Immediate Reconstruction - has anyone had it
Hi , awaiting surgery for mastectomy after lumpectomy and re-insision ops, and the margins still werent clear, so I have run out of road
Just wondering if anyone has had immediate reconstruction , I have to tell the plastic surgeon next week if I want it , even thought I havent met my oncologist yet and I dont know whether I will be getting radiation or not. I believe radiation affects the reconstruction. Its all very confusion , how can I make that decision. And he didnt offer me any advice as to which method for my shape or whether I should or not
Any advice is welcome
Did they mention what would be the effect on radiation on the expander/implant ,and what hospital are you attending
Hi Snoozy,
Hoping you are ok. I know it's hard to make a decision, sometimes I used to think it would have been easier if the decision was made for me by the medical know-alls but it was really important for me to be involved through the whole process - in sure it's something to do with trying to be in control!!!
Anyway, I had immediate reconstruction with LD flap - they used about a third of the muscle on my back, just below the shoulderblade and brought it round under my armpit and used it with an implant to give me a more natural look.
I knew what the pro's and con's were going into surgery; however, I had encapsulation of the reconstruction just as I started radiotherapy so it would be fair to say that it wasn't radiotherapy that caused any problems with my surgery. However, after radiotherapy I had Herceptin so two years after my first surgery I had revision surgery which was dealing with scar tissue, putting in a new implant and trying to free up a tendon on my shoulder that was causing a small bit of bother. So it is all ok now.
I suppose I went into it a bit naive - I thought that everything would be back to normal after treatment and surgery but while you have a breast shape and no-one knows the difference to look at me, I have put on weight since surgery so I'm a good two size bigger on the non-surgery side. I've over come that by using a deadly chicken fillet that the breast nurses gave me so I'm grand. I suppose I had an image of Pamela Anderson and Katie Price having surgery all the time... They have a lot to answer for, lol!!!
All my surgery scars have more or less disappeared with the help of massage, and I've good enough movement - any stiffness is because of not keeping up a good physio regime.
I hope this helps, and very best of luck to you x
Hi Snoozy,
I had immediate reconstruction.. the surgeon took muscle and fat from my back and gave me a lovely boob. I had chemo and radiation and neither affected the reconstruction, it was fine...I was like yourself I didn't know whether to go for the immediate reconstruction but I have to say it helped me mentally..at least when you wake up from the op you still have two boobs. best of luck xxxx
Hi lyn999
I wish I could be confident. I keep changing from immediate to delayed. I am limited to the expander or implant option as I am slim build and have already lost a stone so I dont think the other 2 options would work for me. I feel really annoyed that I am being rushed on this without even seeing my onconogist
I too am slim and only had those 2 options. I'm glad I went for immediate reconstruction as I now have 2 breasts, albeit not perfect. I will deal with any cosmetic issues after all my treatments so for me I don't even think about my reconstruction very much at all. I was allowed to keep my nipple and skin and if I opted for delayed reconstruction, this would not have been an option.
Not sure if this will help you or not but I had mastectomy with immediate reconstruction. I have expander with implant. I'm going through chemo at the minute and will also have radiotherapy. After all treatment I will then go for final reconstruction where expander is removed and an new implant inserted. Well that's the plan!