No reconstruction- Happy w/your decision?

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  • chemomom
    chemomom Member Posts: 171
    edited December 2007

    lisa54,  I work at a hospital and the Durable Medical Equpiment arm of the facility actually has a boutique and breast form fitters for post-mastectomy women.  Maybe checking around at the hospitals in your area might help you find something similar.  i went to see what they offered and they did seem like decent forms.  I still decided to go "flat" but I also has a bilateral, so I didn't have to worry about "matching."  best of luck.  Angie

  • shrink
    shrink Member Posts: 936
    edited December 2007

    I had a bi-lat mast 3 weeks ago and am just getting comfortable looking at those train tracks across my chest.  So far, I'm going flat and no one has called the cops.  I really don't think anyone notices unless they're specifically looking.  I wasn't that big to begin with.  I have lost about 12 pounds (nausea from pain meds and anti-biotic) and with the flat chest I look very slim.  I have a post-surgery camisole which I'll wear for a party on New Year's Eve and probably look for forms, etc. in January when my chest is less sensitive.  I'm glad I had both breasts removed.  It's less to worry about and looks symetrical at least. Happy, healthy new year, everyone.

  • lisa54
    lisa54 Member Posts: 7
    edited December 2007
    Thank you so much for your feedback. I will try the website as you suggested.Smile
  • Lolita
    Lolita Member Posts: 231
    edited December 2007

    Hello,

    I had my bilateral mastectomy five weeks ago.  At first, it was hard for me to see myself in the shower, but in the past two weeks, I have been working hard at telling myself that I still love my body, and now, its not difficult at all.  It helps that my surgeon did a very neat and careful job.   I have recovered very quickly from the surgery, and I have been back at work for almost three weeks.  I was wearing the softies and I got fitted for a bra with pockets last week.  I'm going to be measured for my permanent prosthetic in a few months.  I haven't been wearing anything at home, and my family, friends, and neighbors don't seem to care.  I wasn't very big before either, so that probably makes it easier. I am extremely happy with my decision not to have reconstruction. 

  • lbmt
    lbmt Member Posts: 80
    edited January 2008

    hi, my story is alot like the rest, but there is just one differenc

    i had an infection from the biospy that went on for a month before the mast, by that time so much of my breast had been cut a way it was almost a godsend when i finally had the mast, by that time i did not want to have anymore surgeries, i wear a prot when i am out but at home i don't. if i had known what i know now, i would have had a bil..i am comfortable for the most part the way my body is know and my husband has been so supportive that there seems no reason to have recon. and risk another infection,,hope this has been helpful ..

  • climbergirl
    climbergirl Member Posts: 116
    edited January 2008

    Ok ladies,

    My left Mx is for next Friday the 18th. ...what should I have on hand and what should I expect? I have two week off from the job at present. After much hand wringing I think that given my future rads treatment and need to get back to climbing ASAP that this is what it is gonna be. No recon for now. I have read that anything that buttons in the front is good....what kind of camisoles work for this straight out of the hospital?   What kind of breast form (I'm a small B)will work for wearing tank tops and what would work for climbing in the future?  I may opt to wear nothing during yoga and climbing and I will see if I can find any older threads on this as well.

    Thanks a ton!

    ~climbergirl  

  • Raye99
    Raye99 Member Posts: 1,350
    edited January 2008

    Climbergirl -

    In my opinion, you will not need a camisole right away (unless you want one to put your drain(s) in). They will have you taped up in a big Ace bandage, so just a pajama top that buttons in the front will do you fine when leaving the hospital and for a few days after that.

    I had eight days off of work after my mast and I don't think I wore a cami until I went back to work - I pretty much lived in pajamas and lounging clothes. When I did return to work, I wore  nice comfy camis (two nude colored and a black to wear under button down shirts until I received my prothesis).

    As far as what to wear with your tank tops, I wore my prosthetic in my regular bra (an A cup) and then tank on top. Now doing yoga and climbing - it might just pop out, so you might be better off just wearing a sports bra under your tank, which is tight enough to hold it in place. That's what I do when I run (if I even wear the "boobs") - put them in the sports bra - they do not move.

    Also, a fanny pack is a nice place to hide your grenades from your drain(s) when you have company over, so they can't see it.

    Best of luck to you!

