decisions, decisions
I was diagnosed with DCIS back in septempter 2012. Had a lumpectomy done in the end of september. I hate the "lumpy" leftovers of the lumpectomy. Anyway, coming up in two weeks I am having a bilat mastectomy. Twith sentinel lymph node bx. There is a strong family hx and I want to be 99% sure. However, I am hating the peer pressure of having reconstruction. Why is it so important???? I am not a vain person. My husband of 18 years is supportive "no matter what". But what guy doesn't like the play factor. Help if you have any input. The websites are all exhasutive and done with. I don't want reconstruction, but is that the right choice???? Thanks for any input!!!
Comments
-
laniek, if you don't want reconstruction, then that *is* the right choice. It's your body; it's your decision. You might want to give your husband a vote on the matter, but your vote counts more than his. Nobody else's vote even comes close.
I think lots of people advise us to have reconstruction because they think we're making a hasty decision we'll regret someday. I actually didn't get pressured to have recon. My surgeon wanted me to talk to a plastic surgeon if there was even an inkling I might want recon some day; so I did. After my husband and I met with the PS, saw the before & after photos of other women, and watched a video describing the surgical options, we both voted "no thanks."
No regrets here. I'm 4 years and 9 months post-mx and I'm fine with my flat side (just one side). I finally found a comfy bra that accomodates my size-3 prosthesis, and I like where I am with this. As for guys liking to play with toys... there are plenty of other toys in the playground. I guess it depends on the guy, but my one-sidedness has never been a handicap in our relationship. (I don't wear a bra or prosthesis at night - just a size XL T-shirt, as I always have.)
Surgeons can leave extra tissue ("dog ears") during a mx, just in case you think you might want recon later. That extra tissue makes the recon easier, I was told. I told my surgeon not to leave anything extra - no dog ears, please. I wanted a flat, smooth scar; and that's what I have.
Sometimes it isn't easy to find other women who've chosen not to have recon. For a year or so after my dx and tx, I participated in a local BC support group that met each month. By the end of that year, I was the only person there who had a flat chest. Everyone else had either had a lumpectomy or they'd had a mastectomy + recon. It felt kind of odd to be all alone that way.
otter
-
It's your body and your choice.
For me, reconstruction is/was the right choice, my only choice. But I'm not you, and that was my decision.
For you? That's 100% up to you, and don't let anyone influence your decision. It's something you'll have to live with. So, think it through, and then have faith that you made the right choice for yourself. It's your body. It's your skin you need to be comfortable in. Yours is the only opinon that matters.
-
I am to have Bmx on mon wihout reconstruction. My breast were never a focal point in my appearance. I would rather just enjoy life and be active and plus I am not young. I keep hearing in my head the navigator nurse after I changed to have expanders say" oh I will be much happier". And now I changed back to origina
Decision not to. I wonder what I don't know about no reconstruction that would be bad. Can someone reassure me again that you are happy with your decision and found forms and bras that you feel comfortable in when you want to wear them.?. -
@peb, one thing about breast reconstruction is, you don't have to do it right away. You don't have to wonder what (if anything) you dislike about bras + forms, or going flat. You can have a bmx now, and see how you feel about it. If you decide later on that you want to do reconstruction, you can go ahead with it at that time.
-
Curveball..Yea your right. I know my decision is correct just second guessing for a minute. Anxiety setting in for mon!
-
laniek,
As others have said. Your body your choice. Because of my dx, immedaite reconstruction was not a choice and that was OK. Although it takes some adjusting, clothing ,looking in the mirror etc, there is no elective surgery in my future. I had a right side mx and even now will often go without a bra and be "lopsided" I am careful of the clothes I wear, but I used to go braless most of the time before the MX, so having to wear one now is sooo annoying. My friends all laugh. My 14 year old dd is thrilled, she hated my braless look. I am a girl of the 70's!! I have been through enough in the last year as have all of us. We all need to make our own decisions. Check the Flat fest thread! Funny and supportive.
Be well
Nel
-
flat chested and delighted up here in minnesota....
yeah - i totally miss my nipples, but recon or not, there be no nipples. sigh...
i never got much flack for choosing to go flat... but i did get flack for not wanting to save the boobies. puhlease. i didn't want the stress of every lump and bump over the next however many years .... i was shocked, though, at the number of people that thought i was making a terrible choice by doing the bmx. my surgeon was not one of those people. he immediately supported my strong feeling that bmx was really my best option.
now that i'm flat, i feel like the reduction in fear is huge.
it's no guarantee, of course... but it sure makes me feel better.
let's see ... what else. oh, i swear it takes me less than one-half the time to get dressed. it's just one item of clothing less... but somehow... it's just ... faster! i don't miss bras one bit.
interestingly, i did choose to wear a little half cami for a while right after surgery. this is because i couldn't tolerate the sensation of cloth moving over my skin, and the cami stayed with my skin through nearly all motion... so that was good. it also, somehow, made me feel less vulnerable... exposed... i guess. now, i wear nothing under my shirts. and it's great.
good luck. if you feel like flat is right, then flat is right. it does take some time to get used to... but you will. for me, it was astonishingly fast.
