Uniboobers- do you ever wonder if you should be flat?
Hi all.
I'm just going thru the process of looking into getting a prophylactic mx- I had my original BC 10 years ago, had a mx, but I'm really tired of being lop-sided.
I had radiation last time so I don't want reconstruction as it would mean having a tram-flap, which I think is too much surgery! I really don't like the idea of boobs that aren't real anyway, especially if you can't take it off again if its uncomfortable!
So my questions are to ladies who have had a prophy mx after years of being lop-sided-
Are you happy with your decision? (no regrets?)- I know that may be hard to admit when there's no turning the clock back!
Do you find that if you do wear a bra it rides up without the remaining breast to hold it in place?
Are happy with your profile having no boobs? and Does it take long for that 'tightness' to go away & feel normal?
I really want to be sure before I go ahead- I've been thinking of doing it for a couple of years now & I need to make a decision!
I would like to be able to go form free & not be lop-sided- or if I feel like it wear forms for going out...
Thanks, any opinions welcome!
kt
(I posted this on 'I look for other flat chested women' too...)
Comments
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I'm a uniboober and have been since 2011. I use bras that are comfortable and look natural. My husband did not want me to get reconstruction because recon, to him, is more unnatural than being flat. And all the pain that goes with recon just is not worth it. I had 10 nodes removed and sometimes that arm is sore if I overlift or use it too much. I worked with a trainer for about 3 months and was sore all the time. But it's settling down now.
I often go form free, but my good boob is a AA, so it's not too noticeable. It would be hard if healthy boob was larger.
Good luck! I wonder what recon Angelina Jolie got?
Rianne
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Thanks for replying Rianne
My remaining boob is a c cup, so its pretty obvious if I don't wear a foob!
I agree with you re reconstruction (my hubby too)
Its great you are comfortable going form free.
I have less ROM in my mx side arm due to lymph node removal too, and have had mild flare-ups of LE. I guess doing the other side prophylactically at least I wouldn't have to have lymph nodes removed- so hopefully easier to recover from.
I'm glad you've had a good recovery & hope all goes well & continues to settle down
kt
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Hoping to revive this thread and get a few more opinions. All the media fuss and ensuing discussions about Angelina Jolie's surgery really got me thinking. A prophy MX was never presented to me as an option. I don't even know if insurance would pay. But I'm really considering it. I don't think the risks of surgery would be worth it if the only reasons were for symmetry and comfort. But for me anyway the MX was no big deal, it was the ALND that caused all the trouble. Lots of pain and loss of ROM even all these months later, doubt it will ever go away, not to mention the lifelong risk of LE and all the things you cannot do for fear of triggering it. If you have the PMX they don't take any lymph nodes, right? But if a new cancer appeared in the remaining boob then they would surely insist on doing the SLNB no matter how small it was or how early it was caught. At least now I have one good arm!
Am I crazy or do other women wrestle with these thoughts too? -
I'm sorry. I'm just learning the acronyms. What is ALND? I am a uniboober - April - and myproblem at the moment, since I am a C cup and not that far out of surgery, is finding support for the one without too much discomfort for the "lost" one. Rianne, you have found bras that are comfortable? Any tips on that?
But, yes the lopsidedness bothers me, but I resist the tightness, scarring, and swollen armpits to remove the second. I can't imagine reconstruction, the idea of more surgery is hard for me to handle. I am happy I have one arm that is well.
I am relatively new to all this and wrestle with many things, daily. I wish I were "stronger", like I'm sure others would like me to be. I come to discussion boards as an outlet so that my family doesn't have to deal with this more than I would like them to, but I am hanging on by a thread.
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Hi girls,
Jennie, I know what you mean about wrestling with the thoughts you mentioned. I'm doing the same myself right now...
I really want symmetry & to not worry about what could be happening in my remaining breast. Lopping off a healthy breast seems drastic,
but....what if?....& peace of mind...& freedom to go foob free...!!!
a-childs-prayer, its very early days for you.
I didn't wear a bra for the first month or 2, just puffy, gathered blouses to hide what was missing!
You will be able to wear bras soon. Check out the All Things Bras & Prosthetics thread, also Breast Free -a blog by the lady who started that thread.
Lots of helpful hints & support there.
I'll try & post a link, but I'm not so good at doing stuff like that!
Sorry- can't seem to copy & paste the link! Hope you can find the thread...
