Getting reconstruction can be a very positive experience!
I had reconstruction after lumpectomy, AND rads. My recon, five years later, makes my daily life better. I do not have to look at deformity in the mirror, and feel like I am more of a real woman to my DH. (DH did not want me to get more surgery, but is so happy with the results, when I did, lol.)
Comments
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pupmom, I think you speak for a lot of women. When I had my BMX I decided on no reconstruction. Didn't want that stuff.
Well, was left with a hideous mass of folded ugly skin and scars on my chest. It's been 15 months since my BMX, and I really can't wait to get started on reconstruction. I always had beautiful breasts and I never realized how vain I was about them. I truly thought I would be fine going flat. I'm 60 years old. It's not like anybody is really looking at my breasts anymore. Except me. And I can hardly stand to look at myself in the mirror. I think Reconstruction is going to do my mental health a world of good.
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I have to say I agree with you about the mental health aspect of reconstruction. I've been very fortunate. I woke up from my BMX with new breasts that looked and felt very much like my old breasts, just with stitches. I really think it would have been much harder on me psychologically if I would have had to delay my reconstruction. Six weeks out from my surgery, and I'm wearing my regular clothes and my regular bras. I was worried about feeling "mutilated" by my cancer treatment. Instead, I feel like me.
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That was THE only thing that kept me going, a light at the end of the tunnel that was surgery and txs topped off with side effects and complications. I was DD/DDD and while they were even, they sagged and I just didn't like them. Now I'm a nice size C cup. And even though I'm having issues with a little leak right now in the rad side, no way would I permanently have them removed. People I talk to understand how I'm fretting more about being 1-boobed for 6 mo than the issue itself. I had issues with my TEs too with infection and wasn't fretting over the infection but possibly losing my TEs. So I'm thrilled to have been a candidate for recon and would do it all over again going through the same issues. It's a great self esteem/mental boost and physical one too now that summer is here and I'm wearing very light more showy clothes. I also HATE wearing bras and with implant recon, it's quite firm so no need to!
And the bonus thanks to a federal bill passed years ago is recon is covered by insurance! Not everyone knows this.
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Me too. So happy with my DIEP. Emotionally, it made all the difference to me. Let's hope insurance companies will still have to cover reconstruction.
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I don't think they'll undo the insurance coverage for recon. Way way too many people get bc and opt for recon. It's been in place since I think it was Reagan who did it. Nancy his wife had bc if I recall.
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The Women's Health and Cancer Rights law was passed in October 1998 during the Clinton Administration. The American Cancer Society's website has a detailed summary. I'm new to the boards and have yet to figure out how to fill in my personal info. I had a rt mastectomy just over 2 yrs ago and thought I wouldn't want restruction, one surery was enough! But as time goes by, I am at least curious about what's available and what other women's experiences have been and their opinions on the outcomes.
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Speaking of Nancy Reagan, I was suprised to hear she was being pressured to do lumpectomy and radiation when she wanted mastectomy. Obviously, she made some good decisions she lived to 94.
With all the talk of heath care savings I would walk on hot coals to protect our right for insurance covering reconstruction.
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I'm in total agreement. My DIEP is on 5/30, and it does feel like I'll be making improvements. Perhaps that's ridiculous, but an Mx or BMX is so hard. I'm grateful there is a way to put it back together after all.
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Falconer, there definitely are ways to get us back to before bc! Best wishes for your upcoming surgery!
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I had my DIEP flap on 4/4, and I'm so glad I did. I woke up from my surgery feeling like me. I was afraid I would feel mutilated, but I nevrr did. I felt whole.
Trish
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Yay, Trishyla!
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Just happy we have options!
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Three cheers for options! Whatever one chooses to do, arm yourself with information on the pros and cons of recon procedures as well as the choice not to do recon. Don't let anyone push you toward what they want. Go for what's right for you. I never doubted I wanted implant recon and had a great ps who was experienced with one step implants. Almost 6 years later, I'm very happy with my choice.
