No reconstruction- Happy w/your decision?

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  • SusaninSF
    SusaninSF Member Posts: 1,213
    edited July 2007

    Congratulations Sheila!!!

  • wallycat
    wallycat Member Posts: 3,227
    edited October 2007

    I am 3 months out and am, so far, very, very,very happy with my decision.

    I was a 34D and I am happy to report that not carrying around that extra fat is very freeing.

    I think it depends on how secure you are in your sexuality and self image...and age, maybe.

    I think if I were in my 30's or 40s, my psyche probably would not allow me to go flat...but being 50, happily married, and more secure in many areas....I can't see myself ever doing it.

    My gyn waited two years, then opted to reconstruct....so you can always go back if you are not sure at this time.

    I love the freedom, exercising is easier, no more mammograms or followups...

    my DH was more a leg/A$$ man, so tho he feels horribly for me, he does not miss them too much either!

  • Erica3681
    Erica3681 Member Posts: 1,916
    edited October 2007

    Hi MAMHOP,

    I don't know if you've checked out my non-profit website, breastfree.org. In the section entitled Deciding NOT to Reconstruct (http://breastfree.org/viewer.php?num=2), I deal with the very issues you're struggling with, so you might want to check it out. I think delayed reconstruction is a very appealing option when you're not quite sure what you want to do. I myself got the following advice from my (female) breast surgeon: "If you're sure you want reconstruction, then do it immediately. If you're at all on the fence, it's best to wait and decide later. The most unhappy patients I've had are those who weren't sure but went ahead with immediate recon and then regretted it." 

    Breast surgeons and other cancer docs used to rarely discuss reconstruction with their bc patients. Now they do, which is a good thing. But I think the pendulum has swung too far in the other direction, with doctors presuming to know that reconstruction is best for the patients psychologically. We're all different. My wonderful (male) rads onc felt I would be very unhappy if I didn't reconstruct. But he was wrong. I know he meant well, but he didn't know me as well as I knew myself.

    I know you said that you doubted you'd go back for more surgery is you didn't have reconstruction at the time of your mastectomy. But at least that option would always be there for you if you opted not to have reconstruction and then wished you had. 

    Good luck, whatever you decide.

    Barbara 

  • Mary-Lou
    Mary-Lou Member Posts: 2,230
    edited October 2007

    I was one who waited. Now after 2 years I'm ready.

    Just last week I had to call into my boss and tell her I couldn't find my boob....

    I'm just sick and tired of buying a boob. , and they don't match as well as I would like.

    The weight of them is off and it makes my back hurt.

    I just want to be free from the worry of boobs period.

  • caaclark
    caaclark Member Posts: 936
    edited October 2007

    I also chose to forego recon. and am so happy with my decision.  I was worried how I would feel with one boob but it truely is a non-issue for me.  I tend to forget until I get out of the shower, look in the mirror and think, "Oh...I forgot I only have one boob."  Using the prosth. has really been easy for me but everyone is different.  Some women really hate the fake boob thing.  It is such a personal decision.  I was on the younger side being 40 when diagnosed.  It has been a year and a half since my mast. and I can honestly say that my self-esteem has not been affected at all.  I anticipated that I was going to have trouble adjusting to my new body but really I have not.  I am somewhat small-mast. bra size is 34A.  Bra size before unilateral mast. was 34B.  Mastectomy bras seem to run big.  Anyway, maybe being small helps with adjusting.

  • angelica23578
    angelica23578 Member Posts: 10
    edited October 2007

    When I was diagnosed with bc and then mastectomy, I thought I'd be getting reconstruction immediately.  Wrong.  My surgeon said no.  It's been two years, and now I don't want it.   I'm perfectly happy with the breast form.  And I never want to see another doctor again until I have to.  The only thing I'm not happy about are the bras.  There're so grandmotherly.  Oops--I am a grandmother.  I found one bra that I like, don't love, but like.  So I buy several.  Anyone have any suggestions on some that are sexy?

