considering no reconstruction and no prosthesis

Options

I am currently doing neoadjuvant chemo and it is kicking my butt! At this point I don't care whether I ever see breasts again.

I don't want to make an irrational choice, however,

I am wondering is it really so bad to walk around completely flat after a mastectomy. The rest of my shape is fine and once I have hair again, maybe I can pull off the look. Plus, the people who don't mind those will be the ones I want as friends.

I am naive to all the talk about foobs. It is overwhelming to hear all the options.

I went off subject a bit, but I am considering mastectomy without reconstruction because I don't think I can handle much more and don't want to be stuck with an unnatural look. I like being comfortable. I want to still look pretty in clothes and a bathing suit but wondering if I still could being flat. I don't want to deal with breast forms though. If I go flat, would that mean I don't wear a bra?

Sorry, so confused....

Pam



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Comments

  • crazypenguinsfan
    crazypenguinsfan Member Posts: 56
    edited June 2012

    Hi Pam,

    Just my opinion, but I think you could be fine without forms. And, you don't have to rush to any decisions on anything anyway, you have time to decide what feels right to you. You can experiment and see how you look and feel without the forms! I am boobless on one side... sometimes, I FORGET to pop in my form on the mastectomy side! and next thing I know, I have on no foob and I am lopsided :) I have  accidently gone to the gym this way. When I have done this I still work out and I don't think anyone has noticed, I am a B on the other side. I also swim with a plain old TYR racing style swimsuit without a shelf and I go without a form on the one side since when I have worn the form it winds up near my belly button or pops out the top. I don't flaunt the fact that I am lopsided, I just take off my shirt and pop in the pool and do my laps. I really don't think anyone has noticed. 

    Personally, if I had my other breast removed, I could definitely see myself going without any forms. My flat side reminds me of when I was in junior/high school. Back in my warner bra days when I wore an A cup and really didn't fill it.  And it feels good to be "free" of a form or bra on the mastectomy side.

    At some point I am going to get brave and post photos of myself with and without forms.

    Good luck with your decisions. By the way, I have yet to buy a silicone form, right now I have a cheapo $30 form called the Sea Shore that I got at Lady Grace in MA. Not sure of the manufacturer, but when I have it in I seriously forget it is even there.

    Steph

  • kristinmarie
    kristinmarie Member Posts: 8
    edited June 2012

    Hello all~

    I am 12 days out from my double mastectomy. I had made the decision during my chemotherapy not to have any reconstruction done at all. Someone gave me a box of bras and silicone prosthetics and I did look at them but have not been able to try them on due to my tubes and drains.

    I am having a harder time adjusting to the loss of my breasts than I thought I would. I have only been able to actually look at my chest twice since my surgery. I was horrified both times and have just kept my back to the mirror ever since.

    I have also lost a substantial amount of weight during my chemo and surgery recovery. I have radiation left to face as well. 

    I don't even recognize myself anymore. I thought it was bad enough to be bald and lose my eyebrows, eye lashes, finger and toenails. Losing my breasts as well has been harder to face than I was prepared for. 

     I am now at the point where I will not leave my room other than to use the bathroom. I do not take any company and keep my door shut if anyone comes to visit. The only place I have gone since my surgery was to the doctor office for a drain tube problem. 

    I don't know if I am just depressed or shocked or what is wrong with me. I made the choice not to recontruct and I will stay with that decision. I am not a good candidate for reconstruction and it just seems like more pain and suffering than it would be worth for the small size I would get. 

    Is it normal to go through this? I am hoping that with time I will come to accept myself the way I am now. But the last couple of days have been really hard and really sad. 

    Thanks for your posts and for being so open about things. You all touch more people than you probably know. 

  • Momine
    Momine Member Posts: 7,859
    edited June 2012

    Kristinmarie, I am really sorry you are having such a hard time. On the other hand, it has been twelve days. That is not very long. Twelve days out, I was pretty much still in a dazed stupor. It took me a long time, weeks, to be able to look in the mirror. It took me even longer, several months, to be able to touch the scars.