(ALND is axillary lymph node disection)
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I'm three years post Uni-MX. I'm also wrestling with having a prophy of the "good" breast. I have pain and LE issues when I wear bra/cami with prosthesis. Lately I've been going 1/2 flat most of the time, at home and out and about, even to Church, it's more comfy, and hardly anyone has noticed, but because I'm a DD it's quite noticble unless I wear a shaper type cami to hold DD in a little. I still have very dense breast tissue in the DD, I'm very asymmetrical, pain with prosthetic, don't really want another surgery (even though my surgeon said it would be much, much, much easier than the first), should I lop off a perfectly good (at least right now) body part - My DH really would like me to keep it, would prefer I get reduction, but that's still surgery, doesn't get rid of the breast tissue that would get cancer, would still need annual mammo/ultrasound/MRI (whichever) ???????!!!!!!!! I think that I'm yes - no-ing this to death. I will probably go with the prophy, but it's a tough decision. I love hearing everyone elses thoughts on this!!! Thanks for sharing!!!
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I am actually about to do this. I had a right side MX November 2012 and I am having a left side MX in July 2013. I am BRCA1+ and Triple negative. Maybe I am crazy but i'm not taking any chances....my kids need me. I also had a hysterectomy. I am uncomfortable walking around with one boob and bra's really tend to hurt. I don't plan to do recon anytime soon or maybe ever. I'm over it. So after I have it done I will let you know
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Thanks Jenjenl - I totally understand your choices, I will not have recon either. I'm not BRCA, as far as I know, absolutely no family history of breast, uterine or ovarian cancer!
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Oops. Just realised that Erica started the Breastfree.org site (not Starak).
Sorry for the misinformation!
jenjenl, all the best for your upcoming surgery. -
Although it is early days for me as a uniboober, just since last Christmas, I find this conversation very interesting.
I never considered removing the good side, just as I never considered reconstruction. I have absolutely no problem being lop sided, and have been amazed at how quickly I actually adjusted to it. I don't think about it much now, but I do occasionally wonder, when I read these posts, if that could change with time.
So far, I haven't seen any posts from anyone who was ok with it in the beginning, and then got uncomfortable with it. So that's a good sign! LOL
Right now, I have several different foobs and prosthesis that work for me. I go half flat a lot of the time, just with a very firm shapewear tank to hold my "D" side in place, like Linda.
I doubt people notice, and don't really care if they do. I am always happy to talk about it if anyone were to ask.
Right now, I can't imagine ever wanting to remove the other side, unless, of course there was any hint of BC, then I would remove it in a heartbeat.
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Moira - I was ok with it in the beginning - if anyone had asked me if I would consider additional surgery (either adding or subtracting) just for the sake of symmetry, I would've said no way.
But in the early days I really thought that it would heal up completely and I would feel fine again, back to normal.
As the months dragged on and I'm still in pain, still don't have anywhere near full use of the arm, and found out from the LE lady that the list of things you cannot do is FOREVER.... it all gets me down.
And I started to wonder, what happens if I do get a new cancer in the other breast? Then I'd have no good arm!! But if I had it removed before anything happened, I would still have one good arm and I would never have to worry about that again.
Bras, no getting around it, they just hurt. I wear one when I leave the house because there's no way I'm going out in public with "droopy" uncovered. I just suffer the pain. The spot where my scar goes right up to my armpit is super tender and I have tried dozens of bras, tanks, camis, they all press on that very spot and it hurts. :-( -
Jennie & Moira, I too was kind of ok with having a uniboob in the beginning (I did ask for the other to be removed but the surgeon said it was unnecessary-so I accepted that)
For the last 2 years I've just had enough of being a uniboober- wearing hot prosthesis in summer, uncomfortable bras...can't wait to take them off when I'm home
I also worry about getting ca in the good boob- my last one didn't show on mammo, so yearly screening doesn't give me peace of mind.
I have an appt in 2 months in our public system to discuss pmx. If I can I will go ahead with it. Long waits in the public system, but insurance won't cover pmx unless you are BRCA +
I hope that there will be less complications since there will be no node removal, radiation or chemo... -
It was the node removal and radiotherapy that has caused all my problems post op so part of my thinking about pmx is saving nodes on at least one side......I am still all over the place with this, all i know is i never feel comfortable, in or out of clothes.....
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Yes, it's a tricky decision Lily.
I don't think there is a right or wrong answer- everyone is different & needs different solutions.
I think the reason I started this thread is because it's such a difficult decision to make! I guess I won't know if I make the right decision for me until I've done it & lived with it for a while. That's why it's so scary- once its off there's no going back & saying actually I quite liked my boob!
It's d****d if you do & d****d if you don't -
It's just a d****d shame that any of us are in this position having to make these decisions at all!
