I had a bilateral skin sparing mastectomy 14 montjs ago with immediate delayed reconstruction. My scars are like a reduction scar. My nipples couldn't be saved due to location of of my tumor. I had tear drop shaped expanders inserted with a dermal sling which allowed the surgeon to place my breasts in there normal position and give a normal mammory fold. My expanders were filled to 300mls (400ml expanders) so I awoke with breasts and no slack skin. It was uncomfortable due to drains and the feeling that a bra is sewn in but by 6 weeks the pain had settled. I had no further fills until after chemo. I believe my surgeon chose this partly due to my 500k distance from him. Anyways following chemo had my last fill off 100mls which I didn't find painful and about to have my changeover surgery in 8 days to my softees. The surgeon has decided on a slightly diffetent shape so I have a bit more upper boob.
I did find the initial surgery painful but once I could figure out how to sleep on my side it was so much better. It's all about pillows. The expanders are tight but I am used to them. I believe the silicone ones will be so much more comfy and feel more like a natural breast.
Any other questions feel free to ask.
We have a reconstruction group also you can join.
Kath x