    At some point I became OK with it, but it was gradual. It IS an amputation and seems to me that it is only natural to be somewhat troubled by that on some level.



    Give yourself another week or two. If at that time, you are still holed up in your room, do find someone to talk to.



    I would also recommend, highly, that you get yourself to a physical therapist who deals with mastectomy patients. It does wonders in all kinds of ways, including psychologically.

  • Momine
    Momine Member Posts: 7,859
    edited June 2012

    Pamela, lots of women go flat and look just fabulous, in my opinion. I like wearing something, so I wear fiberfill foobs usually, in bra cups I have sewn into tank tops. It works for me.



    That is the key, whatever works for you, and don't let anyone tell what you should feel, like or want.



    I chose to skip recon, at least for now. Maybe in five years (or six months) I will change my mind. If I do, I will go find a recon doc I like. Fr the time being, I am totally fine with things as they are and happy not to be dealing with any more surgeries and hospitals.

  • pamelahope
    pamelahope Member Posts: 534
    edited June 2012

    Kristenmarie,

    I sent you a private message. I imagine with time you will heal physically and psychology. Breast cancer is tough treatment. I am being beat up by chemo, and I fear the physical changes you mention. I will be bald and without breasts. It is humbling and humiliating. I relate to what you are saying.

    I found in the beginning I isolated myself and that was a bad thing. I find it helpful when I go to the oncologist office and see other cancer patients, and also the boards. We are all here together. You are not alone. I am slowly opening up to people. It is so hard. I am finding other people love me even though I have cancer. One friend told me she loved me more. I think before I was so private, I never shared my vulnerabilities.

    Kristen, you pose a good question. How can we best deal with the changes to our physical bodies? For example, I have a port in my chest and it looks absolutely disgusting. I am small chested and I am hoping no one thinks it is my breast cancer!!!

    I am not sure if I am asking the right questions, but how can we best heal? I too am dealing with is it shame???? I am not sure.

    Pam

  • nwest125
    nwest125 Member Posts: 240
    edited June 2012

    I am 1 and 1/2years out and I choose not to reconstruct. I wear my prosthesis to work , church and things like that. The rest of the time I just go flat, around  my family I have no problem with. I don't like the way I look but this was my choice not to reconstruct and I can not ever see myself changing my mind. It took me a long time just to wash my chest area and feel ok about it I still don't like to look in the mirror but this was the cards I was dealt and I am just learning to live with it. 

    Nancy

  • JAN69
    JAN69 Member Posts: 947
    edited June 2012

    Pamela,  I had a single modified radical mastectomy a year + ago.  I wish someone had mentioned I could have had a double.  I HATE wearing a form, and would much prefer to be flat chested.  I'm working on finding time to have the healthy breast removed.  It's another surgery that could have been avoided.  Best wishes for making your own right decision.

  • pamelahope
    pamelahope Member Posts: 534
    edited June 2012

    Jan,

    I am getting both removed. I dont think my results will look nice as the tumor is 1/2 cm away from chest wall. I guess that means I will be concave. I feel so ignorant about this all.

    The only positive I can think of that the people who will be friends with me after Will be real and extra special. Pam

  • pamelahope
    pamelahope Member Posts: 534
    edited June 2012

    Further to this, my husband seems more mature than me. I think he can handle. I get embarrassed easily....it will be difficult.

    Pam

  • chele
    chele Member Posts: 1,465
    edited June 2012

    I had bilateral mastectomy with no reconstruction a couple years ago. I love living bra free!

    Some issues I've noticed is not that I'm flat but that I have imdentations where I used to have boobs. That causes some wardrobe issues. No form fighting clingy tops. If I wear t-shirts they have to be loose. If I wear knit tops I have to wear patterns that camoflage my indentations.



    I am a little heavy so I have excess flab at my arm pits, it looked bad when I had boobs, it looks worse now. I am MUCH more aware of all of this than anyone else. Nobody has ever mentioned it, but I live in a small town and my story is well known.