  • caaclark
    caaclark Member Posts: 936
    edited October 2007

    Angelica,

    I think I just posted this on one of the other threads here but if you have not already done so, check out the breast free site.  Lots of great suggestions there.  My favorite bras are Anita, followed by some Amoena and then the ABC bras.  The fitter I go to orders me whatever I want and then I try them on with her.  If I don't like them I don't have to buy them. My fitter is also great at knowing what I like.  Some women also buy regular bras and then sew in a pocket but I am sewing challenged so I just stick to mast. bras.

  • Mand
    Mand Member Posts: 2
    edited October 2007

    New to this room, diagnosed in May, had 4 months of chemo & now facing unilat. surgery .Trying to decide on reconstruction or not, terrified of surgery full stop so good to hear that so many are happy to go without . can anybody tellme.. I am a keen runner,(in fact was diagnosed just 3weeks after running the London Marathon,talk about a bolt from the blue!)and am wondering about what it is like to run with a prosthesis(or, indeed without) Is it possible/comfortable to run longer distances with it in place etc,  also other exercises etc. Please let me know if you are a regular runner! Also ./does everyone feel as crap and scared and pathetic as I do. when trying to decide about this?..?

  • SoCalLisa
    SoCalLisa Member Posts: 13,961
    edited October 2007

    Hi Mand...I had a unitlateral mastectomy over six years ago now and have not had reconstruction...I wear prosthesis ...I don't run but I do play tennis three times a week and do Curves..the only problem I have is that is gets a little more "sweaty" than the real breast..good thing to have more than one prosthesis and many bras if you play sports or I guess run...

    Good luck with your decision...it is a very personal one..

    Hugs, SoCal 

  • caaclark
    caaclark Member Posts: 936
    edited October 2007

    I do run with my prosth.  Had a unilateral mast. July 2006.  I feel absolutely no difference when I am running.  I run some days on the treadmill, some days outside and then when my shins hurt too much I do the elliptical for a day in between.  I am not a marathon runner but do run at least 5K every other day.  I just stick the breast form that I use for swimming in the mast. sports bra.  It does not slip at all for me.  I have never even tried to run without the form so can't help you there.  I was also scared about the whole thing.  I was worried that by not reconstructing I would not feel great about myself but that turns out to not be the case.

  • DWS43
    DWS43 Member Posts: 56
    edited October 2007

    Everyone here was so helpful after my reconstruction failed.  It has been nearly 3 months and my body is still healing but I did get fills from ACS and a sample mastectomy bra.  I still plan on getting fitted but in the meantime I went to figleaves.com where I was able to find mastectomy bras I liked.  I decided to be a 36B.  I liked being able to choose a size (smile).

    I just wanted to stop by and say I feel pretty comfortable with my decision not to do any more surgery.  I cannot say how I will feel two years from now but at age 43, I feel pretty confident, I like the freedom and that's a good thing.


    D

  • mellen1226
    mellen1226 Member Posts: 29
    edited October 2007

    Hi Mand:

    I had a bilateral mastectomy in May and am back to running about 30 miles a week.  I have a couple different prothesis and wear them both to run in and I don't really notice a difference.  I am comfortable running, biking and swimming in them.   I am actually doing a cast tomorrow for custom prothesis and I will let you all know how that goes. 

  • Mand
    Mand Member Posts: 2
    edited October 2007

    thanks for the helpful comments. have seen surgeon today & my op is 3 Nov ( I had my chemo first so am still getting over that at the moment) I have decided not to have reconstruction, i am so scared of the surgery and the prospect of more then one op is just too much, plus I dont feel comfortable with the idea of having implants. Its a weight off my mond tohave actually made the decision and this conversation has been SO helpful!mellen 1226, I am intereseted to hear that you are having a custom prosthesis, i did not know such a thing existed! will be intserested to hear about it, & hope allgoes well !My thanks to all you wonderful ladies for your continuing support & advice x

  • mavrikt
    mavrikt Member Posts: 7
    edited October 2007

    This is a great topic.  I had a bi-lateral in April '06.  Simple mast on right, prophylactic on left.  I prefer not wearing a prosthesis.  The only thing that bothers me is that I have a bit of a hump in the middle.  Do any of you have that?  I don't feel right in a bathing suit, and the prosthesis are just sooo heavy after swimming. 