    Raye

  • marshakb
    marshakb Member Posts: 1,664
    edited January 2008

    Climbergirl, I was a b cup also and small bodied and I have opted to go flat chested.  Really not that noticable.  I do have prostesis in case I need to go someplace fancy and feel uncomfortable but mainly just going au natural.  And you know what?  It's kinda freeing! 

    I didn't use a camisole just loose fitting shirts that button up and a fanny pack around my middle under the shirt to hold the drains.  Best of luck to you!  Marsha

  • caaclark
    caaclark Member Posts: 936
    edited January 2008

    I'll add to what Raye and Marsh said.  You will be taped up tightly for a few days.  I think I wore a cotton button down shirt home from the hospital.

    When you are ready (like when the drains are out) I would suggest the Still You camisole.  They have pockets for the fiberfill stuff (which comes with it) and are pretty comfortable.  They are pricey, however but you can wear them long after you recover.  Although, wash them separately.  I washed mine with other clothes (like colors) and they ended up pilling.

    As far as exercising- I either wear the Anita sports bra or the Naturalwear (not sure on spelling but it comes in gray) with the Amoena swim form for exercising.  I like wearing the swim form rather than my other every day form when I am physcially active.  I was a B cup before my single mast.  Be aware-mast bras tend to run on the larger size.  So most of mine are A's or AA's.  Yes, sad but true. 

  • bre
    bre Member Posts: 89
    edited January 2008
    I had my mast in Jan 04.  My surgeon made it possible for me to have recon anytime I choose.  I have not done recon yet and don't see it in the future.  It is nice to know the option is always there.  I am just not ready to run the risk of infections or a bad outcome.  I wore a temporary soft prosthesis by 2 weeks after mast and was fitted for permanent prosthesis after 6 weeks.  I find the prosthesis very comfortable and not too heavy.  It feels very natural.  I use a silicone one for every day, a swimming one for swimming, and a foam one for exercise.  I wear a sports bra to exercise but need to add a pocket to it because the prosthetic moves to the middle when I am working out.  I would think with climbing you would need a pocket also to keep it still.  The american cancer society puts out a catalogue called tlc that has alot of prosthesis, camis, bras, etc.  They are very reasonable in price.  you can get a catalogue by calling 1-800-850-9445 or online at www.tlcdirect.org.  Hang in there.  I was sad looking at my chest for about a year but have become comfortable with it. 
  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2008

    I'm not necassarily happy with my decision, but it's acceptable. During my first Mast., I had an expander put in. It was VERY PAINFUL. I hated it. Two weeks later when my Sent. Node came back positive, I went back under the knife for an Ax Node Dissection. I begged my ps to "pop" in during the dissection and remove the expander. He obliged. Last year I had a Prophyl, so now I'm symmetrical, but VERY FLAT! LOL In fact...I am so flat, that my ribs stick out way further than my ex-boob area! Needless to say, I don't venture out in public without my prosths, but around the house I do with out. When I work out, I wear prosths...I'm too self-conscious not to! Do I wish I had boobs...yes...but again, I've accepted the fact that I don't. Every three months when my Onc examines me, he asks the same question: "So...have you thought anymore about reconstruction?" My answer is always: "NO, NOT YET!" He probably asks me this because of how dreadful a sight my chest is! LOL Poor guy...LOL

  • deb327
    deb327 Member Posts: 16
    edited January 2008

    I had a dbl mastectomy March 22, 2006.  I didn't have reconstruction right away because of conflicts trying to schedule the breast surgeon and plastic surgeon. I then had chemo and radiation (to the left side only).  I had to wait for reconstruction until my skin healed from  the radiation.  It was about a year before I had reconstruction.  although it was rough going through the expanders and then two surgeries to get the final implants correctly positioned I don't regret it at all.  I hated wearing those heavy, hot prosthetics.  I wanted to be able to just through a blouse on and not worry about my "special" bra.  I love my new breasts.  Granted there are many scars and one sits a little different than the other but I love the feeling of having them being a part of me.  Rather than them sitting "on" me. Everyone is different though, and you just have to do what you feel is right for you.  Be Well,

    Deb

  • Sociologist
    Sociologist Member Posts: 237
    edited January 2008

    Hi Marlee,

    I did the expander and recon on the bc breast and regret that I DID THAT. It's more trouble than it's worth and will probably get the implant out during the summer. It's not worth all the crap and hubby doesn't care, just wants me healthy, happy, and in no pain! Good luck in your decision.

