Emotionally really missing my breast

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julieho
julieho Member Posts: 222
edited July 2014 in Breast Reconstruction

I was diagnosed 2 years ago.  I have a big family history of breast and colon cancers on my maternal side so it was recommended that I have a BMX even though I was stage 1 in just the left breast.  This made sense to me given my Mom had two different breast cancers in each breast, 3 years apart.

I did extensive chemo and herceptin but did not need radiation because with the BMX, chemo and no node involvement that wasn't needed.  

I had TE's put in immediately after my BMX, all done in one surgery.  I had a severe post op infection in left TE 10 days later, it was removed and then after I finished chemo they put in the left TE and swapped the two TE's a few months later for silicone implants.

I really want nipples but my implants are very lopsided, the left infected side is much bigger and the right really saggy and indented in my boney areas around the center of my chest.

My PS thinks it was because I went small, so I didn't have to wear bras, and because the left was more inflamed from infection the "pocket" was bigger so she should have used a larger implant on the right to even them out. 

Anyway, I may do a swap from silicone to the new gummy bear type of implant with fat grafting and she said they may have to be a size bigger.  I am a full size or more smaller than I was prior to cancer but I like having small breast size, but making them slightly bigger is fine.

My big issue is just how hard it has been emotionally on me not having breast.  I so miss the sensation, the softness even my middle aged lady, droop.  I think for some reason I wasn't prepared for how hard this part is. I always knew I would have a BMX if I had cancer because of our family history but I so miss having breast. 

It is amputating a part of our body and a part that is tied to sensation, memories of nursing my babies, the softness of my chest when I used to cuddle a child, etcetera. 

I am not suggesting I would do anything different, I feel BMX was the right treatment I just have felt emotionally like I really need support and that this part is much harder than I ever thought it would be.  More so now that treatments are over and I am "supposed" to live a normal life now.

Has anyone else struggled with this?  Just feeling very sad.

You ladies always help me.

Take care,

Julieho

Comments

  • Lily55
    Lily55 Member Posts: 3,534
    edited June 2014

    I agree with you, I am still one breasted two years on, something I never imagined in my worst nightmares and I hate it........evey morning and every night I cringe at myself and just don´t feel normal anymore - and I am so relieved to see someone else refer to it as an amputation as that is what it is and I still get odd phantom sensations for a breast and nipple that is no longer there

  • sandj
    sandj Member Posts: 27
    edited June 2014

    Yes, I too have memories such as breastfeeding associated with my breasts and miss them. It truly is a loss, and phrasing it as an amputation is very accurate. I agree that it is the best choice medically, but that doesn't make it easier to cope with. I just started the reconstruction journey, but I was flat on one side for 8 months and I would still look down at times alarmed that my breast was not there.

  • Tomboy
    Tomboy Member Posts: 3,945
    edited June 2014

    Julieho, i am awful sorry. that must be really tough. i don't like to see you so sad, but i do agree with how you put it, amputation, because that is really what it is. you know i only did lumpy, but you know that doesnt mean someday, they both might have to go for me. and i know for sure it would be traumatic for me, and i would miss them sorely. but i know that you have had a hard time here with other things too, and i just wanted to give you a virtual hug, and let you know i that i care, and am sorry to think of you suffering.

    i have read several womens experience with breast cancer, and i think audre lorde's book, was probably the first one to rightly call it an amputation. in her life, the reach for recovery people, and even her tx center, were put off by her not wanting to wear a prosthesis, and encouraged her to wear one for the sake of the moral of every one working there, and the other women who might see her that way. but she felt she was doing the proper thing, by showing the world her loss, and mourning the loss. but she said she never felt less beautiful, cause her strength and beauty lay within in her, altho she was also a very striking looking woman, and a fierce feminist, just a sensitive soul.

    any way, i would so give you a hug.. i will be thinking of you...

  • mrenee68
    mrenee68 Member Posts: 383
    edited June 2014

    Julieho-I'm so sorry that you are feeling so sad. I know I still have my moments of sadness when I think about my missing breast and my not so great implant. Don't get me wrong, I look normal in clothes and no one would ever know, but I know. Yes I still have one natural breast, but I still miss my other one. I want to feel my husbands warm touch, I want to not have all of the odd sensations and pains, I want to look at myself in the mirror and not feel like a misfit.