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I am still waiting for reconstruction and can say that feeling mutilated, un symmetrical, damaged, abnormal etc has had a FAR greater impact on me than the diagnosis of cáncer...............I feel embarassed writing this as it seems so trivial in comparison to other things but it has felt like a living nightmare for 5 years now and every summer I feel worse as there are cleavages on display, people relaxing at the beach etc and I cannot do that.......yes I might go to the beach once or twice in total instead of twice a week but I am sooo self conscious there it is not relaxing or enjoyable any more.......
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Lilly, when do you think you can have reconstruction? Are you in the US? So sorry for the pain you've been going through.
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"I am still waiting for reconstruction and can say that feeling mutilated, damaged, abnormal etc has had a FAR greater impact on me than the diagnosis of cancer,"
Lily, I feel exactly the same way. I really thought I would be fine with no recon. After all, I *am* 60. It's not like people are ogling my breasts. Who needs breasts when they're my age, right? Well, I had a tremendous amount of tissue necrosis on one side and a huge seroma on the other. It took 4 months to get it all healed up--thank God for wound vacs, or I'd still be packing wounds! I was left with a chest full of scarred, folded skin that really looks hideous. I can hardly stand to look at myself and I try very hard not to let my husband see it either.
I was unable to tolerate any sort of bra or breast forms at first. Around 7 months post-BMX I received some Knitted Knockers and I was amazed at what happened: I immediately had a boost in self-esteem. I didn't want to take them off, ever~! I wore them every day for a week and then made my decision. I NEED reconstruction for my mental health. That's all there is too it.
I have had to put off having reconstruction for a combination of reasons. My mother has been extremely ill for the past 6 months and has nearly died twice. She is in end stage kidney failure and has stage 4 kidney cancer with mets to her liver. She's failing fast. I have scheduled surgery twice and had to cancel twice. At this point, I'm just going to wait until she passes, which I expect will happen within 4-6 weeks. However, the silver lining with this is that I've had plenty of time to research my options. The recon decision I might have made at surgery is definitely not the decision I'd make now. Having interviewed 2 local PSs made me realise that NO ONE was listening to what I want, but rather they were pushing their favorite surgeries (lat flap with implants--no thanks.) When I'm ready to pull the trigger I will be going to NOLA for DIEP recon.
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I am now in my 6th year of mutilation, it feels like a sentence for some thing i must have done that was clearly terrible in a previous life. I have made a complaint at government level about this as I am currently on a waiting list with an assumed date of 2020 for surgery...........even typing that brings tears to my eyes......if I have to wait until then it will be 8 years and I don´t feel I can put this behind me until I feel more normal and confident in myself, I think I am a failure for feeling like this and at times get very anxious as no one has even assessed me for a DIEP........and that is what I am on the waiting list for, this and moving my bum to my front are the only possible options bu I don´t even know if back to front is done here...........................I try to stay hopeful but feel exhausted with it all and at times feel there is no hope............
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Wow, Lily. Why are you on an 8yr waiting list? That seems REALLY excessive
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I would say reconstruction and the options to pick are very personal and differ from one person to the next. That being said It is definitely something I did and wanted from the beginning when my Surgeon told me no clear margins after my lumpectomy and I needed a Mastectomy . Definitely the right decision for me physically and mentally. It helped having an outstanding Surgeon and PlasticSurgeon on my team from the very beginning. I love the outcome and feel grea
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Its long story but in a nutshell, they lied to me for the first 2 years and told me recon was not available even when I showed them written documentation showing it was an automatic right. When I was so distressed in an appt with my Oncologist 2 years later he picked up the phone and sent me to the surgeons. They looked at me and said they could onlyoffer something with a prosthetic which I do not want adn never have as I react so badly to all kinds of foreign substances....so I was finally sent to a plastic surgeon who took a brief look at me and told me it was at least 4 years waiting list.....and said goodbye, she thought I was odd that I left her office sobbing.......since then the waiting time has gone up by a year and is now a mínimum of 6 to 7 years from addition to the waiting list but as they lied to me for 2.5 years then for me it is over 8 years - the joys of a public system...........I have made an official complaint to the health dept government for my área about the fact I was lied to and that I want the years I was deprived of being on the waiting list for added to my waiting time, aka punishment for daring to want my rights, ie to feel reasonably normal again......this year it is even worse as i have lost more flesh above where the breast should be and I do not feel comfortable in any summer clothes. If they do not agree to reinstating the years they prevented me from having on the waiting list then I am going to the national level.
