RECONSTRUCT. QUESTION: Anyone thinking of going to size D or DD?

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PaminFL
PaminFL Member Posts: 231

Okay, I know this is a reconstruction question and think I should post it there - but I wanted some insight from all of my younger breast cancer sisters first.  I'm 36 years old and had a bilateral mastectomy in Nov. 2008 - did radiation to the right breast Feb 2009.  (Currently still doing fills but will be doing either Tram or Diep flap with implants because the radiated breast feels too firm and I'd like to go bigger than my current size B cup)  I'm getting ready to do the implant exchange soon and I started to ponder on exactly how big I should go.  I'm still young and I have a decent figure.  If I was older, I don't think that it would really matter to me - little ones would do.  My thoughts are "I'm young and if I'm going to have implants and go through all of this surgery, should I have fun with this and get the boobs I've always wanted?  Or should I stay small and conceal them as much as possible?"  I am asking this question because I can't believe that I am the only one who has had this thought.  If anyone out there has had this same thought OR have actually gone through with this and gone bigger, I'd love to hear from you! 

Thanks!

Pam

Comments

  • LisaAlissa
    LisaAlissa Member Posts: 1,092
    edited September 2009

    Pam, I'm not the person you were hoping to hear from, but after reading your question, I had a few thoughts I'm hoping might be helpful as you ponder your options.

    Large/heavy breasts cause many women to limit their activities to avoid the pain associated with "ballistic" movement of their breasts.  I'd inquire about the weight difference in the various sizes you're considering, and what sort of breast movement you should expect with activity.  Yes, athletic bras can moderate movement, but with really large breasts, they can't really eliminate it.  Consider what sorts of activity you enjoy...for instance, are you a runner (think about the "baywatch" opening and imagine how that feels with the weight pulling against your skin and tissues) or a tennis player (here's a link to a discussion about a young tennis player who decided on a breast reduction-- tennis player 

    Clothes are generally designed for the breast size you are now.  With a (much) larger size, you may have fitting issues.  To get around the bust in ready-to-wear, you may have to go "up" in size...which may leave you with necklines/shoulders that are too large.  If you sew for yourself (or have your clothing custom made), a fitting adjustment called an FBA (or full bust alteration) is made before a pattern is used (Most commercial patterns are designed for a B-size bust.)

    Browse your local lingerie store and see what the bras for the size you are thinking of look like.

    Finally, consider the effect on back/shoulder muscles and your posture.

    With all that considered, I'm sure you'll make the right decision for you!

    HTH,

    LisaAlissa

  • hollyann
    hollyann Member Posts: 2,992
    edited September 2009

    Well, as a former B and now a beautiful D, I would go go for the D....I have no porblems with any activity I do...I ride my biike at least 12 miles at a time, I can run with no Baywatch bouncing, and my clothes look so much better on now that I have my tummy tuck...I had bilateral masts with TRAM recons over 2 1/2 years ago and I could not be happier with my results........I don't mind men looking at me because before I was not even given a second glance........I was 43 when this happened and I consider this a gift to me........

  • ghety
    ghety Member Posts: 478
    edited September 2009

    I had a tram and ended up with D cups (I was a C) . I am having revisions on Friday to take away some of the fullness. I think I would be OK with the bigger size but alot of the fullness reaches around the sides too much. The thing I have noticed is that the fat that now resides in my breasts is much heavier or denser than breast tissue. I don't like the heavy feel which is another reason I would like to reduce. I have had them for 8 months now and I must say its been fun to be bigger busted but I am ready to go back to what I am comfy with ;)

    The Ds have not interfered with activities - I just climbed a 4000ft.High Peak in the Adirondacks with no problems!

  • Kleenex
    Kleenex Member Posts: 764
    edited September 2009

    Having been a variety of sizes myself and having friends with implants, I'd recommend going with no more than a full "C." You can still wear normal clothing and bras (if you need them), and look busty and sexy without problems. Beyond that, you have the issue mentioned above, where things won't fit well. In addition, it seems that with large breasts, women either end up wearing tight clothing and looking sort of trashy (to emphasize that it's just the breasts that are large), or if you wear something big enough to fit over the breasts and then drape down, you look matronly. Some of this depends on what size you're starting with. If you're tall and curvaceous, you might be able to get away with it and look proportionate and balanced. I have seen several relatively petite, slim women who just end up overwhelmed by their big breasts. See if the plastic surgeon has a way for you to "test drive" possible sizes - stuffed bra? - and you'll be able to see what's comfortable for you.

  • Dawnbelle
    Dawnbelle Member Posts: 696
    edited September 2009

    Well...as a former B cup, who had a "boob job" and became a D cup for cosmetic reasons, 10 years ago. I can tell you that those D implants will eventually sag. I have had a single Mx with straight to implant and am having the D side reduced down & the Mx side made 100cc's bigger.

    I have a photo of my 10 year old D cup implant breast/mx side if you would like to see what happens when they get old. It looks CRAZY HUGE next to my 325cc implant on Mx side. 

    I am not as young as you, I am 44. My back hurts all of the time from the implants, they are heavy. NOW, I am small, I am 5'5" very small boned and weigh 112 pounds soaking wet.

    PM me your email addy if you would like to see the pic, any of my other sisters who would like to see where I am, I'll send it to you as well, just ask.

    Once I get the plastic surgery, I will start a thread on TimTams site. For now, I just have the one photo of me 8 weeks post Mx.

    Hugs, Dawn

    edited to add***YES, my implants are under the muscle, the muscle stretches too.

  • Niknak0320
    Niknak0320 Member Posts: 138
    edited September 2009

    I am with you on the "nice rack" thoughts!  I am young too (32) and have always had a large breast size (38DDD not prengant - just before my mastectomy I was 8 months preggo and a 38J)

    I have DD foob inserts now and they seemed really small but I'm slowly getting used to them.  I'm thinking now about my new boobs and I might end up going with a full D because I do notice now that I still have a hard time with how clothing fits.

