Breast reconstruction- which one?
Comments
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Hi, I am a 36 year old survivor. I am getting ready to under go surgery but I am not which one to opt for? There is a matter of insurance coverage and side effects for me. I would love to have the expander done but, the plastic surgeon took one look at my only breast and said " uh oh" . So, I am assuming that is bad. He pretty much said that the insurance will only cover one breast. So, I am going to have a nice orange on one side and a sagging apple on the other. The Flaps kinda scare me but I am willing to consider them if I knew what other women think of them that have had them done. What the heal time was, if they lost any control over their stomach muscles. I am just so confused and feel let down. If any one can help me, please do so!!!!
Jennifer Lecompte
Frankfort, ky
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Hi Jennifer-
I found this book to be very helpful:
http://www.breastrecon.com/index.html
It has good information about all the recon options to help you sort it out.
Have you had your cancer surgery & treatments yet? Is there some sort of medical reason for you to hurry your recon decision? If not, take your time to research and mull over the options. There's a lot to learn and it's a big decision.
Keep in mind that you're young and strong. Make your decisions with a long-term view.
Also, it's a good idea to consult with at least 2 plastic surgeons. They are NOT all created equal. Many women travel to other cities to get the surgery that they want with experienced breast reconstruction surgeons. That may sound daunting, but it's do-able.
And I'm sKeptical about your ps's statement that "the insurance will only cover one breast". Talk with other plastic surgeons and talk with your insurance company. It's extremely common to get surgery on the "good breast" in order to match a recon breast, and in my year+ on this board I've never heard anyone say that their insurance company would only pay for one.
Hang in there and don't get discouraged. You've come to the right place, and there are plently of wonderful ladies here to help.
Mary
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I agree.
Consult with others.
Your insurance will cover any of it most likely. I've never heard of them denying that.
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Hi Jennifer,
Federal law requires insurance companies to cover breast reconstruction surgery to achieve asymmetry. If that means both sides get work then that's what they have to cover. You need to find a Plastic Surgeon who is going to do the best thing for you rather than the cheapest thing for the insurance company. Get at least 1 more opinion before you decide who to go with.
I have an HMO (Kaiser) and had to search high and low to find someone in the system that did DIEP reconstruction which is what I had decided on. I finally found someone who did the surgery and had a good track record behind him. I had stage 1 surgery in August (the actual flap surgery) and stage 2 in November (augmentation of non cancer side to acheive symmetry, nipple construction, and some lipo). The first surgery was tough but I am so glad I did reconstruction this way. I now have a very flat tummy and quite the "rack", lol.
I have a few revisions I want done so will see my Plastic Surgeon in June to see how everything has settled and decide where to go from there.
Once you decide what type (if any) of reconstruction you want keep fighting to get things exactly as you want them. You will be looking at this for the rest of your incredibly long life and you want it to be beautiful!!!
Hugs,
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Jennifer,
I know that you are dazed and confused right now and that is normal. It is absolutely alright to speak to more than one plastic surgeon. If the one your breast surgeon recommended doesn't feel right to you, move on.
There is a great book that you can order and also find exerpts online - The Breast Reconstruction Guidebook, by Kathy Steligo. This is a small book but has a lot of information and weighs the good, the bad and the ugly to help you decide.
It sounds like you have already had a unilateral mastectomy? Is the remaining breast large? My personal plan was to have a unilateral free tram with a reduction on the other side to match. It worked out pretty well. Many women have had an implant and also a reduction or augumentation to match.
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Hi, this guy (doc) is not telling you the truth. As above, federal law says symmentry is it, period. If the ins. covers one, it has to cover the other for symmentry.
It even covered my redo when I had a bad outcome the first time. My first ps told me it wouldn't cover it--he lied to me to defend his poor job on me.
See 2 more ps and then see what they have to say. I saw 3 more after the first guy and went to 2 other cities. Wound up with one 2 hours from home and it was worth every mile.
Please, do take your time, you have time to make informed decisions.
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You've been given good advice. Definitely what this surgeon told you is not true - federal law requires that any surgery to your other breast necessary for symmetry must be covered by insurance.
Go see another plastic surgeon to get a 2nd opinion.
And here's one of the best on-line resources that I've found that talks about all the different types of reconstruction. This should help you understand a bit more about each of the reconstruction options, and more importantly, help you know what questions to ask the plastic surgeon.
http://www.mdanderson.org/Diseases/BreastCancer/reconstruction/
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And for a quicker overview that's easier to navigate, on this site you can read a bit about each reconstruction option, all on a single page:
http://www3.mdanderson.org/DEPARTMENTS/plastic/ptbreast.htm
Good luck!
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Uh Oh, is NOT what you want your PS to say. If he doesn't have confidence in the outcome you for SURE want to see someone else. I traveled out of town for mine 2 hours each way and it was worth every mile to me too!
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