• Pate4321's Avatar

    Pate4321 started following

  • Pate4321's Avatar

    Pate4321 started following

  • Pate4321's Avatar

    Pate4321 started following

    Question: Chemo first?

  • Pate4321's Avatar

    Pate4321 started following

  • Pate4321's Avatar

    Pate4321 started following

  • Pate4321's Avatar

    Pate4321 asked a questionBreast Cancer

    Considering reconstruction after Mastectomy 18 months ago

    12 answers
    • MMarie's Avatar
      MMarie

      I wish they would have offered me the option or even discussed having BOTH breasts removed. I would have never had an implant, never had reconstruction and gone flat. I hate what I live with.

      about 3 years ago
    • ld_105's Avatar
      ld_105

      Unilateral mastectomy with tissue expander then the implant exchange surgery and right breast reduction. Finally fat transfer to fill in the depression above the implant. This is a personal decision and you should do as others have suggested, and vet a few plastic surgeons. The only facts missing from the research is the fact that you gain weight if taking an AI and most of it goes to your middle. Then the aches and pains that are side effects of any surgery. My implant is often uncomfortable but I am happy to have two almost symmetrical breasts.

      about 3 years ago
    • MelanieIIB's Avatar
      MelanieIIB

      You have received some good advice. I had a very difficult time trying to decide whether or not I wanted reconstruction. I was self conscious when in public and always wore prostheses but I just didn't know how badly (or not) I wanted to have the surgery.

      I am not in your area but I would start by seeing which plastic surgeons in your area are certified by the American Board of Plastic Surgery. (google that site and see if they list some doctors in your area.) I also would recommend looking for those who are "Fellowship Trained". This means they have had extra schooling in their field. Also look for a surgeon who does the particular type of reconstruction you want to have done regularly....at least once a week (especially if you are looking to do diep flap).

      I would also ask for recommendations from your medical oncologist, breast surgeon, radiologist, if you had one, and nurses. Do any hospitals or any clinics near you have a Breast Care Navigator? She would be a good resource. I would also talk with patients of the doctors you are considering. My plastic surgeon gave me names of people I could talk with who were close to my size in weight. The outcome of surgery (for diep flap) has a lot to do with the size you are and whether or not you are in good health.

      I had diep flap reconstruction 11 weeks ago. I did not want implants, didn't want any muscle used, didn't want to have expanders and I had radiation which can make some reconstruction procedures difficult and inadvisable. My plastic surgeon came highly recommended by the breast surgeon who did my mastectomies. Then I talked with the Breast Care Navigator at the hospital who sees reconstruction patients all the time. She also highly recommended this particular plastic surgeon. She knew of other surgeons in my area and told me she would not recommend them as their surgeries lasted way longer than they should (one was 20 hours long) and she did not think the results were good. I also asked at my oncologist's office and the Nurse Practitioner told me my plastic surgeon's patients had less infections and complications than some other surgeon's patients.

      I am glad I had the surgery even though the radiated side is smaller than the other side. I will be seeing my plastic surgeon again for recommendations on what can be done. He had talked in the past about possibly doing fat grafting. Let us know what you decide.

      about 3 years ago