Here we go again...2nd time .. Reconstruction Dilemma Tummy / Back

Hi

Initially diagnosed 2009 after a good friend who had recently been diagnosed persuaded me to have a lump removed which had already in 2004 been given a label of being nothing to worry about. To my horror it was removed and to the surprise of all it was found to be 13mm Grade 1 ductal carcinoma E/R Positive HER-2 Negative… had a wide local excision & Sentinel node performed. Radiotherapy and Tamoxifen which I stuggled with and ceased after 2 1/2yrs. Have a slight weakness in my arm shoulder with what I describe as muscle strain in my arm since 2009.

Have had a number of benign lumps n bumps over the last 10 yrs removed or markers put in place following yearly mammograms, yearly scans ceased 2016.

Screened in August 2019 recalled September biopsy confirmed M3 16mm invasive papillary carcinoma grade unclear poss 1 or 2…

Really struggling emotionally this time round… Go tomorrow to confirm which procedure to go for have been told they are not considering an implant due to previous radiotherapy so its a procedure involving a back flap which seems to be their preferred option, surgery date has been given or if I elect to have a tummy flap procedure I need to see a different team, and further delay.

Here is my dilemma tummy apears to give the best results from what I have read on line, however I am 90% sure I will opt for a reconstruction of my other currently cancer free breast at the earliest time [I think only allowed 18-24 months after] but I dont think it is possible to have the tummy used a second time. My question is has anyone had a tummy flap on one and a back flap on the other are they so different or do I go for back flap my second choice so both breasts are as similar as is possible…

Sorry its long winded but any advise experience would be good to have… :slight_smile: