Did you regret a lift on the "good" breast?

Options
Runrcrb
Runrcrb Member Posts: 577
edited August 2018 in Breast Reconstruction

I had a unilateral mastectomy and am 4 months post DIEP flap. The reconstructed breast looks good. It is pretty close in size and position to the natural breast on the left but of course, the natural one is a tiny bit lower. My surgeon suggested that the scarring that would come from a lift might not be worth the result. I go back in a few months as I do want to clean up the belly scar and have him remove some scar tissue at the axillary incision. I'm on the fence about a lift to the "good" breast. For those who only needed a little bit of lift, did you regret it?

Comments

  • NotBrokenJustBent
    NotBrokenJustBent Member Posts: 394
    edited April 2018

    I was encouraged to get a lift and my surgeon made it seem like it was a simple procedure. I will be interested to hear what others have to say. Thanks for starting this forum.

  • nash
    nash Member Posts: 2,600
    edited April 2018

    For me, the lift was a breeze, especially compared to the ongoing disaster that is my LD flap/implant on the opposite side. I needed quite a bit of a lift, however, not a little bit of one.

    The lifted breast looked good despite the scarring, and the recovery was a no brainer. Unfortunately, my medical team completely missed a new 8 cm primary in the lifted breast prior to the surgery, and the inflammation from the surgery masked the MRI done on it afterwards, so my diagnosis was delayed.

  • NotBrokenJustBent
    NotBrokenJustBent Member Posts: 394
    edited April 2018

    My PS was going to do that lollipop type lift. Is that what you got nash? He said the scarring around the areola would be minimal and blend and the scarring on the underside would somewhat be hidden. nash, I am sorry to hear about the delayed dx. Why did they do the MRI after? If I get the lift done I will get it done after a mammo. Sometimes I am sorry I went uni.

  • Ibis
    Ibis Member Posts: 71
    edited April 2018

    Had a lift on right at the same time as exchange surgery on left. Negative right mammogram prior to lift. Looked great except for less volumn. I was debating about doing a small lift on the right when, 6 months later, a MRI showed DCIS on right....so another MX. Good luck with your decision

  • NotBrokenJustBent
    NotBrokenJustBent Member Posts: 394
    edited April 2018

    Over70, what a disappointment. So sorry. In the back of my mind I always think about that possibility and that is partly why I never followed up after my initial recon on my mx side. I still need the nipple, a small implant or fat grafting, and then the lift. I kinda expect it will come back someday. I am not sure if I am a pessimist or a realist.

  • nash
    nash Member Posts: 2,600
    edited April 2018

    Notbroken, yes I had a lollipop lift. The aerola scarring is hardly noticeable. The “stick" part of the lollipop did not heal well and I have a wide red scar. I have to think the new primary hampered the healing.

    They didn't do an MRI prior to the lift bc they said it would be hard to read due to carryover inflammation for the LD flap on the other side.

    I was originally diagnosed in 2007. I had a local recurrence in 2015 (hence the mx/LD flap then) and the 2015 MRI that caught the recurrence didn't show anything on the “good" side. So when they did the lift in 2016, they thought my mammo prior to surgery would suffice. Of course it didn't—I've had 3 tumors missed on mammo now. Anyhow, I switched oncs right after the 2016 lift. That onc did a 2017 MRI that looked odd, but they attributed it and the slightly enlarged nodes to the lift. But we repeated the MRI in six months just to be sure, and bam, there was an 8cm tumor with multiple nodes.

    In fairness, this tumor is very fast growing, but I do feel like my surgeon should have caught something on clinical exam prior to surgery.

  • suemed8749
    suemed8749 Member Posts: 1,151
    edited April 2018

    No regrets here. I had a lollipop lift ten years ago, and scarring was minimal. No loss of feeling. Just had a mammogram a few days ago and all is well.

    Wishing you all the best!

  • FaithsMama
    FaithsMama Member Posts: 126
    edited April 2018

    I had a similar question. I am going in soon for a unilateral mastectomy. I’m concerned about appearing lopsided. I was considering asking the ps to do a small implant on the other side, and doing the reconstruction slightly larger than my natural breast to even me out, so they look uniform. I feel like one real breast and one implant breast will always feel and look off. But if I have them do an implant on my good breast too, and make each breast equal, it’s a win win. Maybe?

    They are doing my reconstruction at the same time as my mastectomy.

  • aquilegia
    aquilegia Member Posts: 83
    edited April 2018

    Runrcrb - I was in a similar situation - the DIEP breast was a size smaller and the skin patch in the DIEP breast where a nipple/tattoo will go was about an inch higher than the nipple on the natural breast, The PS didn't want to do a reduction/ lift because he said the difference was small. Instead he plumped up the DIEP breast with fat grafting and moved the nipple/areola on the other side up with a "donut" or Bernoulli lift. I think I should have held out for the reduction/lift rather than the more minimal technique, which really isn't meant for large (D) breasts. I ended up with a slight bulge medial of the nipple and skin puckering above the nipple. It looks fine in a bra, but a bit odd in the mirror. Live and learn ....

  • Runrcrb
    Runrcrb Member Posts: 577
    edited April 2018

    Aguilegia - thanks for sharing your experience. I still have some time to decide but I’ve been realizing over the past few years is that I usually know what I want and am never happy with something less.

    Hoping to hear from others.


  • Meow13
    Meow13 Member Posts: 4,859
    edited April 2018

    No, I didn't regret it.

  • Runrcrb
    Runrcrb Member Posts: 577
    edited July 2018

    Update - the natural breast was lifted today. And some lipo to remove some fullness on the reconstructed breast. And some scar revisions along the abdominal incision. And possibly some balancing tweaks to the right - he said he'd lift the left and then see what else might be needed on the right. I've been home for 3 hours, had one nap, lunch and read the paper. Time for another nap.


  • PNWBCHgirl
    PNWBCHgirl Member Posts: 115
    edited August 2018

    never regretted my lift on my (left ) good breast. Actually very grateful for it because it actually was a blessing in disguise. The PS sent the fragments into pathology : standard procedure for him especially for his reconstruction patients. It came back with DCIS in it so He immediately had me seeing the breast surgeon and we started the whole process all over again

  • PNWBCHgirl
    PNWBCHgirl Member Posts: 115
    edited August 2018

    never regretted my lift on my (left ) good breast. Actually very grateful for it because it actually was a blessing in disguise. The PS sent the fragments into pathology : standard procedure for him especially for his reconstruction patients. It came back with DCIS in it so He immediately had me seeing the breast surgeon and we started the whole process all over again

  • Meow13
    Meow13 Member Posts: 4,859
    edited August 2018

    No I don't regret it, it looks great.

  • Leatherette
    Leatherette Member Posts: 448
    edited August 2018

    To those who had the lift on one side already: Does a lift also address underarm side boob? My DIEP breast is a good match for my other one in terms of size, and mostly in shape. My original breast is a little droopier, which I know the lift addresses, but also has a lot more volume to the side.



  • Runrcrb
    Runrcrb Member Posts: 577
    edited August 2018

    Leatherette - my DIEP breast was fuller - My PS removed some fat/fullness on the side as well as at both underarms (along the top/fold part). I'm 3 days post surgery so pictures won't help but at first look on Tuesday, I'm happy with evenness - shape and nipple location. My prediction is that your surgeon can address whatever is needed to gain symmetry. And it's easier to remove fat than to move it around (per my doctor while we talked about the plan).

  • Leatherette
    Leatherette Member Posts: 448
    edited August 2018

    Cool-thanks, Run!



Categories