Forum Discussion

chezzathomp51's avatar
9 years ago

Breast surgery and reconstruction

I am currently undergoing chemotherapy after being diagnosed with triple negative breast cancer in May of this year. I had a lumpectomy but further cancer cells were discovered on the margins so will have to have a mastectomy after my chemo is complete. I have been told that it is highly likely that I will have radiotherapy as well.

At this point I am struggling with the future decisions that need to be made. My gut feeling is to have a double mastectomy but I have been discouraged to go this way by the surgeon.

Also I am not sure if I really want to go through further surgery to reconstruct my breasts later but I don't want to look strange.

 I will be 65 in November.

10 Replies

  • This sounds exactly like my story!  Initially was talked out of wanting a double mastectomy, my surgeon also reckoned it was unnecessary so I ended up doing the one only.  Then after my gene diagnosis, she decided the remaining healthy breast had to go.  I was so upset because that was what I wanted initially and hence why I always recommend other woman to go with their gut and demand what they think is right.  But yes, there is no point in going back to 'what should have' or 'what could have'.  In the end the surgeons don't want to just hack away at our bodies or healthy parts and approach it all less invasively unless they absolutely have to.  In my case my surgeon told me before my surgery that she would like me to be gene tested after my mastectomy (I was a bit baffled by 'why after' and why not before?).  If I had been gene tested as step one, then step two would have automatically been double mastectomy straight away....but in my case it was 1. mastectomy of sick breast 2. gene testing 3. positive result = hysterectomy 3. second mastectomy on remaining breast....  A bit silly really that they just didn't test my genes first.

    But what is done is done.  We have to trust the system sometimes and there is really no point in working ourselves up over it (talking to myself...lol).  I have learned to roll with the punches and take one day at a time, one surgery at a time and focus on healing from each step because lets face it this is a marathon and not a sprint.

    You will be ok, and you will manage every day as it presents itself.  We are all here for you for support and to vent, talk, ask, laugh, cry together when your family and friends don't always understand.  Don't be too hard on them x

    Keep us posted on your progress x 

  • Thank you so much to everyone who responded to my post. It was wonderful to read the responses from women who have experienced this journey.

    My family and friends have been amazing since my diagnosis. But though they try as hard as they can to understand what is going on for me sometimes I feel as though I can't really tell them how I feel or express the questions and concerns that I have as I need to be strong for them. If I am strong then so are they. After I had my original diagnosis I told the surgeon that I wanted a full mastectomy but allowed myself to be talked out of it because she didn't believe it was necessary and a lumpectomy was the most appropriate way to go. When I had the review after my surgery and was told that I would need a mastectomy I was devastated. Even though I am trying to let it go, I feel that if I had have stood my ground with her initially I would not now be looking at further surgery. Intellectually I realise that this is not the way to go as I can't change anything now but emotionally I am finding this a challenge as these thoughts keeps pushing their way to the surface. I know it's not healthy and that I am just adding to the stress that I'm feeling about the decisions that need to be made about my mastectomy surgery and possible later breast reconstruction.

    I guess also I am wondering why I am finding it more challenging to be as strong and positive as I have been. I know my outcome will be so much better if I can stay strong but at the moment I seem to be a bit overwhelmed and at times can't stop allowing myself to let things get the better of me.

    Sorry not a great way to start by going off into a big sooky la la. Time for a bit of sock pulling up but thanks for the opportunity to be a bit self indulgent :-)


  • Hi,  yes it is a very personal choice. I too am undecided at this stage what to do later down the track. I have learnt to take one step at a time but always in my mind what shall I do and what options to take. Three surgeries ,last one a right mastectomy but I have decided not to have reconstruction.that I am sure about.  In six months time I will reassess my feelings about prothesis or more surgery. . Recovery first. You will have time to think about what you want to do also. Good luck on your journey and I wish you all the best sending hugs..  Maz  X
  • Hi there - I agree it is a lot to think about and it is a very personal choice. The best advice I can give is to explore all options and see if there is one that you feel comfortable with.

    reconstruction is not easy and you need to be fully prepared and ready to take on all that is involved.

    Cost, support, recovery and lifestyle all need to be considered, but there are a variety of options so there may be something that works for you.

    Your age should be irrelevant it is how you feel and what you want.

    Ask lots of questions and take the time you need to explore what is right for you.  Your body - Your choice.

    sending hugs

    Chris
  • Go with your gut feeling.  If you want them both gone to reduce your risk of recurrence and not having to go through this again, then do what is right for YOU.  I went all out, both removed, I ended up testing positive for BRCA2 gene mutation as well, so had full hysterectomy to further reduce my chances of ovarian cancer.  I have just had final reconstruction and I am pleased with my end result.  They look better than my normal boobs.  Good luck chikcy, take your time x
  • Hi @chezzathomp51 welcome to the online network. As the members have mentioned it's important to ask as many questions as you need to and this is a great place to do that. We have an online group called Choosing breast reconstruction. Click here if you wish to join 
  • As the others have said, take your time if you can and gather as much information as possible, ask questions of the surgeon, etc. I waited a year until I started the recon process, and that worked well for me. I got all the initial cancer surgery and chemo out of the way, then took my time to explore recon options.
    www.reclaimyourcurves.org.au has heaps of information - including printable resources such as "Questions to ask", a chart comparing different methods of recon, etc.
    All the very best to you.  It's a big road to travel xx
  • Hello,
    It is hard to work out what decisions will be best but only you can really work that out. I asked lots of questions and over time I am happy with my decisions (single mastectomy, no reconstruction). We can be guided by our doctors from a medical point of view but only we can decide what will give us the best quality of life from a practical living with it day by day point.
    Remember reconstruction is something that can happen later if you wish. Sometimes you need to just take it one step at a time and see how it feels and what works for you. We are all very different and there is no right and wrong just what feels right for you. Good luck with your decision making and treatment. This a great place to talk with others who understand how hard this is. xxx
  • Hi do as much research as you can and ask  many questions. Only you can make this decision as it is your body, it is a tough time as you have so much going on, if you really are considering a double mastectomy and your doc is resistent ask for a referral.. I had a single mastectomy with reconstruction and happy with my decision but always my choice, good luck with chemo take carexx
  • You have time so discuss options with the breast surgeon or plastic surgeon and get a second opinion. We all struggle with making the right decision...and then we 2nd guess if it was right. Perhaps a chat with a breast care nurse would be helpful with options also. Good luck with your decision. Kath x