Breast reconstruction advise please

Hi all, I would like some advice please. I was diagnosed with stage 4 breast cancer last year july 2024, but first diagnosed in January as stage 2 so they agreed to do mastectomy and delayed breast reconstruction implant as Im too slim to use body tissue. After my first surgery they discovered lymph nodes so that was taken out too then Ct scan then showed metastatic breast cancer in my lungs. So now my breast reconstruction got cancelled. Now its nearly a year and very stable. Im on Kisqali, zolodex and letrolze as I have PR ER + her2-.
I would like to know has anyone got delayed reconstruction whilst stage 4. Pros and cons.
I am 36 so having uneven breast is not the best. Thanks and appreciate your advice

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Hi @dee1987 I had a silicone implant done at the same time as my mastectomy. However they then needed to do a total axilla lymph node after that. Sadly the lymph nodes removed showed cancerous cells which then led to radiotherapy. All I would say is should you go down the silicone implant route, make sure that there is no radiotherapy planned at all. Radiotherapy and silicone implants don’t get on. Mine is slightly distorted now and there’s a touch of fibrosis. At some point down the line they are going to replace it.

Thanks for the response and thank you for the advise. At the moment no radiation is needed but i can say anything for the future. I have mets to my lungs but currently Ned. Thats why i was thinking would it be worth going for surgery like this.

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Hey. I’ve spent the past 2 years trying to get reconstruction on the nhs after having lumpectomy and radiotherapy 3 years ago (my boob has shrank away to nothing) but I really struggled to get anywhere with them. Unfortunately I have recently been diagnosed with metastatic breast cancer so getting that stabilised is my main concern at the moment. I often do think about this though, if I would be able to get reconstruction once I’m stable enough. I’m 33 so it’s quite a big deal to me too and think it’s important to live a fulfilling life regardless of how long it will be. I am going to ask my oncologist today but I know his answer will be not to focus on that now and it doesn’t matter.
If anyone else has experience on this I’d love to hear.