1. Jean Adams says:

    Thank you so much for writing such a detailed and vulnerable post to help others who may endure this surgery! I can’t imagine how long it took to write this post. Wow! I also can’t imagine it was easy to share such an intimate time of your life. Thank you. ❤️

  2. Tita Arroyo says:

    Great post and thank you for sharing Alison! I am 2 weeks and 2 days post DIEP flap surgery (1/13/26). I had right breast mastectomy with immediate implant placement 7/15/25 while awaiting staging and next decisions.
    I appreciate this post and I agree with all of it. Having your healing nest thought through and showering needs addressed and tried out ahead of time help a lot. I live alone but had family and friends here to help for the first about 8 days after coming home from the hospital. Being able to do things on our own is so helpful to our recovery so I would add that preparing to have things accessible at counter height, so you don’t have to reach up after mastectomy or reconstruction and also having a reacher so you don’t have to bend down. This morning I dropped my lipbalm in the bathroom and the cap to a pain reliever in my kitchen and I just smiled, grabbed my reacher and picked them both up with ease and peace of mind I am not hurting myself. I also use the reacher to open and close my curtains and to reach my dog’s food bowl and place it on the floor for her. : ) We are adaptable creatures. I had a lot of fear for the pain to come after the surgery. I thought sitting would hurt or using the restroom, walking, standing. My surgeons did not do epidural as part of pain management but I know I had several blocks and the pain meds administered helped. There is some pain but at least for me it has been surprisingly bearable. The worst was the first day post op. The first morning I sat in the chair, which I was happy to, but the first bathroom visit was extremely painful to walk there. Somehow when I would walk back to the chair I always felt a little bit straighter. It got a tiny bit better each time. Right now when I sit I have to sit upright and nothing really hurts. I can lay back propped on pillows and with a bend at the knees and that is comfortable and supported. Lifestyle habits are key and mindset, sleep and nutrition are paramount to healing and recovery. Ask for help and receive the gift of help; it does help both people as you mentioned! Thank you for sharing your story and I pray you continue to share and bless others.

    • Alison Tierney, MS, RD, CD, CSO says:

      Tita – thank you SO much for sharing your insight – which is incredibly recent to you! I’m so thankful that you shared insights on tips for living alone since I know that wasn’t my circumstance. Thank you for sharing and also blessing others and this community here at Wholesome.

  3. Katherine Ortiz says:

    Hello, Thank you so much for this very vulnerable post. I was diagnosed with triple negative breast cancer on 12/17/2025 and am prepping for double mastectomy with immediate DIEP flap reconstruction so this is incredibly helpful. I am a single mother but my son is 17 years old – in his senior year. I am humble enough to ask and accept help. I will make sure to ask my plastic surgeon if an epidural is an option for me for those first few days. Again I thank you from the bottom of my heart as I was feeling a little anxious but now I have my checklist and am preparing wisely.

    • Alison Tierney, MS, RD, CD, CSO says:

      Hi Katherine – Thank you so much for taking the time to share this. I’m really honored my experience could help ease even a bit of the anxiety you’re carrying right now and that my posting was in good timing for you. I hate that you’re walking through this, especially as a single mom. I love hearing how open you are to accepting support. That truly matters in this season. ❤️

      It sounds like you’re approaching this with so much thoughtfulness and strength, and it sounds like you’re preparing in such a wise, empowered way. I’ll be holding you in my thoughts as you head into surgery, and I’m wishing you a smooth recovery ahead. Please know you’re not alone. 💛 In Good Health, Alison

  4. Melissa says:

    Hi Alison,
    I had a bilateral mastectomy in 2024, implants not working out, scheduled for bilateral DIEP next month, a bit terrifying. Thank you for your article, it reduces some of my anxiety.

    • Alison Tierney, MS, RD, CD, CSO says:

      Hi Melissa,

      I’m so sorry the implants are not working out they way you hoped or expected. I’m glad to hear this article was helpful in easing at least some of the anxiety. Sending you well wishes for a successful surgery and quick healing. 🙏🏻

      In Good Health,
      Alison

  5. Sarah Bartlett says:

    This was a wonderful post of your DMX DIEP flap journey! I was diagnosed with triple negative IDC in December 2024 and after neo-adjuvant chemo I had my DMX diep surgery May 1st, 2026. Our stories are similar but like you said everyone is different. I too would choose this surgery again if I needed to make the decision. I do wonder if you or anyone reading this has had concerns with your abdomen feeling tight (bloaty like). It’s been almost a year for me and I feel like this in most days. Just wondering.
    I pray for you and your family that life has continued and that you all feel blessed to be living each day as it comes.
    May those beautiful girls you are raising remember what a strong, amazing, resilient momma they have. My 2 daughters and partner were with me through it all journey and I am thankful that I could show them all the badass I truly am!
    Blessings … Sarah

    • Alison Tierney, MS, RD, CD, CSO says:

      Hi Sarah,

      Thank you so much for taking the time to share your story here—it truly means more than I can put into words. And I just want to say… what you walked through, and the way you speak about it now, is powerful. Your daughters and your partner got to witness something incredibly strong, and that matters more than we often realize. You are a badass. 💛

      I’m so glad to hear that, like me, you feel at peace with your decision. That doesn’t mean it was easy—but there’s something grounding about knowing you’d choose it again.

      And I really appreciate you bringing up the abdominal tightness—that “bloaty,” stretched feeling—because I know you’re not alone in that.

      While I can’t give medical advice here, I can share that this is something many women report after DIEP flap surgery, even months (or longer) down the road. Your body went through a major procedure—muscle, fascia, nerves, and tissue all shifting and healing—and sometimes that lingering tightness can be related to things like:

      – internal scar tissue (adhesions)
      – changes in abdominal wall tension
      – nerve healing or altered sensation
      – posture or core engagement patterns after surgery

      Some women find relief with:

      – working with a pelvic floor or post-surgical physical therapist
      – gentle core rehabilitation (very different from traditional “core workouts”)
      – scar massage or myofascial release (with guidance)

      As for me, I do experience some of that tightness as well. And alongside some ongoing GI challenges since chemotherapy, I’ve found that the combination can amplify that “bloaty” feeling at times.

      But most importantly—if this is something you’re experiencing regularly, it’s absolutely worth bringing up with your surgical team or a PT who understands post-DIEP recovery. You deserve to feel as comfortable in your body as possible in this next chapter.

      And beyond all of that… I just want to honor what you shared at the end. There is something sacred about our children witnessing us walk through something this hard—and still choosing to live, to show up, to keep going. That is resilience in its truest form.

      Sending continued healing and so much love to you and your family. 🌱

      — Alison

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