    The hard part about bathing suits is they all seem to have shelves or built in formed boobs. I still like to wear a two piece so I'm considering making my own string bikini top. I'm thinking if I make it with extra fabric I can camoflage dents.



    Overall I am very happy boob free. i'm thinkijng I'd like to get a prosthetic bra for those outfits that just need a couple bumps to make them look right, but I haven't felt compelled to do it just yet. The thought of wearing a bra again is very unappealing.



    Make sure you talk to your breast surgeon. See if s/he has any pictures of their work. I did not the first time and the results were horrid. The actual scar was fine - well done, but he left too mich excess skin which caused lumps, ridges, waves - it was beyond awful. My husband couldn't stand to look at nor touch them. I had a "completion mastectomy" which turned out great. But, as the surgeon said, it would have been easier to do it right the first time around.



    Just some things to consider as you are making your decision.

  • pamelahope
    pamelahope Member Posts: 534
    edited June 2012

    Chele,

    I never heard of a completion mastectomy. Thank you for informing me. That is inspiring about the string bikini. Msybe, it is about attitude.

    Pam

  • Trisha-Anne
    Trisha-Anne Member Posts: 2,112
    edited June 2012

    I had a single mx 19 months ago and have never considered reconstruction.  I do wish I'd have both done at the time, but got talked out of it by my bs.

    I wear a foob when I go to work or out, but go bra-less when at home.  I wear an Ahh bra, and find them very comfortable.  Once you heal you may find something like an Ahh bra will help protect your chest area while it heals - although you'll have to wait for drains to come out first.

    I also couldn't look at my scar for a while, and it still feels a bit weird touching the area as it is numb.  You do get used to it though.  It will be tough emotionally to be both bald and flat chested, but you do get over it and move on.  I think it's mainly the fact that you feel so unwell on chemo that it's hard to feel "normal" about your body.

    Good luck - I'm sure you'll be happy flat chested and yes - there are lots of ways to use fashion to still look pretty without having a bust line lol

    Trish

  • coraleliz
    coraleliz Member Posts: 1,523
    edited June 2012

    I had a BMX 14months ago without reconstruction. I have no prostheses(sp) either. My BS has tried to give my a perscription for these on 2 occasions, but I declined. I also swim laps in a racer style 1 piece, thinking about ordering a 2 piece. Sometimes I wear bikini bottoms & a althletic/running style bra for swimming. When I go to the beach or lake, I usually wear a rashguard over whatever(I did this pre BC also to limit my sun exposure & I spend so much of my time in the water-sometimes even a wetsuit). I have a couple of sundresses that I really like that I wear over "tanktops". I'm actually spending more time & $$ shopping. I'm pickier about what I'll by. I'll pay more for things that I really like & make me feel good, previously I'd pass on due to cost.

    After surgery, I was originally concave but now I'm flat. I was a 32B prior to BC. Don't know if being small helped me adapt post-op. Being flat is very comfortable. The only thing that's a little annoying are peoples comments about how thin I look & have I lost weight, etc. I can live with that. Best of luck with your decision.

  • pamelahope
    pamelahope Member Posts: 534
    edited June 2012

    Cora,

    Bikini bottoms and a sports bra top sound like a nice look. I could live with that. I also like the layering tank top idea.

    So I guess the concave after surgery look turns to flat for everyone? Sorry to be so green...

    I am a small b cup now. I never wanted big boobs. I was happy with that.

    This stuff is complicated!!!!!! I see the appeal of being a small b and I see the appeal of being boob free after bc. I don't want a reminder...

    Pam

  • lostinmo
    lostinmo Member Posts: 922
    edited June 2012

    Pam

    Thank you for starting this thread!  I'm in the same position as you are, the chemo has turned horrible.  I've been considering having a double mast.  I have no clue how to deal with being onesided, which in my mind would be harder than being flat.  I have never have like any attention being drawn to my breasts and have always dressed to try and hide them.  Luckily they aren't that big. So I'm thinking just go flat.