    Margaret

  • red_rover
    red_rover Member Posts: 3
    edited January 2008

    I was diagnosed July 07, completed chemotherapy in Dec 07 and had a single simple mastectomy Jan 08.  Initally I planned on a TRAM, but waited to see the pathology - low grade, no lymph nodes involved, left side showing some cellular abnomalities but the biospsy was benign. My left side is 42D, my right is now concave.  Someone mentioned that the prothesis would be heavy but without it I could have spine problems. So many decisions - radiate or no - reconstruct or no - bilateral or no - What am I to do?

  • BonnieK
    BonnieK Member Posts: 655
    edited October 2010

    I'm so grateful to have stumbled onto this thread this morning because it is a wealth of positive comments and suggestions.  I had a left mastectomy with tissue expander in Oct. '08 and then a second surgery to correct necrosed skin and an infection in early November -- I wanted the surgeon to remove the expander then, but he and my BC surgeon decided to leave it in.  Had fills during chemo December -March and exchange surgery in April, '09, followed by radiation.  Implant failed due to capsular contracture and was removed/replaced in December '09.  Second implant developed capsular contracture and will be removed next week.  I'm done and am extremely happy to know that life goes on very nicely for many women who choose not to do reconstruction.  I'll soon be one of you!   

  • lovemygarden
    lovemygarden Member Posts: 342
    edited October 2010

    BonnieK, I'm glad you "resurrected" this thread because I had missed it too! I had a BMX (one prophy) in February. I never had a moment's doubt or hesitation about absolutely NOT wanting recon. Had no desire for anything, either artificial or biologic, to be implanted in my body -- and I certainly did NOT want to have additional surgery! All I wanted was "one (visit to the OR) and done", LOL!

    I expected to be upset post-surgery at how my chest looked, but surprisingly I was not. The scars will fade with time but honestly after the first month or two I don't even 'register' looking at my chest. In fact, as crazy as it may sound, being flat-chested makes me feel more youthful ... not that I had a lot to begin with, being a 34 almost-a-B! .. because this is the way I looked before I hit puberty, after all!   Laughing  And again it may seem crazy but I am relieved that in another 20 years when I'm 80-something, I won't be looking at what advanced age and gravity does to boobs and thinking "ugh!". 

    I also discovered during this past brutally hot summer that being boobless is a LOT more comfortable, heat and humidity-wise! I truly hardly ever sweated, even when the temps were in the mid to high 90s. Men have no idea how good they have it in hot weather, LOL.

    As far as foobs go, I rarely wear mine because I'm far more comfortable going flat. When I do wear them I use the microbead ones. I have one "good" pair of Silique Comfort-Lites which will literally last forever because if I put them on once or twice a year for a special occasion that'll be a lot. I'm a casual gal who lives in jeans and tee-tops and no makeup, so I rarely dress up anyhow.

    My feeling is, What's not to like about no-recon? Smile  I had an overnight surgery with no pain and no aftereffects/problems; I can be whatever bust size I want (via foobs) or choose the ultra-comfy flat "Twiggy look"; as far as body-image goes, I feel younger and the specter of being 'saggy' in my old age is gone; I'm much more comfy now in hot weather; breast self-exams are a snap because it's almost imposible to miss something when you're flat Wink  ; and let us not forget:  no more mammos!

  • krcll
    krcll Member Posts: 343
    edited October 2010

    I'm a uni-boober and very happy with it. Though I know others may find it disturbing to see me naked, I actually think I look kind of pretty. Weird, I know. My mx is very "neat" and fairly flat, with not alot of extra skin. My boyfriend thinks I look better than before because it shows that I have been through something. I just think that it is "me" and that it is fine. Of course, being in a long-term relationship and being almost 50 years old (gravity is already doing some damage....) makes it much easier to accept my new body. 

    I am a musician and the risk of LE from more surgery made my no-recon decision easy. Adjusting to losing a breast was also much less traumatic than I thought.

  • krcll
    krcll Member Posts: 343
    edited October 2010

    I would also like to add that I know only 2 women that had TRAM recon (the most normal here in Norway) and when I asked them if they thought it was worth it, both of them answered that they weren't sure. I had already made up my mind 90% to not do recon, but that made me feel 100% comfortable with my decision.

  • Laura-Vic
    Laura-Vic Member Posts: 72
    edited October 2010

    Lovemygarden - you hit the BINGO and I did laugh.  Although - I was a heavy chested person (48DDD).  I think my friends thought I'd react badly to zero boobs (had bilateral in Sept 2007), there was surprisingly zero reaction.  My surgeon tucked a little tisuse in a flap formation - in his words "so if you do wanna wear a bra, it won't slap ya in the face".  hahahaha 

    Work colleagues now shake their head - ya ya, shut up about you're not wearing boobs.  I don't have to adjust my bra, I don't have gapping in my blouse, I don't sweat in the summer and I'll never have boobs looking at dust bunnies.  I can purchase whatever tops I want and I do not have to wear a camosole if I don't feel like it.  The freedom is oddly happy.

     Realizing that I'm 51 years old now probably also plays a part.  My boobs do not define my being female - my head did that years ago - haha.  I have prosthetics and depending on what I'm wearing, yes, I wear them.  But - it's a choice.  Gee - I love choices!!!

    Everyone makes their own decisions and have multiple reasons why .... I am only sharing that at this point anyways - no desire to have more surgery or more thinking about feeling for lumps.  OOOO - excuse me while I do not have to adjust straps or elastic - hahaha.

  • msippiqueen
    msippiqueen Member Posts: 191
    edited October 2010

    Greetings krcll! We've been to your beautiful country twice and wow, is it beautiful! DH has distant relatives there and we visited Fresbik on the banks of the Sjorn Fiord.

    I had a bilaterally mastectomy six months ago and have only looked forward with gratitude and relief. How lovely to be off the hi-risk surviellance merry-go-round.

    MDA is a long way from where I live and the whole shibang: anxiety, testing, procedures, travel, $, etc. was too much for me. This excludes the likelyhood of medical and testing errors resulting in more trouble. It happens. It would be cash only for me as our insurance has a ten thousand dollar deduction Yep. We're lucky to have that.   

    I hope in my own way, galavanting around flat will inspire women I meet. You can be beautiful without breast!

  • Laurie_R
    Laurie_R Member Posts: 262
    edited October 2010

    I had a right side mastectomy in Dec. 09 no reconstruction.  My decision was an easy one for me, I felt I didn't need my breast (real or fake) to identify who I am.  I am not involved with anyone at this time, nor was I before my dx.  If I do find someone they will have to except me the way I am.

  • Annie62
    Annie62 Member Posts: 1,081
    edited October 2010

    This thread has been very helpful to me. Thanks to you all for sharing your stories. I was recently dx with a recurrence in the same breast. PS have told me that due to radiation from prior treatment, if I don't get recon now, I am likely to have more trouble healing and with scarring if I do it in the future. The skin will tighten even more after I have my mastecomy. So I feel like I hve to make up my mind now about the recon. I also need to make a decision about prophylacticlly removing the other breast.

    So much to think about in a short time.

    Thanks again all.

  • lovemygarden
    lovemygarden Member Posts: 342
    edited October 2010

    Laura-Vic, oh you're so right -- how could I forget about the "traveling bra-strap issue", LOL! And I was forever having to pull mine up .... oh gosh yes, let's see I'm 60+ now, so that was what, 45 years of strap-adjusting (and often, in summertime, actually pinning the top of the bra straps to the inside of whatever sleeveless top I was wearing; isn't it ridiculous, the things we thought were 'code-red critical' back then?!)

    Ironically, I used to avoid button-down cotton shirts because of the gapping, but now that I'm flat I love them: Not only are they great for subtly camoflaging flatness (you can poof them out a bit and they'll stay that way) but I can really appreciate the comfortable-ness of the fabric itself.

  • faithandfifty
    faithandfifty Member Posts: 10,007
    edited October 2010

    In retrospect, I am very glad to have chosen the 'no-recon' route after my BILAT in Jan of this year.

    My goals at the time were to most efficiently get back to my real life. 

    I had been dx in '07 and had a lumpectomy followed by rads.

    With my 2nd dx in Jan, I had been given "lots" of time to think thru the recon issue. I chose a BILAT to achieve symetry (leftie proffie) and chose no additional surgery/recon.