Edited to say, sorry if my language offends -
Ariom - I was fine with it at first, didn't even consider taking the good side, the MRI showed it was all clear. Was super comfortable with my prosthetic, post surgery, through chemo, then I had radiation, and the whole picture changed... I developed truncal LE, then it progressed to my arm, wearing the bra and prosthetic caused more pain and made my LE worse. I went with a lighter prosthetic and switched to cami's for a year, that was more comfortable, but then it started getting worse again, and now I seem to have developed, what my neurologist thinks is radiation induced brachial plexopathy, the shelf bra in the cami causes more pain, now I'm going 1/2 flat with the tight cami, to keep DD a little less noticiable and not flying in the wind, but the pressure on the MX side now by the end of the day is awful. They also did not find my cancer initially with a mammo because of dense breast tissue, by the time they found it it was stage IIIA. I realize that my greatest risk of recurrence is NOT in the other breast, but in my bones, liver, lungs or brain....but my last mammo again had heterogenously dense breast tissue (just like before) with stable micro calcifications in it, makes me a little nervous. Even though my surgeon was ok with that, he did say that, just like before it could be hiding something. Just when I think it's all at least going along OK, I feel like I'm back at the beginning. I just to not have to think about it anymore... So that's my cheery little story of the day. And bottom line - I really don't want to cut off a healthy body part and I really don't want more surgery.
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Jennie, Kt, Lily, and Linda, thank you all for your personal insights in answer to my question.
I completely understand the feelings and reasoning of each of you. it is such a difficult call whichever way you decide to go. The underlying fear for the remaining breast remains with all of us.
I consider myself incredibly lucky to have had the dx I had, but my decision to go all the way with a Mx was mostly to avoid Rads, both for the Se's and because of my family situation and location a long way from the nearest Rads facility. In making the decision to avoid the Rads and have the Mx, I then brought a SNB into the mix, so here is another "Damned if you do and Damned if you don't"! scenario. (Sorry if that offends) A SNB brings with it, the possibility of other long lasting symptoms and of course the dreaded LE.
I had virtually no pain at all with the Mx, just lots of numness and pins and needles, which still persists. I still have what I call "The Claw"! That is definitely caused by the SNB, and really only gets bad when I am tired. It feels like I have a very sharp claw that grabs at my chest and underarm. It isn't unbearable, not really pain, just another symptom of what I call the "Surgery of strange Sensations".
The idea of removing the remaining breast doesn't sit well with me right now, but the removal without a SNB would certainly appeal to me more than Mx and SNB again.
As I said before, it is early days for me, still getting used to the "New Normal".
Thanks again for the very personal stories.
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I pondered this question two years ago and in Feb. the choice was taken away from me as I had another primary in opposite breast. That said, I found breast enhancers in Walmart, large size, that fit a "B" cup bra and are fanatastic....don't hurt my chest, are light weight and cost $24.00! They also fit perfectly in a mastectomy bra I bought on ebay.....$13.00.....and it is VERY pretty and cute. Just go to the bra section of Walmart and ask where the breast ehancers are and get the one that is large or shaped like an actual breast...NOT the small ones, triangular shaped etc.
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This was a difficult time for me, having only one breast. I spent 18 months like that until the MRI should that I needed 3 biopsies and I freaaked out. Since I need my hands to work (an artist) and I have mild lymphedema in the cancer-side arm...all I wanted to do was get away from this cancer and preserve my second arm. My doctor said he would remove my breast, remove NO lymph nodes and he would then check the 3 places to find cancer. Well, there was no cancer....so I know I still have a risk of LE in my non cancer side, at least I have all my nodes which makes my odds better.
Whata tough choice it is, and I will be honest, I never ever stopped thinking about it when I had the one breast, it was always near on my mind...fearing both cancer and Lymphedema.
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Thanks so much for all your input girls.
I'm kind of glad I'm not the only one going thru this (but kind of sad at the same time)
I think I'm leaning more & more towards the pmx and can't wait for my appt with the surgeon to get things moving.
I get mild pain behind my nipple from time to time & as I'm in medical menopause it does concern me- I imagine a new ca, my breast is still dense & my first ca didn't show on mammo.
It's so great to have this forum and to have all of you with your different experiences to help in this decision making process
kt -
I haven't even begun treatment and already some friends are asking me what about recon. I feel pretty good right now saying heck no. I don't want them slicing on me any more than is absolutely neccessary. I have it my left side right now, and have every intention of having that one removed completely.
I am glad you started this thread. It helps me to see how everyone else is dealing with these decisions.
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Good for you Sparky.
The more you research and talk with others the more empowered you'll be to make informed decisions.
I wish you well in your BC journey -
Ugh...I've been thinking about this a lot lately, but I feel like I'm being vain and lazy, since it's really only because I want to go braless again (I'm a small
. My prosthetics fit fine and my bras fit great...I just hate them. One of the posters had a nice idea about the compression cami, though; perhaps I should try that.