    Saw a PS yesterday, and am discussing having some fat liposuctioned from another part of my body, and filling in the void to even out the "hump".  Has anyone done this type of thing?  I'm not sure at all if its something I'm going to go forward with as I am pretty much content now.

    Thanks for any advice you've got! 

  • OLBinNJ
    OLBinNJ Member Posts: 236
    edited October 2007

    mavrikt, 

         Try the Amoena 126 leisure form for swimming.  When you get out of the water, wrap a towel around yourself and hug yourself to squish the water out of the form.  It does take a long time to dry, but it's not heavy, and seems to work the best for me, better than a form I had that was made for swimming.                                                                             

  • janniexy
    janniexy Member Posts: 28
    edited October 2007

    I had a bilat in April 2007; bc on left side, but it was difficult to detect.  After annual mammograms and multiple biopsies, my DCIS still was advanced and had gone undetected for so long I had to have a mastectomy and opted for bilat.  I'm not a bit sorry and so glad my ps was supportive of that decision.  Decided not to have reconstruction for same reasons--more pain, not really natural, possibility of failure/rejection--definitely didn't want to go the silicone route.  There was a lot of pressure to have reconstruction, but I read everything I could find on the subject.  Since I had bilat, I can go without a bra in just my t-shirt or can wear the prosthesis.  I always wear it when I go out.  The only thing I'm disappointed in, is it's not that comfortable.  Either I don't have a great fit, or is it possible my skin and tissues are still sensitive from the survery?

  • SusaninSF
    SusaninSF Member Posts: 1,213
    edited October 2007

    Janniexy,

    Sorry to hear about all you have been through. You will find a lot of support on this board.

    Could be the fit. Did you try a lot of differents types of prosthesis when you went in for the fitting? There are a huge range of different types.  I didn't like my first prosthesis but have been very happy with the second. The right bra is also an important part of the whole package. If your bra doesn't fit right, the prosthesis won't feel comfortable. I found that my around the chest measurement went down quite a bit, perhaps because they removed the tissue under my arm. Be sure to get fit for the right bra by someone who knows how do do these things. I found that the people at Nordstrom were very helpful and patient.

    Part of it is also just getting used to the change. Now, less than a year out, my prosthesis pretty much feels like a part of my body. I just notice it when I bump into something and it doesn't have any feeling.

    Also, check out Barbara's web site, www.breastfree.org for other helpful tips!

    Hugs, Susan

  • janniexy
    janniexy Member Posts: 28
    edited October 2007

    I am so happy to find this website.  It really helps to talk about things with others who understand what you're going through.  Thanks for the advice on the fitting of bras--I'm definitely going to check out Nordstrom.  I'm trying not to be impatient and realize that I'm only 6 months out.

    Does anyone have any experience with underarm swelling after lymph node removal?  I just had the sentinel nodes removed, but sometimes the underarms just feel "full".  I don't have swelling anywhere else in my arms.  It does seem to be getting less frequent.  I read that exercise may help the lymph channels get re-established. 

    Hugs to everyone.

    Jan

  • CyndieM
    CyndieM Member Posts: 7
    edited October 2007

    What a great topic!!! I had a modified radical bi-lateral mastectomy in Jan of this year - then the chemo and rads... and my surgeon was extremely supportive - I had BC in left breast and we did a prophylactic on the right - they found a benign tumour in it anyway.... I have made the decision not to have a reconstruction at this time, I was a 36F, so am absolutely happy at being boob-free.

    I have the Amoena prosthesis, and have only just got them a couple of weeks ago, and am extremely happy with them - I can pretty much choose if I want to wear them or not.

    Although I am pretty much wearing them mainly to work - as soon as I get home in the evening - they are off!!!

    Exercise is definitely the key in getting the lymph nodes re-distributing - it has made a big difference for me.