    There is another thread on here somewhere that has pictures of her (can't remember her name) where she's gone out flat. She looked really good and you couldn't even tell.  I'll see if I can find it. 

  • crystalphm
    crystalphm Member Posts: 1,138
    edited June 2012

    I had both breasts removed, you do something like this just like you do anything else in your life, one day, one step at a time.

    Right now you take care of yourself *today*. There are many many women who embrace being flat, and just as many who find something that feels right for them to wear.

    It is normal to feel scared, sad, to mourn the loss of your breasts. It is normal to feel confused but there are SO many women here ready to help you each step. You just post and ask a question...breastfree.org is a good place to look around, and also remember you have time to decide on reconstruction, some insurance companies give you even a few years.

    You should ask your doctor about a mastectomy, sometimes it can end the chemo...and sometimes you have to get the chemo anyway...see what your medical team say about this.

    And again, don't worry about what you will wear on a beach or to an event, just keep strong positive healing thoughts!

  • lostinmo
    lostinmo Member Posts: 922
    edited June 2012

    Pam the thread is call What does your husband/loved one think about your flatness?  I couldn't make a link but the pictures are on the 2 page.

    crystalphm-thanks for the encouraging words.  I don't know about Pam, but I'm not getting out of anything chemo, surgery, rads. Although I do keep trying. 

  • camillegal
    camillegal Member Posts: 16,882
    edited June 2012

    My sister, cousine, niece and myself have all opted for no boobs--personally we're glad about no maintenance of any kind really and no one we know has made one judgement--I'm single but they are married and no one cared what the LOOK was like just so eveyone was here. It's totally u'r decision and time will tell u ow u really feel---whatever u do do it for you not anyone else and u'll make the riht decision.

    And Kristen it so new yet give u'r self some time to adjust to everything. Time is needed to feel better both mentally and physically---u'll get there and then u'r thinkin will be clearer too. Just try to take it easy and let others help u.

  • pamelahope
    pamelahope Member Posts: 534
    edited June 2012

    Lost, I need chemo too and most likely rads too. I have seen the pictures of the other woman pulling off the flat look, and she looked great. Pam

  • Heidi207
    Heidi207 Member Posts: 31
    edited June 2012

    This is such a personal choice and only you can make it. Personally, I opted for the bi-lateral, no reconstruction and haven't looked back. I was a DD so going braless is WONDERFUL! The "girls" were often in my way and I haven't missed them yet. Course my surgery was just April 20th so the time may come. I wore a cami with the prosthetics once and felt so fake I couldn't stand it. Everyone knows what Ive been through and to have boobs again felt out of place for me. I've taken the advice of many ladies in this forum and purchased several new multi-print tops. The patterns and designs detract from focusing the eyes on the bustline so I'm less conscious and feel better. I read one gals posting where she stated "I don't wear boobs to make YOU feel better". With or without ... YOU are the one that has to be comfortable.  Good luck to you!

  • Outfield
    Outfield Member Posts: 1,109
    edited June 2012

    Pam,

    On 7/1 I will be two years out from a BMX, no reconstruction.  Never seriously considered it.  I have so many reasons.  I am very glad my BS was very respectful of what I wanted (at one point, after she'd known me a while she confided she would likely do the same thing) because I do think there is a pressure to reconstruct. 

    I do not mind being flat.  I don't think many people notice.  I'm quite thin, and even just today I had an in-law I hadn't seen for a few years ask if I had needed surgery for my cancer.  I'm not at all concave - I have little pecs that make my chest more like a boy's than anything else.  But most people won't see those because I just wear clothes that don't highlight them.  I'm getting braver with time - at first everything was a patterned shirt with buttons and an undershirt.  Now I only think about how I'll be perceived when I go to work. 

    I was a B/C cup.  I love the feeling of being flat.  Always hated the hot stickiness of the "under-boob."  I love not needing a bra at all. 

