• Breast Cancer reconstruction

    Asked by Sunshine123 on Tuesday, May 14, 2013

    Breast Cancer reconstruction

    The Plastic surgeons I saw in my area won't do Flap surgeries. I live 2 1/2 hours from New York City and I have no one there. The choices I have right after the double mastectomy are immediate reconstruction with Saline or Silicone. I'd appreciate any input from women who have had either Saline or Silicone and why. Thank you.

    8 Answers from the Community

    8 answers
    • Clyde's Avatar

      Find someone in the city to do your surgery the way you want it done. At least get a second opinion there. Some of the best cancer surgeons/doctors in the world are on your door step. Take advantage of it.

      over 4 years ago
    • DorothyV's Avatar

      I actually had the new implants called the "gummi bear". It's the consistency of a gummi bear. If I had to choose, I would go with silicone. The nurse told me they look smoother than the saline ones. The tram flap is major surgery. My ps doesn't do that either. Ask for more information before you decide. Best of luck to you:)

      over 4 years ago
    • DianaL's Avatar

      I would get a second opinion too. However, my PS would not even consider a Flap surgery on me and with the research I read I really was not a good candidate. I had TE's put in on 2/15 and I am in the waiting process for the skin to really stretch. My next surgery is 7/18 and he will put in the silicone implants, lyposuction some tissue (from the excess skin, etc. left from the surgeon) and my back to make them look more normal and then I will have a third surgery for the nipples, tattoo and removal of the excess skin. You really want to find the best PS in your area or New York. My PS does do immediate implants at mastectomy so you might want to ask about that and then you would not have to go through the TE's. Good Luck! You are on the final leg of this journey!

      over 4 years ago
    • Risa's Avatar

      Hi Sunshine,
      I live in Southern California with plenty of options for plastic surgeons. After discussing my options with two friends whom have had Tram Flaps, my Oncologist and my female breast surgeon, I decided on the "gummy bear" silicone implants. My friends had complications with the Tram Flap surgery plus they were not happy afterwards with the numbness and some pain. One of them had the surgery five years ago and advised me to get the implants. I was lucky to have immediate implants at the time of my Mastectomy! It was great waking up to having the implants in. I was almost the same size as before but of course "perkier" The recovery was easy. I had the drains out within a week and was driving within a week. My plastic surgeon didn't even recommend the saline type of implants.I do know that I have read on this site that there are gals who have been happy with the tram flap.. If you really want the tram flap you may be able to contact one of the cancer foundations that may be able to offer you the funds to stay in NY while having your surgery. Good Luck with your surgery. For me it was the easiest process of my treatment.

      over 4 years ago
    • Nonnie917's Avatar

      I am getting silicone implants. The doctor showed me how they have been improved over the years. The old ones would spring a leak and go right into your system. These new ones are soft compared to the saline ones, they are double walled so if the outside wall sprung a leak the inside wall would still be in tact. If the inside wall springs a leak the gel (they are now filled with gel instead of that nasty stuff) it just forms a little clog and stays there. They are really safe and soft. I can't wait to get mine on June 24th.

      over 4 years ago
    • MarianneT's Avatar

      NYC has a Hope Lodge. I wonder if you can contact them for help if you find a surgeon there. anyway I had silicone implants. Unfortunately In had enough belly to do either surgery. Some do not have the option due to body type. I chose implants because I was still a bit shaken (diagnosis to surgery decision was about 2 weeks and surgery 2 weeks after that). Iwanted a shorter recovery and my plastic surgeon assured me he will swap out my implants to do the flap if I did not like the results. If I did the flap it is not reversible. I felt like I wanted my surgery immediately and I could figure out if I wanted to change the implants down the road. It just worked well for me emotionally this way. Oh and I chose silicone over saline because it is much softer. Feels pretty natural. at this point I think I am keeping the implants and not doing the other surgery. Good luck to you

      over 4 years ago
    • Ladykarla's Avatar

      I had the flap surgery. The expanders will go in after my radiation treatments are finished. I am using Dr. Jackson (Columbus, Indiana) who is an expert in the field. I've seen his portfolio. He does excellent work. At this point he plans to do a tummy tuck and use my own tissue or second choice is the gummies. He has a tremendously good reputation. I suggest you call the American Cancer Society and see if they can find some place you can stay or a volunteer you can stay with. They are a fantastic help. Then consult with a flap surgeon if that is what you prefer. Don't be sorry later. I suggest you do what YOU want.

      over 4 years ago
    • polgara's Avatar

      I live in Ulster county and have seen a plastic surgeon. In the Bronx. She is one of the few who does d flap. I havent had any work done but she offered to contact another patient who lives near me so I could ask about her experience. If you would like the doctors number I ll send it to you. She was really nice., down to earth and warm, things usually lacking from ame doctors.

      over 4 years ago

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