Right now I feel like it's very ugly; worse than no breasts by far. Perhaps I'll get over it in time; I'm only 2 months post-surgery. I have no desire to do reconstruction. My husband hasn't said boo about it either way, but I have a feeling he'd be very against a second "unnecessary" surgery.
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Hi puppetsgirl, it's early days for you. This is a big transition for all of us, but there are options. It is just a matter of getting used to the "New Normal". It can be difficult, but through trial and error you'll find things that suit you.
I am a real devotee of the compression tank. I wear them a lot these days. I am a "D", on the remaining side, so you'll find a small "B" will loook pretty good, and feel ok too. It gives a nice smooth line under clothing. If you find the fine fabric ones, all the better. My fave is the Bamboo knit. It is tight but incredibly soft against the skin.
It's good that your bras and prosthesis fit fine and feel good. They have a place, when you need them, for a particular outfit or function.
Take a little time, and be kind to yourself. You see yourself as ugly now because it is such a shock. I hope it gets better for you.
We all understand your not wanting to go through further surgery. I know, I have no desire to do more surgery, I never considered reconstruction either.
I wish you all the very best. Take it easy, and give yourself some time to adjust.
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Take some time to begin to love your new body again....I do have to say I felt like you, very uncomfortable with one breast, but in my own case, I should have been careful what I wished for because I did lose my other breast 18 months later.
I am very happy being flat, but...it still is a big surgery with healing time. I don't sleep well on either side at times now, and of course while the risk of Lymphedema is very low in my second mastectomy arm, the risk is there. So that is 2 arm compressions when needed.
My "non cancer" mastectomy healed about twice as fast as the cancer side, so that is a plus.
Lots to think about, but my final answer is I stopped the self loathing after I had my second breast removed. but then again, being flat is no big boost to self esteem either...honestly, there are no easy answers here because you can't predict how you will feel to see two scars instead of 1.
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Oh, I did want to add I never realized how big my belly was until *both* breasts were gone. Sigh. That was a shock, that one remaining breast still takes the eye away from the belly.
but I am still glad to be flat. :-)
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I had righty removed almost a year ago and I kind of regret not getting rid of lefty too. I go back and forth all the time thinking I should get reconstruction, but then I read about it and think about the pain and compications that can come with it, and I say nope I'm happy with my prosthetic. Then I start thinking I should have lefty removed,but then I remember how I felt having those drains in me, the compression bra, the giant scar and loss of feeling in that area and I decide to leave it be. I think I will just be a uniboober forever.
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I was finally ready for the lefty to go, then I went to the rads Dr for a checkup and she told me that my mammo was excellent. That there are 1 and 2 . One being the better. She said hardly anyone has a 1. There is absolutley nothing in that breast, Its a 1! But now Im back to not getting it removed.....
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I had a nipple-sparing mast & immediate recon in March. Even though everything went "wonderfully" (the path report showed chemo killed the cancer, the nipple and flap survived) and I refused rads (fear of lymphedema since already lost 4 sentinel nodes) recovery has been AWFUL.
I lost so much upper body strength and I can't feel anything in my chest or abdomen. The "foob" is lumpy, malformed and the nipple lost projection. I don't look anything near normal, let alone feel whole. I am sorry I ever had the mastectomy. Living like this for the rest of my life is worse than a shortened life-span. They ( the medical community, so-called support groups) never tell you the quality of your life will never be the same. They seem so much more interested in just keeping you alive, on the planet, a tax-paying citizen, than what your existance will be like after you've been amputated in so many more ways than "just having a tit cut off".
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Hi SLGrib,
I am so sorry you are having such a rough time. It is often discussed here, how people aren't prepared well enough, for what to expect after all this surgery.
There are lots of ladies here who will agree, they felt just as you do.
It is very early days for you, everything is still healing, and getting used to the new "Normal" is not always an easy transition. It can take some time to adjust. I am not trying to minimise what you feel, in any way.
Have you spoken to the BS about your concerns? Have they offered you any resolution?
I know I was mortified by the big dog ear I had at the underarm end of my scar. I obsessed about it, and had a plan to have it surgically removed. I am six months out from Mx, with no reconstruction. That dog ear has all but disappeared, I sure don't need to consider more surgery any more. I had people tell me that, but I really didn't think that would be the case for me.
I also felt I had lost upper body strength, but I am back doing Yoga poses every day, and the results are quite noticable. I started doing this about 8 weeks ago. I have a lot of feeling coming back too, and a lot of the "super sensitive" skin problems have gone.
This may not be for you, but I just wanted to tell you, things can change pretty dramatically in a short time.
I am one of the ones who chose a single Mx without reconstruction, and have no plans to remove the other breast.
I really hope it works out for you, and you can find some peace.
Let us know how you are doing.
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