    What I miss is the sensation of my nipples, and I miss that pretty badly.  Started a thread about it not too long ago and got some helpful responses.  But although I've heard that some women claim they get true sensation in their reconstructed nippples, I know that's really unusual.  I can't say I regret choosing the BMX for this reason because although at the time of my surgery one side was considered prophylactic, the situation actually turned out to be more complicated than that and I really did need the BMX.  Even if I were to go back in time and know for sure that the one side would only be prophylactic, I think I'd choose the same thing. 

  • Wren44
    Wren44 Member Posts: 8,585
    edited June 2012

    I have a UMX without reconstruction. I may decide to have the other one removed eventually. I couldn't wear a bra for 5 weeks after surgery and it was heaven without. Can't keep doing that, the remainder is a C (was a D, but I've lost some weight). It was hard to look at first but that wore off fairly soon. Best wishes for making the decision that is right for you.

  • chele
    chele Member Posts: 1,465
    edited June 2012

    You're welcome Pamela!

  • riley702
    riley702 Member Posts: 1,600
    edited June 2012

    Pam, maybe I'm taking this wrong, but I was concerned when you wrote:

    "my husband seems more mature than me. I think he can handle. I get embarrassed easily....it will be difficult."

    It has nothing to do with maturity! He's "handling" it better because it's not happening to him! In fact, I'd worry if he was taking it worse than you, flailing around and making it all about him. Be glad he isn't doing that; some women have to deal with that on top of everything else. So, let him be your support right now, loving you and encouraging you - you're going through a mourning process and a realignment of your self-image. And that's just emotionally - you're also going through a helluva lot physically, too! Give yourself however much time you need and don't feel like you have to be in a certain place mentally at any given time. It just doesn't work that way. We're all individuals. <3

  • Momine
    Momine Member Posts: 7,859
    edited June 2012

    Pam, lots of good thoughts on this thread. Chele makes a very good and important point. Make sure your BS knows how you would like to look after and is able to do a nice job. Some women even get a PS to assist with the surgery.

    I did not have a PS involved and I had not occurred to me to ask about the look of things ahead of time. Luckily my surgeon is a neat-freak and did a nice job. It is not a given that you will be concave. I was not at any time. My chest looks like a child's chest, just minus the nipples and with a scar. I did PT from surgery and all through remaining treatment. I continue to do the upper body stretches and exercises daily. This has really helped me feel better and feel OK about the whole thing generally. It also looks better, I think, when you can keep the muscles a bit toned.

  • Jo5
    Jo5 Member Posts: 18
    edited June 2012

    Kristinmarie

    I am 4 months from a bmx. I can totally relate to how you feel. Give yourself time. This is major surgery it takes time to heal physically and emotionally. Little steps everyday coming to this site is a big step. It does get better. You definetely need a friend or family member to hear from you everyday some who just listens. Each day just do a little for you !!! Hugs to you.

  • MT1
    MT1 Member Posts: 371
    edited June 2012

    I had a double mastectomy without reconstruction and I do not wear forms. To be honest, it can be challenging. I live in a city and I have been yelled at and told I look like a man, and I have been looked at in a very invasive way too-people wonder. As I get used to my new shape, I work to allow the looks without interpreting their meaning. And anyone who would yell that I look like a man is below my radar.

    I find that I have many firsts, first time hugging people without breasts, first time using a women's locker room, first time confusing other people as to my gender (most get it right). 

    BUT.

    I don't want it any other way. I don't want the fuss of forms, I don't want to fake a look that is not me. I want to simply be human, in a body that needed to be changed. I am 42 and was 34DD. I still have time to look and feel sexy, so I exercise to sculpt my muscle. I am choosing to have 3d nipple tattoos, because I expect my body to have nipples, but I don't want more surgery.

    In many respects I feel quite proud that I have made a decision that works for me. It isn't one I would wish on anyone but, given the circumstances, knowing how I feel about the world, our environment, and the fact that so many reconstructive surgeries go wrong, I feel happy to have opted out of this particular choice. I think survivors should have all the choices available to them and make the right choice for themselves, but I truely know that reconstruction is not for everyone. 

