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Cory51's avatar
Cory51
Member
7 years ago

Mastectomy vs Reconstruction

I am nearing the end of chemotherapy and am faced with the decision as to whether to have a mastectomy or mastectomy plus reconstruction. I have started to gather data about the recon as initially I was sure I did not want one, that I would be OK with a mastectomy. As my mind starts to clear from chemo I realised that my initial decision was based on shock of diagnosis, fear and wanting to just finish everything as quickly as possible (I will also need radiation). Now I realise that this decision was made in haste and without good information about how I would feel in the long term about both options. Initially I also thought well I am 67, why do I need a recon?? Now I am thinking why not and I need more information to decide. I have seen a breast fitter so have that perspective in terms of breast forms/bras etc and have an appt to see a plastic surgeon in a few weeks. Any thoughts anyone has about either option would be much appreciated... Jenny

25 Replies

  • Hi @Cory51, I'm one of the group leaders with BCNA's Choosing Breast Reconstruction group. You are most welcome to join us - just go to the Groups tab at the top of this page and it will bring up a selection of groups within the online network. Click on Join and write a short message about why you want to be a member and one of us will join you up. This group is a private group which shares photos as well as experiences about many different types of reconstruction. There are also members who are still deciding whether reconstruction is the right choice for them. As @Afraser says, there's no right or wrong, just what is right for you. 

    There is quite a bit to understand about reconstruction and so you might also find the information and resources on the Reclaim Your Curves website helpful. Reclaim Your Curves is a small, peer support and education charity for women considering reconstruction that grew out of the BCNA reconstruction group. You can check it out here:https://www.reclaimyourcurves.org.au/home.html. If you look under the Additional Resources section there are information sheets that cover topics such as choosing your surgeon, questions to ask, preparing for surgery and a comparison chart of procedures. 

    Hope this helps. Hopefully we'll see you in the Choosing Breast Reconstruction group soon. Jane xx
  • Hi @Cory51
    I had a mastectomy and no reconstruction at 67. I don't think a decision has much to do with age at all.  I'm as conscious of my body as I always was, for me it was more about not having further surgery, not having implant replacements after 10 years or so (when I would be nearing 80) and not really expecting that a reconstruction would be "as good as old". On the other hand, I am aware that many women have found reconstruction a really important part of recovery and moving on. As @Rose18 says, there is absolutely no right or wrong and a bit of thinking and preparation is absolutely the best way to go. Best wishes.
  • Thanks Rose18. I have some of those questions on my list but not all. I haven't seen a reconstruction group, is that on BCNA website or generally elsewhere. 
  • Anonymous's avatar
    Anonymous
    Hi @Cory51get all of your options written down from your surgeon, including the costs (total including anaesthetist), the length of surgery and recovery and the possible complications. You can also ask them about their success rate with each procedure. Then sit down and think about what outcome you want. Radiotherapy can have an impact on reconstruction so just check with them about that as well.

    Get a second opinion or two! I also google the name of the doctor with problems/ complaints after it just to check. Always remember to ask questions. I’ve had reconstruction but had to wait 2 years to have it due to radiotherapy damage. I’m glad I waited. Have you joined one of the reconstruction groups? All the best. There’s no wrong or right and there’s time.