    I keep hoping as more time passes I will learn to accept what has happen and accept this is how things will be. Next month I go back for my second mammogram and check up with my BS, so all of the emotions come flooding back in.

    Hang in there and know you are not alone with your feelings. Try and be patient with yourself and give yourself time to heal. The mental journey takes a lot longer than the physical. ((Hugs))

  • tangandchris
    tangandchris Member Posts: 1,855
    edited June 2014


    I understand.....I miss my breasts too. I really broke down over this last week for some reason, still no sure what brought it on for me. I had bimx with TE's and ended up having them taken out due to infection as well. I had decided to wait until after tx was completed to even consider reconstruction, now I don't know what the right thing to do is. I've had 4 surgeries since dx and I just don't know if I can go thru another try and have it not work.

    I look in the mirror and I see a disfigured chest and it hurts to see it. I miss my breasts!

  • julieho
    julieho Member Posts: 222
    edited June 2014

    Thank you everyone for your loving and personal responses. 

    It is just hard at times because I think I am supposed to feel grateful I survived, that I "look normal" in clothes and that I have the worst behind me.  All of this is true but emotionally I mourn their loss. I have largely become sexually dysfunctional without them and I miss that too. My husband is patient and kind which is good and I know I am fortunate.  

    I have lost loved ones to cancer so I try to focus on being grateful I am alive, which I am.  It just seems that the loss of parts of our body is difficult and amputating two breast to hopefully save your life is a tough decision and difficult, at least for me to live with.

    I appreciate your support and am so very grateful to have all of you to help me through this process. I know it is a process and this is part of the healing.

    Thank you everyone.

    Julieho 

  • Morwenna
    Morwenna Member Posts: 1,063
    edited June 2014

    Would you ever consider converting to a flap reconstruction? 

    I know of ladies who have basically never had a satisfactory result with implants, and go for flap/s, sometimes after many years! They still won't have the sensation, I know, but they are soft, and warm, and part of you instead of being a foreign object inserted in there, and they will grow with you, lose weight with you, and age with you.

    I have decided I cannot countenance implants, and have a provisional date for a prophylactic mastectomy and bilateral flap reconstruction in December. I know its a very big deal, and I'm nervous, but looking forward to it all being over. I currently have one DD/E which I loath. I think I feel worse about my remaining breast than I dislike my flat side!! 

  • julieho
    julieho Member Posts: 222
    edited June 2014

    Morewenna

    Thanks for that suggestion. I didn't consider it because having the additional abdominal surgery on top of having both breast removed seemed so daunting.  

    My PS talked about swapping silicone for gummy bear implants with fat grafting to fill in pockets and sags in the implants but I hadn't thought about flap reconstruction. I will look into that but the additional surgical sites in the abdomen still concern me. Thanks though for the suggestion. 

  • Morwenna
    Morwenna Member Posts: 1,063
    edited June 2014

    It is daunting, don't get me wrong! And it gives me butterflies just thinking about it.

    But I used to work on a plastics surgery unit, as a physiotherapist, and one of my duties was to see patients at 6 weeks when they were allowed to start abdominal exercises (mostly TRAMs in those days) and even then at the relatively early stage, and with very few exceptions, the ladies expressed themselves delighted that they'd had it done. 

    Unless my medical peeps advise me not to go ahead due to my blood clotting history ...... in which case I think I will decide on bilateral flat! Not a particularly happy thought, but I've been 18 months lopsided, and I'm not happy with this either! 

  • peacestrength
    peacestrength Member Posts: 690
    edited June 2014

    I miss my breasts too.  I had a BMX.  I totally agree about amputation.

  • SullivanSF
    SullivanSF Member Posts: 13
    edited July 2014

    I agree, amputation is the word. People have referred to it as a "procedure" which sounds minimizing and annoys me. Im also depressed, in the early stage of filling the tissue expanders. Im in mourning for this loss for sure. I know it will subside, like all grief does to some degree, but Im in the weeds now iin terms of mood. Taking steps to help myself with counseling, this board, etc. I feel isolated among my froends and family, bc this journey is really, just you and your body. 

