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Home » IDEA Answers » Helping a client lose her belly bulge after breast surgery
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Question asked by Karen Savacool 363 days ago

Helping a client lose her belly bulge after breast surgery

This problem is more complicated than it first appears: my client recovered from a double mastectomy a few years back, and I believe her surgery following her mastectomy may be the culprit to our inability to tone down her belly bulge. The doctor reconstructed her breasts by bringing up her abdominal fleshy tissue to form her new breasts (not 100% sure of the method). I'm convinced that her abdominal muscle was compromised - but I am certainly not an expert on this surgery - and won't respond to the usual full body or isolation exercises. Any advice? Thanks!

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Answers (6)

Answered by Bryant Seton 362 days ago
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841 Questions Answered, 9 Questions Asked
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How long would it take her body to fully recover?

Has the doctor/surgeon said any exercises or movements are contraindicated?

The main thing about "belly bulge" is that its the main place the body stores energy (fat). The easiest way to flatten her tummy would to watch her caloric intake and try to raise her overall metabolism through working other parts of the body.
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Thanks for your helpful ideas. My client had her surgery almost 10 years ago, and has been given permission to exercise however she likes.

We've already done all that you have suggested - watched her caloric intake - making sure she is getting enough calories too as well- better food choices & portions, intervals, weight training, and have changed up her workouts over the many months we've been training together.
Comment by Karen Savacool 362 days ago
 
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Answered by John Withinshaw 362 days ago
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My partner had breast surgery after a mastectomy but had the lat flap op. In this case a part of the muscle is moved round to the breast under the skin, then a piece of skin cut and also moved to seal the area. If the ab op is similar then your client could well be missing some muscle tissue from the area. I would agree with Bryant about calorific intake and raising of the metabolism through resistance and interval training.
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Thanks John, your information about the lat flap op procedure sounds similar to what my client has had done.

We've already done all that you and Bryant have suggested, but I am not willing to give up on her! I do however, get her to focus on all that she HAS accomplished, losing weight, gained strength & definition, more energy and feeling healthier.
Comment by Karen Savacool 362 days ago
 
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Answered by John Withinshaw 362 days ago
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If your client went through chemotherapy and radio therapy then she would also have been on steroids. These would have bloated her up with quite a lot of water and increased her appetite, probably giving her the munchies for some quite unhealthy food, my partner went from being a high raw vegan to eating crumpets and cheese to get through the treatment. She still hasn't lost all of it 3 years on. Do persist and be patient, I'm sure you will succeed.
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Your comments really help me understand my client's dilemma and our training a whole lot better, thank you!
Comment by Karen Savacool 362 days ago
 
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Answered by Susan D'Alonzo 360 days ago
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1172 Questions Answered, 19 Questions Asked
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Since it's been ten years post surgery, I would re assess your clients goals.

Depending on how often your are training, I would suggest increasing her intensity and changing her workout.

You may also suggest a fit bit or body bugg to her.

Sit down and review the reality of her workouts and suggest she see's a qualified nutritionist who can evaluate her food habits

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Susan, thanks for your insight.
Comment by Karen Savacool 341 days ago
 
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Answered by Stephanie Allin 243 days ago
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Check out TRAM flap surgery. That's where they use muscle and tissue from the transverse and rectus abdominus to reconstruct the breast.
I've looked at a bunch of pictures and drawings and it honestly looks to me like they took it all from one side of the body.
So, in your case, it could be that some of the muscle is simply not there anymore.
I am also looking for good ideas for training a woman in this situation.
Seems to me there would be one heck of an imbalance.....???
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Answered by Joanne Duncan-Carnesciali 212 days ago
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There are so many things to consider.

Is she retaining abdominal weight as a consequence of the medication she is taking?

Is she post menopausal?

Do genetics play a role in how her body fat is distributed? Some women carry adipose tissue on their hips other carry adipose tissue no their tummies.

She might need just to increase her cardio or focus the great goal of having good health.

Best!
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