. I’m not complaining, I’m just telling it like it is for me so that others can understand it too.

Send me good vibes for ongoing healing – thank  you!


8 responses to “The naked truth – five months on

  1. Luke Bailey

    You have many deep scars with you.Physically and emotional.
    However painful which they certainly are, they do make up
    your story and who you are. As you know, Melissa has a huge scar that
    hasn’t healed properly. I honestly like it. Its a sign of her courage and
    pain and everything she has done and what she gave birth to.
    I think that your scar will also give birth to something amazing,
    In fact it has. Look how expressive,raw and heartfelt you are being.
    I’m not saying its fine, or it you haven’t been dealt some brutal blows.
    You know I see that and have deep empathy of the enormous challenges.(Or as much as I can see from an outside distant perspective). However I also see your spirit that is bigger than all of it.
    I love you.May you continue to heal and shine.


    • Thanks lovely Lucas for your kind words – all well received here! It’s not actually the scars or how it LOOKS from the outside that worry me so much, but that way it FEELS right here on the inside! Yep it’s what’s on the inside that counts, so thank you for acknowledging that too. I know it will get better and I will continue to heal. And I know it could be a thousand times worse – like if I actually had cancer and had to endure THAT horrendous treatment. I’m not as brave as our darling Martha! So she spurs me on. If she can do what she did, then I can suck it up and get through this. It is good to share (and receive some love!) along the way! Sending lots of love to you and your girls in v v v chilly NY xxooxx


  2. Lisa Mae

    Sarah you are a true beauty and are fortunate enough to have your scars on the outside. Most people carry them internally in a way that will NEVER heal. Bless you and your wonderful sharing heart. Sending love from the USA. xoxo


    • You are such a gorgeous person Lisa Mae. I’m so glad we have connected. Thank you for your encouragement. I’m sending love to YOU for ongoing healing at your end too. One day we will meet up again and have a big hug and say hooray for both of us! xxoo


  3. ruby

    Sending good vibes! I had this same surgery 5 years ago and stumbled across this post because I am having some pain behind my belly button and was googling for answers. Your 2 paragraphs of description of how this surgery changes the torso and grieving the loss of sensations are so spot on! It gets better with time and the scars become so much less visible, but so much of what you describe is still true albeit on a lesser scale (numbness and zaps and a wish for the sensations of a former body). I wish you all the best in your recovery! Even with all the changes this surgery brings about, I have never regretted it. I should also add that these warm, recreated “elbows” have held their nice firm shape for 5 years now. Not an even trade for what they replaced, but it is a little victory since I know they would not be sitting this high and pretty normally 🙂 I am going to bookmark this to follow your progress. Hang in there!


    • Thank you Ruby. You have such perfect timing – I’m just back from my next appointment with my surgeon to discuss follow up surgery in a few months. It’s quite confronting to be thinking about going back to hospital but I know it is all for the best. Just make it be over! So it’s really comforting to hear from you when you have been through it too, and know that you are glad you did it as well. Oh the challenges life sends us! Thanks for your lovely comments. Sending good vibes right back to you, wherever in the world you are… Sarah xo


  4. Rachael

    It took me 3 months to find your post, post my tram flap surgery. I want to thank u for sharing. It gives me hope. U are definitely beautiful and brave. Thank u!


    • Hi Rachael
      Lovely to hear from you and I’m so glad my blog has helped you. That’s why I leave my blog up, in the hope that others will find it and then have a better understanding of the surgery and its aftermath. Thank you for your kind words. I’m now six years down the track since my surgery and I’m still really glad I did it. It’s not on my mind any more, like it used to be for so long, on a daily basis. The scars continue to fade and my body continues to adjust to “new normal”. I’m sure your body will too. It just takes time and lots of TLC! If you are only 3 months post surgery know that you are past the worst of it and the best is yet to come!
      Sending much love and good thoughts for ongoing healing to you


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