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Happy_days's avatar
9 years ago

Surgery decision- reconstruct or not? Recon type?

Hi everyone 

I'm 41, diagnosed with early stage triple negative invasive ductal bc in July. No family history. Lump was 5.5cm and finished neoadjuvant chemo 3 weeks ago. Lump has shrunk to 3.5cm, and whole boob shrunk a bit too. Radiotherapy is recommended after surgery so I think this would affect any surgery/reconstruction I go for. For my small boobs advised breast conserving surgery would give sub par cosmetic result so I'm thinking mastectomy is way to go, especially if further reduces chance of recurrence. 

I wonder about reconstruction or not, and what type. I was leaning towards immediate implant as I don't like thought of flap surgery, but am still apprehensive. I'm trying to imagine what it will feel like and day to day living with it. Do you feel it in your chest? Can you lie on it? Does temperature of it change? How long to get used to it? How was recovery? Any longer term side effects? Maintenance? Would you choose it again? 

If decided not to reconstruct, how do you find day to day living with one boob? Physically and emotionally? Do you use a prosthetic? I like the idea of more minimal surgery and not a foreign body in me but am apprehensive on this option too. 

What questions did you ask yourself to decide? I understand it's each to their own. thank you to anyone who can share their experience. 

22 Replies

  • I had tissue expanders inserted when I had both boobs off and have had my implants replaced three times in ten years because they have either escaped or become encapsulated. I was 43 when I had the first surgery.

     There is no way of telling how your body will react to the implants except to have a think about how it responds to any other insult. I scar heavily, always have done, and that should, with 20/20 hindsight, have been a heads up. I wouldn't do it again, but then I wouldn't have gone for the flap reconstruction s either. I'm too clumsy and physical and don't do well with taking things easy.  I think I would have adjusted better to being flat chested if I hadn't invested so much time trying to fix an unfixable mess. That said, I know several woman who have had no problems at all.

     The implants get wickedly hot in the car if the sun is on them. 
  • My niece was small busted and had a mastectony but still required radiotherapy. 2 years later they did an implant reconstruction using a tissue expander, done very slowly. I had immediate reconstruction with tissue expanders and a matrix sling as large busted and they were able to preserve the skin. At the time they didn't know if I needed radiotherapy so complete all in one surgery wasn't offered. My changeover will be soon. I am happy with the results and so was ny niece.

    Goodluck with your decision.