Mastectomy with simultaneous Reconstruction

I had a BMX with direct to implants and so far have been really happy with it. I wanted the minimal amount of surgeries possible due to having small children and an active job. My recovery was easy and I generally like the look of my breasts. I went smaller (from DD to , which I like. The downside is that I will eventually have to get the implants replaced. Also, I just started radiation and am curious how that might effect my implant on one side (didn’t realize one sentinel node was involved going into BMX which put me on the chemo/radiation plan)

Are you considering TE placement during your Mx or did you mean one step implants ? One step implants are less common and generally only done if your Mx is skin sparing. I had the one step procedure almost 9 years ago and have been quite pleased. My plastic surgeon had a lot of experience with the procedure. If that’s what you’re interested in make sure to find a plastic surgeon with experience. Wishing you the best.

I did a one step (PBMX, nipple sparing, direct to implant, subpectoral, Alloderm slings) in 2014. It was still not that common outside of certain areas then, but I was a good candidate and my PS was comfortable with it. No issues and smooth recovery though it did mean I lived through that weird tightness with implants “all at once” before they settled rather than adjust with expanders. I stayed same size (30E/32DD). I did switch to 410s a year or so later, and back to rounds again last fall, but not due to issues with going direct. My nipples survived just fine, etc

My sister tried to do one step nipple sparing pre-pectoral late last fall - very experienced surgeon, but during surgery they can concerns about blood flow to nipples/breasts so did left her flat for 3-4 weeks before she went back in to place implants. Just something to be aware of - choose a surgeon who will do what is best for your tissues at the time of surgery.

I would not recommend it. So many of us have to have ex-plants because of problems with pain, etc. If I could do it all over again I would do DIEP (which I have coming up) or just go flat. There are no good options, but I think implants are the worst option. Toxic and painful.

I agree with finding an experienced ps if you consider one step implants. Mine are almost 9 years old and I haven’t had a single issue with them and I pretty much look the same as before my bmx.

I’d also like to point out that regardless of what type of recon one chooses, most folks who are happy with their outcome tend to stop posting. People tend to post more when having problems or when they’re unhappy about something.