I cannot put in to words how distraught I am today when I found out there is still another 4 years to wait if I don´t win my complaint..............as there are so many women waiting - great eh a first world country that is cruel.......shameless........inhumane....
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Apparently, my DIEP with little pain or discomfort is not the norm. A friend of mind just took my advice and did a DIEP and she is in terrible pain. I feel so bad for her it been 1 month and I think she blames me. Everyone is very different.
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Meow13, I wonder how many of these bad flap outcomes are due to a PS that just isn't experienced enough? when I was investigating the LAP flap, the recommendation was to be sure and pick a surgeon that was very experienced in micro surgery
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I was suprised my friend had one of the best in the business. I don't think she gave herself time to heal. I literally spent all night in bed and all day on the couch when I was recovering. She needs to let others make meals and clean.
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My younger daughter came and stayed 2 weeks after my BMX. I just had to stay out of the kitchen - I obviously failed at cleaning lessons
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Yeah for flap sx it's a longer healing period than implants. I required help for only a couple days after my bmx with te placements. I didn't use much of my narcotic rx for pain either. One can never predict how long healing could take or pain as we are all different.
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Trishyla,
I am going in for a bilateral mastectomy with reconstruction (silicone implants) on 6/2/17. The only "advice " or direction I have received is from fellow survivors and in these forums. I don't know if size has anything to do with the amount of pain. You are encouraging. I almost decided to pass on the reconstruction , but you're right - even if it's "little B me" and the 50 lb. dog, I think at 49 it would be psychologically beneficial . My main concern is pain and recovery time , living alone .
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cjrick,
I know a lot of times what we read here on BCO is when things go wrong. That's why I was happy to find this thread highlighting the positive aspects of recon. Whether it's autologous, implant or a combination there are some very real benefits to reconstruction. Not just psychological, but some physical ones as well, ie symetry and weight distribution.
As far as needing help after surgery, i found I only needed help for the first week or so. After that I was able to care for myself. I think the big issues for someone who lives alone would be food (have groceries delivered?) and quick help if you have an emergency (have a trusted friend/neighbor on call). It just takes a little more pre-planning.
Good luck with your surgery.
Trish
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My 6 year old under-the-pec implants look 'okay' when I "pose" with my hands on my hips and shoulders pulled back, maybe a little twist to the side....
and they look 'okay' to others since I only wear dark shirts or layers.
But they are ripply because the muscles squish them around, and uneven, and really weird and puckered on the sides...
Yes, I can live with it and do what I want to do. but then again do I want to look at this and think about this everyday for the rest of my life? I am only 53. I am scheduled for DIEP. I want to feel normal. I sure hope it is worth the major surgery. My husband gets it and supports me. Other people, not so much: why? you look fine! I wonder how it is going to go, having surgery and 6 weeks or so of downtime "out of the blue" as opposed to when everyone knew I had cancer.
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lmichele- I wouldn't worry about what others will say. You can always lay it out that I may look ok in full on clothes, but the reality underneath is another story and it needs to be corrected. The best way to do that is to remove the implants and replace with natural tissue. And that you can't wait to feel and look normal again so you can wear a bathing suit or an evening gown and not have to wirry
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