  • Meow13
    Meow13 Member Posts: 4,859
    edited July 2014


    Yes amputation I lived with for 4 months before the DIEP. Have you considered DIEP? I had enough tissue and it keeps feeling better with time. It is all me soft and warm

  • tangandchris
    tangandchris Member Posts: 1,855
    edited July 2014


    Got some bad news today from my PS. It seems that I'm considered a high risk patient for reconstruction at this point. I've had lot's of complications with infection and had my TE's removed back in January, 2 debridement procedures and lot's of antibiotics. He told me today after taking out my stitches that because of my issues and my bmi, that a DIEP would be 8-9 on risk scale and Latt Flap would be a little lower.

    I'm very sad and honestly feel somewhat hopeless over this. I'm 40 years old, I'd like to have breasts again. I'm angry at my first PS, I'm angry that I removed my left breast(no cancer there and it has given me all the problems), and I'm just angry that this has happened to me.

    I'd like to get in bed and sleep....wake up and this all be a bad dream.

  • Meow13
    Meow13 Member Posts: 4,859
    edited July 2014

     Get a second opinion! My bmi was a 23 at the time of the DIEP, I think it is 30 now thanks to hormone drugs and my eating.

    I had plenty of stomach material for the job. Is your bmi low? The success rate of DIEP is something like 99%.

    Maybe you can get your health back, eat right exercise then do the surgery?

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited July 2014

    tang - Does that same PS actually do diep? In our area we all get sent to Prma in San Antonio for diep. Maybe go there for a consult. Don't give up! Get a good nights sleep then tomorrow start on a new plan. I'm sad for you. Gentle hug. 

  • tangandchris
    tangandchris Member Posts: 1,855
    edited July 2014


    I'm overweight, not sure what my bmi is, but PS if lost at least 50lbs it would reduce my risk. I need to get thru my radiation before anything concrete can happen anyway, so I'm not going to do much in the form of 2nd opinion just yet. I know I need to loose weight, it just hit me real hard hearing him tell me this. I had a different PS in the beginning of all of this that I "broke-up" with because I feel that he was negligent. My new PS is wonderful and I trust him.

    I just wish none of this was happening you know? Are breasts that important?? Who am I if I don't have them? These are questions that are running thru my mind. Do breasts make me a woman?

     

  • farmerlucy
    farmerlucy Member Posts: 3,985
    edited July 2014

    Hi tang - All of it sucks. I hate that you are going through this so young. Breasts certainly do not define you as a woman. It's all about what makes you feel better. I've seen such tremendous strength from you on these boards these past few months. You confront things head on, and now you have turned the tables and are comforting the terrified newly diagnosed ladies.  When the time comes you'll know what to do. No one, no one, hear me NO ONE is allowed to make you feel "less than". You are "perfectly and wonderfully made" just the way you are.

  • tangandchris
    tangandchris Member Posts: 1,855
    edited July 2014


    Thank you Farmerlucy ((hugs))

    I'm just going to take one step forward and do it one day at a tiime today. I've prayed this morning and was reminded that I'm never alone, that He is always with me. Just like ya'll :)

    There is so much pain and hurt associated with BC, sometimes it just becomes too much. I keep hoping that all of these terrible things can be used for something good some day.

     

  • bobogirl
    bobogirl Member Posts: 2,777
    edited July 2014

    Hey there Tang:

    Crap on a chapstick!  (That's a silly expression from my home thread to replace swearing)  Have you considered BRAVA and fat transfer (AFT)?  I am high-risk too.  I had same problems you did, word for word.  My PS said he would not reimplant TEs (I didn't want them anyway) but he didn't see a problem with fat transfer.

    Sending you hugs -- and everyone else too.  XXOXOXO

  • julieho
    julieho Member Posts: 222
    edited July 2014

    tang

    I am considering having my implants replaced by DIEP.

    I had several infections in the TE's. In fact after they finally put the left TE in after I was done chemo...(it had been removed two weeks after my original surgery due to a severe infection) it became infected again after they did my third fill.

    They treated me with antibiotics for several months and were at the point that they felt they had to remove it again. I finally convinced them to culture the fluid around the TE, which was tricky to do and they were using an antibiotic that was ineffective on the bacteria I had.

    They still wanted to remove it but I talked my PS into trying to swap out the TE's for implants and she washed out the breast capsule with the antibiotic and then I went on 6 weeks of IV antibiotics through my port after the surgery.  It worked and the implants did not become infected.

    But, I hate the results.  They are very hard, cold, super lopsided due to the infections.  I wish I knew about DIEP to start.  Anyway I may try to go to Boston and see about it, they don't do it in VT.