-
PS - why does this forum have to be called living without recon... like... it's such a huge deal. I feel like the title feeds into the bias that we should be choosing recon... or something.
I think the forums should be called
Mastectomy without reconstruction
Mastectomy with reconstruction
And that's that.
-
BikerLee, I feel the same as you about the naming of the forums.
-
Biker Lee, with you there on the name.
So much has been said already. I always knew, even before my diagnosis, that if I ever faced the question they would both go. Period. All that about the survival rates being the same because there's such close follow-up of the remaining breast so that anything there would be caught early . . . hello? That didn't sound reassuring to me, already looking at one course of chemo and XRT. So both would go.
As to getting them back, if I could have warm breasts of my own flesh with SENSATE NIPPLES, without a lot of surgical risk, I'd take them. But I can't. You don't get sensate nipples. I have no desire for numb lumps that are totally present on my body to please others. If I were in a relationship with someone who really, really, really needed them, and I really, really, loved that person, maybe. But otherwise, no way.
I understand why people wear foobs. It's natural not to want to look odd. But why do a surgery for that when foobs are far less risky? As it turns out, I am totally flat, have never left the house with foobs, and have never had anyone stare at me, never had any comments, nothing. Most people truly do not notice. OK, in the gym, changing clothes, they'll notice there. But I've never seen a reconstruction so good that somebody staring in the gym wouldn't notice that either.
I also had to wear camis for a while during the time I was very sensitive. Got in the habit of wearing them under shirts, for a while felt I had to for modesty, then quit. Now I just wear them if the shirt's ultra-thin or if I'm cold.
-
I can't thank all of the women who have been in my shoes, and walked farher than I will probably ever have to walk. I am good without cancer or any chance of having it occur again-at least in my breasts. If they have strap on other parts of the body for men (or women) why not stap on boobies? I have two daughters in high school. They are so self concious when they are on their period. How can I relate that to "oh my gosh, I am on my boobless period! Nobody really notices unless you want them to and you draw attention to them. This website has been the most helpful and wish I can convey to many other women that come across stress and diagnosis they wish not to have,that there are so many others that are willing to share their stories. I love all women!! think pink on November 27th. Much Aloha to all of you!!
-
Agree 100% with forum names thing. It does suggest that recon is the norm and we are opting out of it.
-
The old name for this forum was reconstruction alternatives, which sounded like various kinds of recon! We argued for ears to get a change, so while it is not ideal, it beats the heck out of the old name!
I've been here too long, apparently! I'm becoming a historian! -
BIAB - Thanks, I couldn't remember the old name! Yes, new one isn't perfect but definitely an improvement.
-
I love reading the posts here because it is my thought also. I feel the reconstructed boobs are just on the inside whereas the foobs are on the outside but the same fake .. I am having my Bmx on mon and of course I am anxious. I never use my boobs, cleavage for show . They were just there as I lived an active outdoor active life. Now I can get on with my life . Wish me good luck
-
I was a person who was known for my boobs--that and my hair, both of which are pretty much gone! But I chose not to have recon. I did not want the added surgery, having a full palette of treatment (that's a nice way of putting it). I was ready to be done and get back to living. I wanted to post here because I am one who did not have recon but does wear prothesis regularly, except at bedtime. I was used to a full-breasted look in my clothes and felt it best balanced the rest of my figure which is curvy. I wear size 8 foobs. I adjusted to them immediately, having been used to heavy breasts. In fact, I feel less comfortable flat, and sometimes my skin feels like it is pulling around the scars when I go flat. I've seen a plastic surgeon twice, and I am told I will not get the size boobs anywhere near what I had, so further reason in my mind not to bother. Another factor that swayed me was reading in the recon forum a thread about whether a good recon job could pass in an intimate encounter without a "conversation." Basically, it can't. So I figured it wasn't going to look or feel very realistic. I urge you to trust your decision. I also had ALOT of pressure from my surgeon. I still get the question every follow up--are you thinking about recon? I think I'm going to tell her next appointment to never ask that question again. That said, I wonder just how many mastectomies are actually "closed" by the breast surgeon these days. I ended up with a horrible scar on my prophylactic side that I will probably need to get reworked--if I ever can take a break from living my busy life!!!!
-
Hmmm - thanks everyone for your comments...
I like so much of what people have written here. I wish our decisions regarding these issues were simply accepted. A simple "are you sure" either way from our health care team seems acceptable... Are you sure you want to reconstruct? Are you sure you don't want to reconstruct? Etc.... BIAB - you're right - this name is better than the old one... but still!
Anyway, I've gone off and made a suggestion...
And Mary - our diagnoses and chemos and surgeries were closely timed!