    Hugs

    Cynthia

  • geebung
    geebung Member Posts: 1,851
    edited October 2007

    Hi Jan,

    I had a mastectomy with SNB for extensive DCIS 6 months ago and have found that lymphatic massage brings great relief and is very soothing and relaxing. The therapist strokes the lymph from where it is building up to larger drainage channels. Sometimes they apply kinesio tape to encourage the fluid to drain away. I remember the first time I had the tape put on, I went home feeling almost normal again. Six months post surgery I still get a bit of lymph buildup under my arm and also at the other end of my mastectomy wound. Yesterday my lymph therapist taped me again and I feel so much better. I joined up with Curves a couple of weeks ago and find that their circuit training is helping too.

    Hugs,

    gb 

    ps - I have had a prosthesis for a bit over a month and I don't find it very comfortable either. When I walk through my front door, the first thing I do is take it off. It is particularly uncomfortalbe on my mastectomy side. Sometimes I think I should have had a bilat so I would have symmetry.

  • Terry49
    Terry49 Member Posts: 10
    edited October 2007

    I had my mastectomy in Aug.  I am happy with my no recon decision.  I was a 34D and people don't even notice I am now a A---!

    If people don't notice, why bother.  I am celebrating being bounce free.

    When looking for ideas on how to dress, I refer to Kelli Ripa's style.  She's my new fashion leader.

  • Raye99
    Raye99 Member Posts: 1,350
    edited October 2007

    My left mast was done in September of 2006; I then had a proph mast on the right side this past August. Had to have rads, so implants were out, as are free flaps. Sooo, can only do TRAM, big UGH...I've decided to wait, perhaps indefinitely and not have anything done. Although I've been thinking of having a little tattoo done on my non rads side? Thought it would be cute. I too wear my prostheses to work and out shopping, etc., but at home, nothing, doesn't bother me or my husband a bit. I wasn't big to begin with.

    Jan, I didn't have any direct swelling under my arm, but the lat area is a bit swollen, but I believe that is from the skin there? Best of luck to you with that.

    Hugs to all you beauties.

    Raye

    Oh - On the running topic, I put my "boobies" in a regular sports bra (I should say WHEN I run, I've been lazy lately), which is so darn tight it keeps them right in place.  

  • LiniWD
    LiniWD Member Posts: 209
    edited October 2007

    I had a right unilateral in August of 2005 and the thought of reconstruction after thoracic back surgery, chemo, mastectomy & radiation was really too much for me.

    I went, almost immediately to a small mastectomy store where I received  a lot of information, some bras,soft forms and a camisole and a bathing suit.  They worked with my insurance company.

    Then I went to Nordstroms where I found a wonderful fitter - a tremendous amount of privacy, and some very well fitting bras.  They also will put pockets in any other bras or swimsuits you pick out.  I bought an excellent breast form (that is still in great shape 2 years later) and a swim form because I live in Florida and have a heated pool.  I also bought those cheap soap sponges that are sold in the drug stores and they are great in the swimsuit pocket  in the pool.

    Since I am not small - 40C - I am vey uncomfortable without my prosthesis.  But I have a front closing mastectomy bra that is more like a lounger that makes me comfortable at home.

    Sometimes I feel a prophylactic on my left side would help with symmetry and button down blouses - but, again, I don't want any more surgery, so I spend a lot on my every day work prosthesis (silicone, comfortable, huggable <but not at work>) and at home I play around with cheaper alternatives.  Last month I got a new spare expensive boob and it was SO exciting!!

    Only people who know me well, know I had a mastectomy.  Others can't tell.

    Good luck on your decision -

    Lynn

  • birdies
    birdies Member Posts: 8
    edited October 2007

    I'm a 48DD and sometime in Jan/Feb will have surgery.  My breast surgeon will do either a lumpectomy or mast depending on my preference.  After reading, research, etc., I'm really leaning toward a bi-lat just for symmetry and ease of dressing.

    The one PS that I saw said I'm too fat to have reconst and at 55 it's just not that important to me.  I just sort of think having one bowling ball and nothing on the other side would be more weird than having nothing on both sides. 

