Long wait for surgery

Hello,

I was diagnosed on early September. It's 2cm Invasive Ductal Breast Cancer. Grade is 2, Ki-67 is 40%, ER+ PR+ HER-.
I have small breasts and due to the location of the lump, decided to do nipple sparing MX with flap reconstruction.
My BS is very busy on October and could not schedule my mastectomy until November 19. My PS assured me that the delay won't affect my cancer, but I think earlier is better for peace of my mind (!)
I am wondering if I should look for other surgeon who is available sooner. I asked one other good doctor in the same office but she is busy too. I can ask other hospital/offices, but I am afraid that it could be a waste of time and hustle (and stress) because all good surgeons are very busy on October, which is breast cancer month.
In addition, making the decision was difficult, so I don't know if I want to get a different recommendation and have hard time to make up my mind again.
Is there anyone who had or have a long wait time? Is it really ok to wait so long?

Thank you!

Flax-

I waited about that long. My wait was more coordinating with my Reconstruction Surgeon as her schedule was very full.

I strongly urge you to get second opinions and second consults on reconstruction options. If you are set on reconstruction you will want to gather tons of information to see what type is right for you AND find the best reconstruction surgeon you can possibly find!

I understand you are scared and just want this whole thing over yesterday. But exploring and making really informed decisions are going to serve you well on all levels.

Question the experts and you will empower yourself!!

I am wishing you much strength and healing in the months to come 🤗

I went to see a BS for second opinion. Her opinion about the surgery itself is almost the same (MX with reconstruction) as my original doctor, and she can schedule the surgery about 3 to 4 weeks earlier depends on plastic surgeon's schedule.
However, the doctor does not recommend flap surgery and she doesn't work with any PS who take my insurance AND specialized with flap surgery. She recommended to have expander placed and wait the result of the margin / oncotype so that the breast won't be affected from radiation and start treatment quickly in case radiation/chemo is necessary. Also, the BS thinks it's not good idea to take out good muscle for flap as it affect the strength and recovery, so recommanded implant. Implant is not necessary replaced every 10 years and the exchange surgery is quick. She said expander can reduce the risk of dying of skin/nipple because there will be less pressure on them.

However, my original PS was very confident with same time reconstruction with flap. He thinks I am a good candidate of Latissimus Dorsi Flap as I am skinner and it affect only a little bit to my strength (I can keep 90% of the original strength). He has a lot of experience with flap surgery. I don't know who to believe... I am leaning toward to have expander placed at the mx surgery and think about it later.... But still haven't decided which BS I go to.

Does the result of Dorsi flap changes so much depends on PS's skill? Is implant so much easier to deal with and look natural enough for small breasts?

Thank you notverybrave!

I asked my original PS if TE is ok and he said yes. So I might just wait for my original BS's answer if she can move it to earler date, as their location is closer to me in case I ever needed radiation, chemo and other follow ups.
I am reading all posts about implants and LD flap and there are lots! It's getting harder and harder for me to decide between inplant and flap. But if I decided to do flap, i can just go back to the PS again. That's also a plus with the original surgeions.

Also, I am supposed to meet oncologist after surgery. I'll ask my nurse if it's ok to see oncologist first. The second BS said my Ki-67 is modeletely high, so I might need chemo depends on Oncotype result. I thought I won't need it unless positive lymph node. Is there anyone had Chemo after mx because of modeletely high Ki-67 and Oncotype result even with negative lymph node?

My BS was able to move the surgery to Oct 15! That's more than one month earlier than the original date.
I will have TE placed and think that helped me to get in early as well as it does not take as much time as flap.

She said chemo is up to the result of oncotype.... I hope I don't need it.