This is long overdue and for that I am sorry, I thought I had already written a post explaining what was going to happen with my second surgery but turned out I hadn't. I apologise.

My last post said I was on the waiting list to have my implants exchanged and that I was waiting to see the surgeon for him to size me up for round implants. 
I went to the sizing appointment and after speaking to the man himself (previously I had spoken to his registrars) we decided that it would be better to keep my current teardrop implants and to do lipo-modelling. 

Lipo-modelling involves removing fat from elsewhere in the body (liposuction!) and using this fat tissue to smooth out the area around the implants, giving a more natural shape and feel. No big incisions are made, its all done with big needles and you are left with just a few 5mm cuts that heal very quickly.  

This surgery still involves a general anaesthetic but it somehow felt like a less drastic surgery than removing the implants all together and swapping them. It is done as day surgery (no hospital overnight stay needed) but I was warned by the breast nurse that it is very painful and some women do stay overnight to manage the pain. 

I had the surgery done during my summer holiday. Just like the nipple reconstruction I had to starve from the night before then turn up to the day case ward first thing in the morning. I had all the swabs again, a needle put in my hand and my surgeon came and drew where he would take the fat from (bum, hips and thighs) and where on my breasts he would put it. 

I went down to surgery, they put me to sleep and I believe the surgery took about an hour and a half. I woke up fine but with uncontrollable shivering, they got me a few blankets and this soon stopped. When back on the ward the nurse did some obs for a while, made me drink water and didn't let me have a biscuit! I had to wait about an hour before I was allowed a piece of plain toast and a cup of tea and then I finally got a biscuit (after the lady opposite me had eaten about 5!). After I had eaten Sean was allowed to come and pick me up and I went home to bed.

I was just on normal painkillers (paracetamol/ ibuprofen/ aspirin) but it was sore. My boobs didn't hurt too much but my bum, thighs and hips were very painful. I had the biggest bruises ever all over the top of my bum and down my sides from belly button level to mid thigh, these stayed for at least two weeks. The pain was the type you would expect associated with a big bruise, a constant sting and a very sharp pain when pressure was put over the area. This made it difficult to sleep as the areas affected included my back, sides and front so there was no comfy position to lie in. 

I have made it sound awful but really it was fine. I don't want to downplay the pain as that would be unfair to people who might be considering this surgery, I want them to be prepared for it. But really it is just pain and pain is manageable, I could have taken stronger painkillers and this would have sorted it but they make me sick and for me that is worse. The good thing was there was none of the fatigue that the first surgery brought, I didn't need any down time and nobody had to do anything for me. I had to stop running for a couple of weeks as the jolting made it painful but I was straight back to it after that and my fitness hadn't reduced.

The worst thing about the surgery is that my trousers don't fit any more! I suppose being a dress size smaller isn't really something to complain about and some people actually pay for liposuction so I should stop moaning...but I can't afford new jeans! 

I think this surgery was the right choice, if I had swapped my implants for round ones I would most likely have required lipo-modelling anyway as the round implants have harsh edges and often require lipo-modelling to make them look mo
My boobs look and feel much better and despite the pain I would do the surgery again if I needed.  
 
I saw my surgical team this afternoon to discuss how we will proceed now both my implants have turned. 
As a quick update; I had the anatomical implants which are tear drop shaped, they have both turned so that the fullest parts are now facing toward the centre of my chest instead of downwards as they should be. 
Because they have moved bits are sitting in the wrong place and pulling parts that shouldn't be pulled and this is getting a bit uncomfortable (not painful but a bit achy).

We came to a decision that the best thing to do will be to surgically remove my current implants and replace them with the round implants. That way if they turn again it wont make any difference to how they look.
This surgery will be done under general anaesthetic but it will be scheduled as a day case meaning I wont have to stay in the hospital over night and I shouldn't need any drains.
As I have had my nipple reconstruction over the original incision the surgeon will make a new incision in the fold under my breast. 

I have an appointment at the end of June to measure for implant size and the surgery will be done in September. 
Obviously it is a little disappointing that I have to undergo a second surgery but it will be much easier than the original mastectomy. Hopefully come September this will all be finished with! 
 
When I was researching this surgery I felt it was very important that I see pictures of the result I could expect. It is only thanks to other women posting their results on similar blogs that I could understand what I may look like post-surgery. That is why I want to make images of my results available to women who are considering this surgery. 

If you are reading this out of morbid curiosity, you are a friend, family member, lecturer or anyone else who doesn't have to face breast reconstruction then please respect my privacy and don't read any further. 

Please be aware that the next section contains images of my breasts post surgery. Only click on Read More if you feel that viewing these images will be beneficial to your surgery decision. 

 
Sean and I arrived at the hospital at about 7.15am and went to our allotted ward, we were the first there and were shown to a room containing about six recliner chairs in the place of beds. It was quite a strange set up, how I would imagine a chemo suite to look. 

I was told I was first on the list and would be going down to surgery at about 8.30am. Between arriving and being taken to surgery various people came to visit...nurses, anaesthetists, surgeons....they all had something for me to sign or a swab to do or blood to take. Sean was allowed to stay with me throughout all this and it was a very calm environment. I was worried that one of us would get upset but no-one in the room did. 

I had to put on compression stockings and a surgical gown fastened at the back, I was allowed to leave my knickers on. And then it was time, I was lead down to the recovery room by a nurse to wait for the anaesthetist. One of the surgery nurses came and was a bit too cheerful, he obviously spends a lot of time calming or cheering people but I just found him a bit annoying. 

I was taken into the anaesthetic room at about 9.15am. ECG leads were put on my back to monitor my heart and then I was given an injection into the cannula on my hand...this made me feel very drunk. A mask was then put over my mouth and nose and another injection given that made me go to sleep. 

And then I woke up...I can't really tell you what time it was, I made sure to look at the clock before the op but I understandably forgot to look when I woke up! 

I was in no pain, the nurse kept asking me to rate my pain in the recovery room but I had none...I did however desperately need the toilet! The nurse brought a bed pan and I had a wee...and instantly felt much better! 
I was hooked up to a drip and a morphine pump and I had an oxygen mask on. 

I think I must have been in recovery a long time...they kept ringing the ward but no-one came to get me for a while, they must have been busy. I got to the ward at about 3pm. I don't know how long my operation took...the surgeon expected it to take 4/5 hours and that would fit with when I got back to a ward. 

On the ward my drip and morphine pump were kept up and my oxygen mask was swapped for one of those tubes that just sits inside your nose. I had a button to press when I needed pain relief that would release a small amount of morphine...I honestly didn't need it, however I did press it as I didn't want to have the morphine wear off and realise I was in pain. I had to use the bed pan a few times more during the evening but at about 2am I decided I would like to get up to go to the toilet. I was unhooked from the drip and morphine so I could go to the loo and I got there fine...a bit wobbly but I made it!

The drip and morphine were reconnected but I decided not to press the button any more as I didn't need it. Both were taken away at about 4am on the 13th as I was drinking plenty and obviously not dehydrated judging my the amount of times I was needing to go to the toilet! 

Sean and my parents came to visit on the evening of the 12th and I was very with it, and in good spirits. I also managed to eat my dinner at about 5pm. I was finding it hard to believe how easy it was turning out to be! No pain or sickness and the morphine wasn't making me loopy! 

A post on recovery is on the way...Sean and mum are helping me to piece together the days as they all seem to run into each other when you're in hospital! I will try to get it up soon but for now, know that I have experienced no pain over the last week and that