    I am 11 months post surgery, I am still healing. As my muscle defines itself and the tightness releases across my incisions, I begin to feel normal. I begin to walk away from the intensity of treatment. My scars are flattening, softening, turning skin colored. As I exercise I see my belly and see beauty. It feels good.

    ---My breast surgeon told me that I would not get the result I wanted if she closed my surgery. So I found 3 photos, #1 with the result I wanted and would feel happy to walk away with, #2 a result I would accept, #3 nothing I would ever want to see on my body and would be quite unhappy about.

    My plastic surgeon gave me a similar result to my #1 photo. I made quite clear that I did not plan to have reconstructive surgery and that I did not want excess body fat under my arms. My breast surgeon told me to discuss this concern with the plastic surgeon (describing it as 'dog ears' or 'hershey's kisses' under the arm), and I was happy to do so. My scars extend under my arm pits, but all is flat and there is no excess skin anywhere. The work was really good.

  • CurlyGirly
    CurlyGirly Member Posts: 547
    edited June 2012

    MT1 - I think the third last paragraph of your recent post is just beautiful.

  • alexandria58
    alexandria58 Member Posts: 1,588
    edited June 2012

    Pamelahope,

          I am a year and several months out, BMX no recon and I don't wear forms. I will agree that the first few months were difficult, but that has completely passed. Actually, I no longer notice that I don't have breasts - except that there are some clothes that gap a little too much, but there isn't much in that category.  Most people don't even notice - I just look thinner.  I wear form fitting sleeveless tops and feel great.   I love wearing tank tops without a bra - never could before.  Now that I'm pretty much back to normal - some occasional twinges on the side where they took seven lymph nodes - I have absolutely no regrets.     

  • lilylady
    lilylady Member Posts: 1,079
    edited June 2012

    I had my BMX last Aug after neo-chemo. I knew from the start I didn't want reconstruction. I am a stage IV and was facing other surgeries so adding that to the mix wasn't appealing to me. I had to cocnvince the surgeon that I was NOT going to change my mind so she would not leave extra skin. My incisions are huge-my breasts were not-she said they are so long because she wanted them as flat as possible. I hate the way I look naked-I am going to honest with you-I think I look like ET thru my chest. Remember in the movie when she opened the closet door and he was standing ther with the stuffed animals? Doing neo-chemo was a blessing for me because it allowed me to think about my decision and read what women on here said. I also had no nodes removed.

      I knew I would never wear forms either. I have an athletic build and am in my mid-fities and am not married so my decision was based on just me. I do not miss my breasts at all. I have had no problems finding attractive clothes that flatter me. I also think people do not pay near as much attention as you would think. As a matter of fact if you look at the dummies in the JC Penny store they are flat. My niece just pointed that out to me. Look at runway fashions most of those models have little or no breasts either and they look fab.

      I live a very casual life that includes a very physical job so I do not have to dress up very often. If you decide to go flat you will find your niche. I love J Jill and a company called Athleta. Wal Mart has tons of little tank dresses that look great. They also are carrying Catalina tank swimsuits that just have a shelf bra-no big cups. I brought 2 of them home and just cut the whole assembly out. They were lined already and the shelf thing was free floating. I also just wore a 2 piece on a Florida vac. Last year floaty peasanty things were my go-to and they were what everybody was wearing. I am now into some more fitted things and comdfortable doing it.

      There is no wrong choice. I think us flat girls are a minority-in my chemo group I think I might have been the only 1 who had a breasts removed who did not reconstruct. Like I said-I hate the way I look without clothes and I have been called sir more than once.. but I am not thin skinned about it. I walk proud with my shoulders back and flash my toned arms and flat chest and don;t think twice about it. On my recent Vac my girlfriends were jealous because in that 95 degree Fla heat and humidity I didn't have to wear a bra!! Or worry about heat rash under my breasts.

      Good luck to you. Feel free to PM me if you want any other info

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