Has anyone had Oncoplastic Surgery at same time as lumpectomy?

BWH5 does your BS work closely with the PS? Mine worked closely together and my PS was able to give me a good idea of what to expect, she even took a little more than the BS to make things come together a little more. Like JosieO said I would've had a divot. I see in your signature that yours is DCIS which usually means them measure the length. Did you ask your BS if they would remove the full dimensions? I had IDC so it was a mass 1.5 x 1.3 x 1 cm and my BS took a little more than normal margins (.2 cm) the were more around .5 cm.

Did you get a second opinion from another BS? Is your BS part of a Breast Center? From what I've read that is the best route because they do this every day. Even though mine was pretty straightforward I found having a second opinion gave me piece of mind.

One piece of advice I did get was you can always remove more but you can't put it back on. My mom had a mastectomy without reconstruction 25 years ago and after seeing her I just couldn't go that route unless I had to. Ultimately it is your decision and you have to do what makes you comfortable.

I completed my sentinel nodes biopsies, BS, IOeRT, and reconstruction for my left with reduction for the right for symmetry in one 5 hr. surgery. My BS, RO and PS all counseled as to the best treatment plan for my cancer. All three verified completion of all procedures in one surgery would be benefical for me as my tumor was so small and preliminary findings showed the lymph nodes were clear. So I had surgery Oct. 3, 2018. The sentinel lymph nodes were clear and the procedures went as planned. Days later my pathology report indicated the margin was clear too. So additional radiation isn't needed. I'm taking part in a study for early breast cancer with single dose of IOeRT and in a way I feel I was coerced into the procedure as I fit all the criteria for the study. Hindsight is always best I'm second guessing my decision. What I'm struggling with is my cup size, I was told I would go down one size, C to B but was C to flat A. I've never been this flat! Hope this gives helpful insight or questions to get clarified!

I had a similar situation, when I talked with my BS she told me the reconstruction/reduction would be best as I had dense breasts with plenty of tissue for reconstruction. She explained the procedure very well & casually mentioned mastectomy, as she said it was to radical for the size of my tumor. Both the RO and PS confirmed I had plenty of tissue for a good outcome. As we all know getting the dx, test after test, and surgery plus any other treatments is so overwhelming. I know I will adjust in time, but for now I'm angry & feel I was manipulated for the study and the human aspect with real emotions was left out of the procedure!😖😤

I know I'm my own worst critic & least patient with myself. The hubby has been my greatest support & cheerleader, he thinks they're perkily perfect

DX 8-14-18, IDC left <1cm, 1A,grade 3, ER+Pr+HER 2- 0/2 nodes, surgery 10-3-18, taking anastrozol

An update on my oncoplastic surgery, I had a 3 month follow up appt. with my RO 2 weeks ago & had an emotional break down. She tried to console me asking what she could do to help & I told her I had no idea as I didn’t know what I needed. A few days after the appt. I received a call from the PS office manager offering a second opinion with another surgeon. We scheduled the appt. I was hesitant in going & thought about canceling but decided to go. The PS offered a follow up procedure option to take care of my concerns. He also stated insurance would most likely pay as my concerns aren’t all that unusual following oncoplastic surgery. I haven’t seen my initial PS since 1 week post surgery, my follow ups have been with his CNP who needs a few lessons in manners when working with BC patients. I will see him in April & go over the options I received from the other PS. My RO helped answer my prayers I’m so grateful for her,

I’m updating from my last post, I had my revision surgery; to remove 4 skin cones (dog ears), incision pits & excess side bulge removed. This was on July 12th with the 2nd PS I met with verses my 1st because his options met my needs in a proactive way. Well the bandages came off a week later and now the surgical tape is off and what a startling shock 😧 huge incisions that are lumpy, more pits than what were there to begin with, and I’m so upset that the incisions are huge. I’ve started to massage them, but also want to see what lotion/oil to use too. I’m calling his office first thing in the morning to ask those questions & let them know these incisions are far worse than my first surgery. He also knows how I was struggling with the initial results! So I’m back to tear filled sleepless nights and the next day filled with bouts of frustration, anxiety & anger. I know it’s also early in the healing process, but these wounds are frightful. The skin cones that were removed from the each side of the breast bone are round verses the initial rectangular shape. At my 2 week post op appointment PS said everything looked to be healing well. I didn’t realize how lumpy & pitted the incisions were then otherwise I would have brought it up. I don’t think I’m asking for much, just to look & feel normal again!