    I need bilateral reconstruction and I was told that I will need a flap procedure if I do radiation...I'm thrilled to find out that I can still have the "tummy tuck" and implants! WooHoo!

    Hope everything goes well for you!

  • geneskirt
    geneskirt Member Posts: 218
    edited September 2009

    Girls.... i am in the expansion process currentlly  as well, and the PS has requested that i 'let him know when I feel the cc's are getting close to what i feel i like'.  It seems like such a bizarrely, unnatural thing to do.... i'm not deciding what to order for lunch!!!!.... you know what i mean?  **I was a B cup prior to Mx, but had already been for a consult for augmentation, wishing to improve fullness, shape and ramp the volume up a bit.  I had breast fed my 4 kids and then became very active in sports and an active, healthy lifestyle.  My breasts were the ONE body part I could'nt change at the gym. Then....Invasive Breast Cancer, B/L Mx, and Braca Identification, multiple surgeries etc robbed me of my physical confidence and at my sexual prime! (Yes girls.... its actually even stronger at 44Laughing), not to say what it did to my golf game, gym training, squash game, and poolside confidence etc.... !!!!!!  I have a DIFFERENT understanding of myself now. My feminine strength.

    I pray that I have MANY MANY (Cancer Free) years left to embrace and enjoy whatever beautiful size I'm at when i celebrate with my PS the magnificent second chance medical science gives me and I find the perfect fit for me and say 'STOP THERE!!". 

    Cancer has made us stonger, cautious, and health aware..... but, Breast Cancer makes us crave our femininity!?

    I

  • Lauren3
    Lauren3 Member Posts: 289
    edited September 2009

    It definitely crossed my mind!  I might have explored it more but I only did the uni-lateral mastectomy and didn't want to be uneven for months.  But like you said, if you're going to go through all this trouble why not get something good out of it???  I think Kleenex's idea about the "test drive" is a good one!

  • MeredithK02
    MeredithK02 Member Posts: 86
    edited September 2009

    Hi, I'm in a somewhat similar boat.  I *just* (last week) had a bilateral mastectomy and had to have a delayed reconstruction.  I was a decent D-cup, but was pretty flat-chested through most of high school.  I'm only 28, so it's not like I've been used to having big knockers for decades.  I've told the surgeon I'd like to be between a B and a C.  Having had both flat and not-flat chests, I'd like something in between.  I was always self-conscious when I was flat, but then when I did have the large boobs, I couldn't wear some cute tops and had to worry a lot about support during running.  So when the time comes, I'm going to go for a happy medium!

  • PaminFL
    PaminFL Member Posts: 231
    edited September 2009

    I want to say "Thanks" to everyone that responded!  I really appreciate everyone's insight on both sides of the fence.  I'm still not sure about what size I should go for.  I forgot to mention also that 3 years before I was diagnosed with BC I had breast augmentation done.  I went from a large A / small B cup to a size C cup.  I stressed to the PS that I was afraid to go too big - that I wanted to look natural.  Long story short, I got what I asked for but was not happy with the results.  I wished that I had gone for that full D cup.  A year later, we decided to have another baby and I was actually going to go back and get the D cup after I finished breastfeeding the baby.  But then when my baby was 8 months old, I was diagnosed with BC.  So this is why I started thinking that I might take advantage of this opportunity to go to that D cup now.  Then I started wondering why no one else was going this big and wondered if it might be a mistake.  I also started to wonder if age might be a reason most are choosing to stay around a B or C cup, so that's why I posted here first (on the young BC survivor forum).  I think I might post this same question on the Reconstruction forum to see what the ladies think there.  Thanks again to all who responded!

    Pam   

  • JulieL
    JulieL Member Posts: 57
    edited September 2009

    PaminFL,

    I had breast augmentation 3 years prior to my diagnosis as well. I wanted a C cup and the plastic surgeon gave me a D. I was also an A/B cup before. Now that I am a C cup I am so much happier with the way clothes fit. I can actually find clothes that fit and make me look slimmer. Big breasts made my upper body to large especially in loose fitting clothes. I told my surgical oncologist just this week that even though it is a different look, not as smooth as my original breasts, I am so much happier with the size. She told me that the old ones made me look matronly. Your breasts will look and feel differently then when you had your augmentation implants. It is really hard to explain. I had a bilateral mastectomy with immediate reconstruction on August 11th of this year. I told my plastic surgeon to do what he thought would look good because I just wanted the cancer out of me. I was pleasantly surprised with what I got. I get the nipple reconstruction done on December 10th and am really excited to be done with everything. Make sure the big ones are what you want. Also, silicone implants only go as large as 7 or 8 hundred cc's. Mine are 700 so if you are looking for something bigger you may have to go with saline. Silicone is alot softer. What were your augmentation implants made of?

  • PaminFL
    PaminFL Member Posts: 231
    edited September 2009

    Julie-

    Hi and thanks for the response!  My aug. impants were saline (with silicone shell).  Probably the best thing to do would be to bring a D or DD bra with me while I shop.  Bring tops that I like into the dressing room and them stuff the D or DD bra and try the tops on.  Do you think that would give me a perspective on how well the clothes would fit? (or would the stuffed bra give a different look than the implants)?

    Thanks!

    Pam

  • aquamarine
    aquamarine Member Posts: 18
    edited October 2009

    I'm also thinking about going to a D. Before my bilateral mastectomy I was a C cup. I delayed reconstruction til after I got the 'all clear' from my oncologist which was 2 wks ago. (yay!) I will test-drive with prosthetics, covered by insurance. 

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