    I know my breast surgeon will do it, but will resist the bilat.  Is there anyone around that's overweight and comes in the larger size that can give me any counsel on this?  Is one more of a hassle than none? 

    My breast surgeon says that fake boobs in my sizes are uncomfortable and that I'd hate them.  Counsel?  I don't want a 48DD prosthetic (who would do that?!).  I'm thinking that if both of them go away I can be a "C."  But will the C  prostheses be really uncomfortable/difficult/a hassle? 

    Anything anyone is willing to share will be appreciated.

    Joann

  • caaclark
    caaclark Member Posts: 936
    edited October 2007

    Joann,

    Check out www.breastfree.org.  One of the ladies on here created it and it can help with some of your questions.  I had a single mast. but I am small (a/b cup) so I don't think my experiences would help you all that much.  I'm sure some others will be along soon to help you out.

  • SusaninSF
    SusaninSF Member Posts: 1,213
    edited October 2007

    Joann,

    First of all, I'm sure that if you wanted reconstruction, someone could do it for you. I think that's ridiculous that your plastic surgeon told you you were "too fat". Some women don't have enough extra flesh for reconstruction using their own tissue but I find it hard to believe you could have too much. That being said, if reconstruction is not important to you why go through unnecessary surgery?

    I had a unilateral and I'm a 32DD. I'm not nearly as big as you but I have ambivalent feelings about whether or not I should have had a bilateral. If I had a bilateral I would definitely opt for a couple of B cup prosthesis. Finding a bra and fitting clothes would be much easier. That would be nice. On the other hand, I would assume bilaterals have a more difficult recovery. I also like my one remaining breast and don't want to lose it.

    There are certainly many large-breasted women who have been transformed by breast reduction surgery. No more back pain, slimmer silhouette, etc. I can imagine that you could enjoy some of those benefits by having a bilateral.

    I know there are some bigger breasted women who post here. As Carol said, I'm sure they'll be along soon with some better advice.

    Take care, Susan 

  • nagem
    nagem Member Posts: 353
    edited October 2007

    I was quite a bit smaller in the boob than you, but I requested a bilateral mastectomy rather than a unilateral and have been very happy with that choice. I had lobular cancer and LCIS, which at the time were thought to make it far more likely that the contralateral breast would also develop breast cancer (I believe recent studies question the degree of greater likelihood). However, having had any kind of cancer in one breast automatically makes you somewhat more likely to develop cancer in the other breast, and it's a huge relief not to have to constantly do self-exams, sonograms, breast MRIs, mammograms. Plus, I find it very comfortable to go without prostheses--except for formal occasions (of which there are wonderfully few in my life). Most surgeons, unless they are philosophically opposed to the idea, will make a case with the insurance company for a bilateral. After all, a mastectomy is considerably cheaper than cancer treatment. And in my experience it was a very easy recovery. If you're leaning toward a bilateral mastectomy, I think you should push for it. Doctors are always concerned that you might have regrets (and sue them), so they tend to urge you toward conservative decisions. But if you show them certitude, I think you will find someone who will be happy to do the surgery. Good luck!

  • Glenda-n-Arkansas
    Glenda-n-Arkansas Member Posts: 2
    edited October 2007

    Where do you get a knitted proth?

    Thanks

    Glenda 

  • nagem
    nagem Member Posts: 353
    edited October 2007

    Alas, you have to make it, but there is a pattern, and it works: http://www.knitty.com/ISSUEfall05/PATTbits.html

  • yellowrose
    yellowrose Member Posts: 886
    edited September 2010

    JoAnn,

    I am large breasted (38G) and had a unilateral mast in August.  With the support of both my onc and surgeon, I plan on having a breast reduction providing my BRCA test comes back negative.  If it's positive, I'll be opting for the second mast and the ooph.

    I will welcome relief from constant backaches and the vain side of me is looking forward to having a C cup.  I've never been that small and it'll be a whole new me! 

    Personally speaking, I think any surgeon that it crude enough to tell a patient that they are too fat is a jerk.  I'd get a second opinion.

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