    Things went along smoothly initially, but then developed an infection/cellulitis which resulted in hematoma/seroma, frozen shoulder and early Lymphodema issues.

    I think it was the cumulative surgeries/rads that made me be at risk for the LE.

    In any case, thank goodness I had decided not to go with recon. I have been in PT for most of this year to resolve these various issues.

    Of course I miss my breasts. That goes without saying, BUT all that has been said already is true of my transition to being flat, with the choice to strap on some silhouette.

    I am fortunate to have a husband that stands behind my decision making. Being breast-less-free has not caused a moment's interruption to our life of intimacy.

    There's much to consider in the decision making process, but I am completely in acceptance of my decision. Best wishes to everyone making choices.

    xx00xx00xx00xx

  • lauri
    lauri Member Posts: 267
    edited October 2010

    Absolutely OK with no reconstruction.  Heard SO many women talking about months of reconstruction surgeries, expanders, implants, having to massage out lumps, infections, additional surgeries, nipples with no feeling ... I had a mast and was out walking around on day 3.

    Because I'm uni-boob, I drop a "breast enhancer" from Wal-Mart ($15 for two) in the flat side of my stretch bra (when I remember) 

  • berniesturmack
    berniesturmack Member Posts: 11
    edited October 2010

    I decided before I had cancer that I would not get reconstruction.  After I got cancer, and a bilateral mastectomy, my decision was the same.  Four years later I decided to get new boobs.  It was a good decision in the beginning not to get them, and a good decision years later to get them.  Just because you're not getting reconstruction now doesn't mean you never will.  We are always changing.

  • 1marmalade1
    1marmalade1 Member Posts: 308
    edited August 2013

    Lauri:  I had a left mast. in June- no recon.  Difficult decision for sure, but I have had no problems accepting my uni-boob look.  I, like you, bought breast enhancers from Walmart and just stick them in my bra (my other side is 38C - so I just doubled the enhancers!).  So far, this has worked quite well - maybe early in 2011 I'll go and get fitted for a prosthetic.

    I never wanted to go thru the hassle of more surgeries & such - there is more to life than boobs and when my treatments are all over (I only have 5 more rads to go!), I just want to put all this behind me and move on.

    Do I miss my breast?  Not really.  Sure, it would be nice to have both of them, but my dh is OK with it, and so am I.

  • Katiejane
    Katiejane Member Posts: 789
    edited October 2010

       I had bilateral mastectomy in June of '07 and like many others, I couldn't even begin to consider reconstruction at that time. I just was to freaked out!  Now at almost 3.5 years after diagnosis I am definitely going to do something, I just haven't decided what. I have an appointment w/ Dr. Marga Massey in April and I also interviewing local Plastics Docs. here. The decision to not do reconstruction up until now was the right one for me. I was happy to be alive and didn't care about "breasts". I'm not sure what has changed other than I'm tired of looking the way I do.  Katiejane

  • AuntieJ
    AuntieJ Member Posts: 2
    edited November 2010

    Just over 3 weeks out from my left masectomy, had consulted with plastics before surgery as well as the Radiologic Oncologist(I have invasive breast cancer) and it was decided to wait to have any redconstruction until after radiation therapy-because of many potential concerns. After reading so many posts-mostly more recent posts, it truly does make me wonder if reconstruction and all the potential complications(and of course, I would be the one with the complications) will be a consideration when all things are healed and treatments are completed. I had asked about bilateral masectomy-and they did not feel it was needed. I am a big person, but comfortable with the surgery that was done, and now with more things to think about including reconstruction. I am not missing that left breast at this time-glad they got (hopefully) all the cancer. Once the drains were out, and the staples out..found comfort in a tank top with a shelf bra. Now in casual clothes and yes, it is fall in New England..we do wear layers---I am comfortable with the unequality in size of my chest. Not sure how it will play out when I need to get into professional office attire, or interview attire in the future. So thanks to all input in this column-you have given me many things to think about...and since this will be the only time since this journey began, it is nice to have choices...as one person said, her breasts did not define who she is/was. So thanks for all the comments. The jury so to speak is still out.

  • nervouswreckagain
    nervouswreckagain Member Posts: 16
    edited December 2010

    Does anyone know, if you have reconstruction do you then have to continue to have mammograms?

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