Struggling to make surgery/reconstruction decision
Hi everyone I have been diagnosed with high grade DCIS with an MRI showing a potential small spot of invasive cancer in my right breast. I have to have a mastectomy and I am booked in for surgery next Monday (8/9) but I am struggling to decide whether to have a bilateral mastectomy and what type of reconstruction to have. I have phone consultations with the plastic surgeon and the breast surgeon tomorrow and have to make the decision during these consultations. I am conflicted with what to do as I am waiting on the results of genetic testing (I had a tumour that was borderline cancer removed in December last year, which included removing an ovary and a fallopian tube) so am extremely fearful of having to go through this again. My initial reaction has been to get rid of both to be on the safe side which my surgeon was supporting but during a phone call with her yesterday she thinks my best option is to do only the affected breast and leave the other one. The reason she is recommending this is the left nipple can not be spared due to this breast being more saggy and the blood flow (don’t really understand it completely so that may not make too much sense) so at then end of the day if I choose to have the bilateral mastectomy I will have no nipples which she is worried I will regret. if I only do the one breast I may have enough fat on my stomach to do the flap surgery and they should be able to spare the nipple. I do not have enough fat on my stomach to do two breasts so would need to also take fat from my thighs. I have decided against this due to the scars that would be left in my thighs so if I have the bilateral mastectomy I would opt for implants. I would appreciate any input from anyone who has had a similar experience as I am at a loss what to do and only have tomorrow to decide. Specifically, if anyone has had to choose between a single or double mastectomy and has experience with nipple-sparing versus non-nipple-sparing procedures, or if anyone has had regrets about their choice, I would really value hearing your perspective. Any advice or experience would be a huge help right now. Thanks.
Another Re-Excision or Mastectomy?
Well, here I go again. I was diagnosed with DCIS in December. It has been a long path, but I eventually had a double lumpectomy on my right breast on 26 March 2026. A week later I was told that although they got clear margins, three of the margins on my largest lesion (4 cm) were less than 1mm. So, I had a re-excision on 15 April to get wider margins. I saw the surgeon this morning, who told me they found more disease and the new margins are still less than 1mm in two places. I have to have more surgery next Wednesday but have to decide (by Friday) whether to have another re-excision (and my breast will be starting to look a bit sad after that) or go straight to a mastectomy. She said it was quite feasible to try a re-excision again, to preserve the breast if I want to, but if they still find disease or don't get good clearances, then I have no choice but to have a mastectomy. If I have the re-excision, I have to have radiation treatment for 3 weeks, 5 days a week afterwards. If I have a mastectomy, then it's all done. No radiation and no lymph node involvement. Does anyone have any advice on what I should do / or want to share your story if you've had a similar experience? I know it's my decision, but your advice is appreciated, thank you.
Newly Diagnosed
Hi My name is Victoria, I'm 42 years old and I have been newly (well, 5.5 weeks ago) diagnosed with breast cancer. It is is located underneath the nipple on my left breast and it is invasive ductal carcinoma, ER+, PR- HER2-, Stage Two. (Sorry if I don't have all the details but that is what I have interpreted it as). The tumor is 2.5 cm. I have seen my surgeon twice and I will be having a single mastectomy next week some time followed by 6 months of chemotherapy. We had discussed a lumpectomy so he could try and save the nipple but I opted for the mastectomy, just for a clean break. I'm dealing with it okay- I'm a bit concerned I haven't cried yet- and everyone else around me is very supportive and very shocked. I just wanted to introduce myself and hopefully be able to contribute something to these groups. Thank you Victoria🩺Lumpectomy or mastectomy? Understanding the options
Hi everyone, we wanted to share a helpful resource about a decision many people face after a breast cancer diagnosis, choosing between a lumpectomy and a mastectomy. For many people, both lumpectomy and mastectomy are safe and effective options, with similar long term survival outcomes in early stage breast cancer. A lumpectomy removes the cancer while keeping most of the breast and is usually followed by radiation. A mastectomy removes all breast tissue and may be recommended based on medical factors such as tumour size, multiple tumours or genetic risk, or chosen based on personal preference and peace of mind. Importantly, the article highlights that this decision is not just medical. Feelings about body image, anxiety, future follow up, recovery and quality of life all matter. There is no single right choice, only the choice that is right for you 💙 If you are facing this decision, taking time to ask questions, understand your options and talk openly with your care team can help you feel more confident moving forward. If you feel comfortable, you are welcome to share what helped you make your decision or a question you found important to ask. You are not alone, and this community is here to support you. 🌱 This information is derived from an article written by Melbourne breast surgeon Dr George Chou, published on the Melbourne Breast Cancer Surgery website. You can read the full article here if you would like more detail: 💬 Questions you might want to ask your care team Many people find it helpful to write down questions before appointments. Some that may support your decision making include: Are both options medically appropriate for me? What additional treatments would follow each option? How might each choice affect my recovery and daily life? What are the long term follow up needs? How might reconstruction or going flat fit into this decision? There is no rush to have all the answers at once. It is okay to take time, reflect, and seek support. Don't forget our Helpline is here to chat through anything that might help make this easier for you - call us on 1800 500 258.
New diagnosis, mum guilt and surgery
Hi All! It’s been a big month… recent diagnosis of invasive ductile carinomas x 2 in left breast, E+ PR+HER2LOW+1. Grabbed my breast after shooting pain on night before my 39th birthday, GP few days later, week after that had mammogram/ultrasound/biopsies x 3. Scheduled for bilateral mastectomy with DIEP flap reconstruction in a few weeks at the Wesley in Brisbane. Have been feeling quite positive, but now surgery date locked in I’m having a lot more anxiety!! Have 2 kids (5 & 7) that I’m worried about being away from, and have a busy job as a lawyer that I’m keeping going whilst waiting for surgery. I’m finding it a lot to plan for all I want to organise before surgery, so any tips/suggestions/ support would be amazing - I like to be super organised so particularly keen for any recommendations re what to pack etc!!
Post mastectomy and auxiliary clearance concerns ?
Hi I am a 45 yr old post single mastectomy on my left breast and also full auxiliary clearance and was hoping for some advice from those who have gone through the same ! I am still struggling to be able to lift my left arm to a full reach and also have some weird sensations in different parts of my under arm and also my upper arm and from where breast was ! I haven’t left the house much and can feel my mental health heading down ! I’m just curious as how long it took others to be able to be at full arms reach after surgery and or any tips regarding this ! I am following the after drain removal exercises but still quite painful for me is this normal for 2 weeks 3 days post surgery ? Feeling quite lost with it all so thought would reach out to others for some or any advice ? Thanks a lot for taking the time to read !!
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.
