Unilateral mastectomy with delayed reconstruction
Hi everyone, I’m currently in treatment for TNBC and starting to plan my surgery and reconstruction, and I’m really hoping to connect with others who have had a similar pathway. Others who chose unilateral mastectomy with expander/implant reconstruction I’m 41 and currently undergoing chemotherapy (AC followed by weekly Paclitaxel). Surgery is planned after chemo finishes very soon. My current plan, pending final discussions with my surgeon and a plastic surgeon, is: Unilateral mastectomy (left side) Nipple removal (due to previous lumpectomies and blood supply concerns) TExpander placed at the time of mastectomy Later exchange to a permanent implant (skin is tight and I'm too small for immediate reconstruction/DIEP) Possible fat grafting and/or minor adjustment to the natural breast for symmetry Genetic testing was negative, so my surgeon feels comfortable with a single-sided mastectomy rather than bilateral. One of my biggest challenges right now is that most of the stories and photos I find online seem to be double mastectomies and DIEP, and I’m finding it hard to visualise what unilateral reconstruction looks like long-term. Some things I’m especially curious about: How close did the reconstruction get to your natural breast over time? Did you end up having adjustments to the other breast? What did the expander stage look like under clothes? Were you happy choosing unilateral rather than bilateral? Anyone who slightly increased their size with implant? Did anyone here go on to have fat grafting to improve symmetry? I’m quite small-framed and originally around a B/C cup (medically-induced menopause and weight loss have decreased this somewhat), and ideally would love to maintain a similar size and shape if possible. I’m also trying to understand what the timeline looked like for others, particularly between mastectomy, expansions, and implant exchange. I would really appreciate hearing from anyone who has taken this path, especially if you: had unilateral reconstruction had expanders then implants were younger (30s–40s) when treated Even just hearing your experience would help me feel a little less like I’m navigating this blindly. I’m finding the lack of similar stories and images a bit overwhelming, so I’d really value hearing from anyone who’s been through something like this. Also, anything to potentially be aware of for out-of-pocket expenses. Thank you so much in advance.
Cost of breast reconstruction
Hi, I had a mastectomy 2 years ago and am looking at reconstruction, my breast specialist referred me to a plastic surgeon. His quote has come in where I will be $16000 out of pocket after medicare and private health rebate. I think this is really quite costly. Should I go back to my specialist and ask for a referral to another plastic surgeon or is this the going rate?
Perth Breast Reconstruction Support Group Lunch /Fundraiser for BCCWA
You are welcome to join us on Saturday 25th October from 12:30pm at the Herdsman Lake Tavern in Wembley (private function room) where we chat about everything to do with breast reconstruction. It’s very informal - we buy our own food/drink & ask/answer questions from ladies that have done their reconstruction. This is the place to hear honest answers about recovery & what things you can do beforehand to make it a little easier. Simone Hall the tattoo artist will be there to present about nipple tattooing & you can purchase temporary ones to try at home to see what a huge difference they make to the finished breast mound. I will also be selling some gorgeous cookies to raise money for Breast Cancer Care WA - a fabulous organisation that has supported thousands of ladies & their families so please bring some cash (I can also take extra donations if you would like to add something more to help other ladies on their journey.) You are welcome to bring a female friend for company 😊
Stacked flap reconstruction
Hi everyone, just wondering if anyone had a stacked flap reconstruction (DIEP plus another donor site). Unfortunately not enough tissue for a DIEP so I’m likely to need tissue from both my thighs, so wondering if anyone have gone through surgery that required more donor sites? I feel ok with the idea of a longer recovery, but wondering more about increased risks from a bigger surgery. Thank you :)DIEP fails in surgery
Hi everyone, just wondering if any one went in for a Double DIEP surgery and because there were complications had to have a double TRAM instead? My surgeon is saying if I start with a DIEP I have to be accepting of the possibilty of TRAM flaps. Plus, he tells me, only 20% of DIEPS are successful??? Help, so confused Jodie
Surgery decisions
Hi everyone, So many decisions. I am having ALL the treatment started with 8 weeks of 4 F/N treatment of AC medication. By the end i was cooked. Now at the half way mark of my intended 12 weeks PAC treatment i don't think ill make thr full course as the side effects ramp up. Then Radiotherapy of up to 5 weeks of targeted therapy. They weren't lying when they said prepare for a marathon. I have hormone related lubenal BC to my left ONLY. Based in Melbourne. Post radiotherapy i have to make a decision about surgery. A mastectomy is required as the chest wall has shown intrusion there so I have been advised the surgery will mean they will take half or all the chest wall. And they also want to remove the lymph nodes. The surgeon has shown me pictures and he wasn't lying when he said it can be quite disfiguring. I thought I was certain I wouldn't care about being flat but the disfiguring images have made me reassess. I will not have the opt to do an implants. The choices are as follows. 1.Left removal stay flat or left removal diep recon. Dispose other half of diep flap. 2.Double mastectomy removal remain flat or diep recon using all flap. Im so overwhelmed and worried that if i choose flat especially on left that i might regret not doing recon. Recon and mastectomy and recovery time and double wound sites of areas that didn't need to be cut also flip me each day I think im going this way then I flip and go another way each day is different mostly im unsure whether I should continue cutting into parts of my body that have no issue. What im hoping to gain from the group are lived experiences as to what made you come to the decision you did. Any experience that might have had similar options presented to you. What was recovery like? What did you prepare for post surgery? What tips could you recommend for pre and post surgery rest and care. I fly at least once a month for my work and am told I will need compression stocking on my arms before during and post flights. This BC is like a gift that keeps giving the worse gifts. Then to find out in review that even the Hormone blocking meds come with its own side effects some people reporting its worst than treatment! Anyway sorry for the long post but will welcome anyone's share of experience. Thank you and i wish you courage and bravery if you are straddling this journey too!Perth Breast Reconstruction Support Group Lunch
Herdsman Lake Tavern, Herdsman Parade Wembley, Saturday 30th August 12:30pm. This is the place to speak with other ladies who have done Breast Reconstruction to get all those tips to make recovery that little bit easier. We also have Simone Hall the 3D Nipple Tattooist who will be there with her temporary tattoos you can purchase to see what a huge difference they make to a breast mound. You may bring a female friend along for company.Perth Breast Reconstruction Support Group Lunch
Join us on Saturday 28th June 12:30pm Herdsman Lake Tavern Wembley to meet with other ladies who have done reconstruction. Simone Hall the tattooist will be there to answer your questions about 3D nipple tattooing & you can purchase her temporary 3D nipple tattoos to see what a huge difference those circles of colour will make. You may bring a female friend for company - you will find us in the function room. We are a very informal friendly group - so bring your questions along and get realistic answers of what to expect.
Negative impact of radiation on Flap (autologous) reconstruction??
Hi all, will have mastectomy in a couple of months time, am considering to have an immediate breast reconstruction (IBC) using my own tissues/ flap (autologous). Unfortunately, I will have a series of radiation after the IBC. I am worried the radiotherapy will kill/destroy/ causing complications on the flaps. I did some research at my end. However the comments were conflicting. Therefore would appreciate your advice. Please..no advice is too silly. Thanks heaps!