And Laniek - I hope your surgery goes smoothly - no complications... nice smooth scar... and I hope you wake up feeling a sense of peace about it. I felt a huge sense of peace around my decision, and I still do.
Hope everyone has a great night.
-
hey - mods replied and want to hear folks weigh in.... please weigh in there!
All Topics → Forum: Comments, Suggestions, Feature Requests → Topic: reconstruction and no reconstruction -- forum names
THANKS!
-
Biker lee, thanks for the well wishes. After the bmx can I hope or expect to be "flat" or will there still be little fat pockets jumping out?? My surgeon is the most awesome person and surgeon. she reassures me, everything will be fine". But what I want to see (and touch) is a truly flat chested woman. Can you compare what it feels like to another part of your body, so I have some idea what to expect?? You sound like an amazing woman and have had some great input on this discussion board. Thanks so uch!
-
laniek,
Chiming in here to wish you the best of luck with your surgery. Also, if you're interested in reading personal stories and seeing photographs of women after a mastectomy, you might check out my non-profit website, BreastFree.org. Many of those who contributed stories and photographs are women I "met" on this forum.
I myself had a bilateral mastectomy in 2006. I asked my surgeon to make my chest smooth, with no extra skin, and if possible, to make the incisions symmetrical. She was able to do both those things and I think that has helped me. Since I'm slim, my chest is rather bony, which I gather is fairly typical with thin women. I'm glad you like your surgeon and it sounds as if she understands your concerns.
Barbara
-
Erica, thank you, thank you, thank you. I am still in awe of how many amazing women that have contriuted to this website. Your input has helped me immensely.
-
Hi I am new to these boards. I had a double mastectomy on October 18, 2012. I will not have reconstructive surgery by my choice. I am fine being flat chested for the first time since I went through puberty. My breast were huge and I don't miss them at all, neither does my husband of 39 years. I kinda like the way my chest looks my scars are minimal and healing very nicely. When I want to dress up I will wear fake ones, which is not very often.
-
Laniek,
Best of luck with your surgery and as many others have stated, the right decision is the one that's right for you. Speaking as someone who had one step recon (no te's, no fills, no exchange), and is very happy, had no further surgery etc., I would like to say that I am not defined by my breasts and am no longer married so a husband played no part in my decision. All I wanted, and got, was to look like me.
Caryn -
Otter, you have a great sense of humor. I was very comfoorted and you put a huge smile on my face and in my heart, when you said there are plenty of other toys on the playground. I love you!! You must be such a great friend to have. Thanks for reassuring me that there definitely are more options to have fun with than foobs!! You Rock!!
-
I hope you get to see a non-reconstructed woman's chest, if that is what you need to make your decision. Conversely, I had two women have the courage to show me their reconstructed breasts--one with implants and the other with autologous tissue. It is hard to deal with just the photos.
-
I had a UMX without recon. I do wear a bra and foob, partly because I'm used to it. I had C to DD boobs depending on my weight. I haven't ruled out doing the other side, but would not consider recon at all. Right now, after losing 10lbs, the foob is larger than the real one. No extremely so, but noticeable to me. You can see my ribs on the UMX side and it feels unpadded when I lay on that side.
-
@laniek, I agree with mary625, there is nothing like seeing the various options "in the flesh". I have attended several meetings of a support group for breast reconstruction and that has been helpful in making my decision, as well as what I've read here on bco.
I will relay one thing about mastectomy that was mentioned by another member of this reconstruction support group. She was first diagnosed over 25 years ago and had LX+R at that time, then had a mastectomy after a recurrence in the same breast. She is of a slim build, and one thing she didn't like about her flat mastectomy is that the surgeon had made her very flat & tight, and there was no tissue over her ribs. I will not be having reconstruction for several months yet, but I have noticed the same thing on my surgery side, even with skin-sparing. When I press that area there is no sensation in the skin, but I can feel the pressure on what used to be the deeper tissue, which isn't painful, but is a sensation I find unpleasant. Knowing what I know now, if I'd been planning to stay flat on that side I would have asked the surgeon who did my MX if there was some way to get or retain some padding over that area to prevent the unpleasant feeling. -
Why are you having the sentinal node biopsy? DCIS..in state...not invasive. If you consent to dr's request and that is why ...get it in writing they will only take 1 and only come back after it shows cancer had indeed spread. Lumpy results are minor in comparison to lymph flow problems and back of arm completely numb. I sooo wish I had been informed before I consented.
-
Curveball, thanks for your input. I am small, a size 5 in most clothes 34 C in the chest. We are bmx for symmetry. My DCIS is microinvasive, hence the sln bx and non skin sparing, non nipple sparing approach. We will take a flat chest over cancer any day of the week.
Armywife, as I stated above my DCIS is microinvasive. The 8mmlesion on mammo was actually 4 cm in path. Makes me question the prophylactic side, not to mention my sentinal node. Thanks for your input.
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team