    I would go for a second opinion.  I think the day grafting is also a good suggestion.

    I don't think I am less a woman because I don't have my breast but I do think that we underwent a severe amputation and wanting options that make us feel more whole again is fine.  I know several woman who did not do reconstruction and are very happy with their choice and they don't wear prosthesis.

    Good luck

    Julieho

  • tangandchris
    tangandchris Member Posts: 1,855
    edited July 2014


    hey ladies....I'd never heard of the brava thing. I did a little google on it and it looks interesting. I'm not sure if I'd be a candidate because of the scar tissue I know have, but I'm gonna read some more on it.

    I'm sorry julie about the turn out with the TE's. After my 2nd infection I told my PS i wanted them both out, I was DONE with the TE's and him. He was an ass, didn't even try to talk me out of it or think of an alternative to do it. I have bad feelings toward him if you haven't noticed.

    My new PS took out the capsule that had formed in my chest that had formed due to a seroma and then formed into an abcess. Truth be told I'm scared to do more surgery too. I really feel like I've been put thru the ringer on all of this. I'm envious of women who make it thru recon process w/o issues, and envious of women who have breasts. sucks!

  • Lily55
    Lily55 Member Posts: 3,534
    edited July 2014

    I have posted this post on the UMX and reconstruction thread too but would really appreciate your input

    I had UMX 26 months ago. I seriously struggled emotionally with it and still do..........I had breast reduction a year ago and started on recon with fat transfer. First one went fine, second one failed abysmally and I got massive but rare infection and lost all my new tissue. I am left with lots of fibrosis, and some necrosis........plastic surgeon told me no option except fat transfer as area really just skin and bone.. Since then have had one successful fat transfer. Talked to PS about how many future procedures etc and he would not commit himself at all except to say it would be well over a year (making around 3 to 4 years in total).

    For the first time he was implying that he may not be able to create an entire new "breast" and that maybe i would be happy to just have fat to allow me to wear lower cut clothes (not low cut just normal cut) and to not be sunken below......it seems I am a difficult case as had such rare infection, he cannot put too much fat in at once due to fibrosis and fact that I had such a serious (life threatening) infection, that my ribs are more or less on the surface (it seems some muscle was removed during my so called modified radical mx). I could not even post until today as I am so upset about this, I burst in to tears on him and told him I never feel normal and its been so long already.......I do trust my PS, he is good at what he does but I definitely have the sense I am a big challenge. I was not a good candidate for DIEP due to vertical scars, lat dorsi not recommended for me and literally no room even for an expander........so its fat or nothing..............

    Anyone any comments, I dare not even talk about it as I am so upset, I have worked so hard emotionally and physically to get as far as I am and it takes a lot of emotional energy to keep going...............I feel so different everywhere I go, I never fit in, and now I don´t even make a "normal" plastic surgery patient..............

  • tangandchris
    tangandchris Member Posts: 1,855
    edited July 2014


    Lily I understand your pain ((hugs))

    I don't have any advice, I am kind of in the same place that are. Just curious, what type of infection did you have. I had psedumonas, this is a rare one too and I'm still on IV antibiotics to make sure it doesn't come back. This is hard stuff to get thru. PM me if you want ((hugs))

  • Lily55
    Lily55 Member Posts: 3,534
    edited July 2014

    Thank you - the infection was Hafnea Alvei.

  • Ariom
    Ariom Member Posts: 6,197
    edited July 2014

    Lily, I had no idea you had been through all that. I knew you weren't happy with your UMx results, but I obviously missed your posts, about you finding a surgeon to reconstruct with fat transfer.

    I am so sorry to hear what has happened to you, with the infection, not having options and the transfer not going as you hoped. It is so awful that you are feeling different and still feel you don't fit in. After all this time, I imagine it must be exhausting, to have gone through all this and still not have the results you hoped for.

    Lily, don't forget the good you do here, on BCO, and all the women you've helped and given advice to, since you first came here. You may not realize it, but your advice and opinions are valued and you fit in with people from all over the world, who come here to make contact with others, who understand their fears.

    I  wish you all the best for improvement and a more positive outcome with the recon. 

  • tangandchris
    tangandchris Member Posts: 1,855
    edited July 2014


    Ariom has such kind words for you Lilly ((hugs))

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