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surgery advice - re single masectomy

23 REPLIES 23
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Re: surgery advice - re single masectomy

Good luck ladies with your ops!

I thought I was going to be a quivering bag of nerves but I was quite calm. Just keep your focus on why you're having the surgery and try to make the most of the days leading up to it.

I'm 10 days post surgery now after right mastectomy and temporary expander and (touch wood) everything is ok so far. Drains out after 4 days. 

The worst thing about this period has been that I twisted my knee a week ago and have not been able to get up the stairs so sleeping on the sofa and going to the loo in a camping toilet. Add in to that my time of the month arriving and it makes for work experience as a carer for my other half bless him! 

Love and hugs to all

💖💖🤗🤗

 

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Re: surgery advice - re single masectomy

Hi guys, 

 

I got a phone call last week, I’m in for my surgery on wed (recon with DIEP flap) 

total mixed emotions. I’m a bit concerned though, I have an awful cough just now, I’m just hoping that it won’t be delayed xx

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Re: surgery advice - re single masectomy

Hi

Thank you for explaining your implant procedure. I got told if i need radiotherapy that it might effect the implant and that it might need removed . But as i dont know yet if i need radio or chemo i decided to take the risk with the implant as i didnt want the back flap proedure due to longer op and recovery and maybe not enough tissue to do etc 

And then could have shoulder and back weakness. 

As i have really small breasts. A cup. I am hoping the implant will look okay and if not i going to do what you are doing and get the other one done too later on when i have recovered.

Hooefully you will get yours done soon and then your breasts will look more even xx

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Re: surgery advice - re single masectomy

Hi.

So got my date . Wed 19th feb . Single mastectomy and getting expander implant done.  Really scared and anxious now of the operation and what my feelings are going to be when i wake up and my breast is gone.  

Trying to keep busy so i dont think about it but have moments when i just cry . 

Xx

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Re: surgery advice - re single masectomy

Hi ljlang,

Hope all went well on Tuesday and you've now got a date for your op. 

Xx

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Re: surgery advice - re single masectomy

Hi. My experience is in Sept 2018 I had a right sided mastectomy with a temporary skin expander implant. It wasn't known if I'd need radiotherapy, but was told it wouldn't affect the implant. It's in a Braxon sling (I think that's what it's called). So when I woke up after surgery I wasn't completely flat. 

I then had the expander filled weekly to slowly stretch the skin. I was a D cup. 

In August 2019 I had the expander exchanged to a softer more natural silicon implant. The result is pretty good - never the same or as good as my original one of course🤨.

I am now completely lobsided as the new boob is rounded and higher than my real one.

I was at the hospital on Wednesday to discuss what can be done and I'm now on a waiting list to have a reduction and uplift on my left one. Told it's a 3 month waiting list- but at least I'm on it now and feel like I'm moving forward a bit.

Any questions feel free to ask.

Good luck.🍀💕😍

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Re: surgery advice - re single masectomy

Hi, 

 

I am also waiting for a date for DIEP, I completed chemo in the 19th dec and should of had surgery by now but it appears I may have slipped through the net  and didn’t get my surgeons appt when I should of had. I needed an extra round of chemo as the gap between dec and my surgery would have been too long, so currently recovering from the side effects of that. I was told the implant wasn’t an option as I will be having radiotherapy after surgery. So the DIEP was the only other option, other than a mastectomy which I feel I may regret. 
 Xx

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Re: surgery advice - re single masectomy

Thank you 🙂 Hope all goes well on Tuesday. Will be thinking of you. Xx

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Re: surgery advice - re single masectomy

Aww thats brill sarah. Hope your recovery goes well. Am seeing my plastic surgeon on tues so hope to get a date then xx

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Re: surgery advice - re single masectomy

How's it going Sam? Hope you got your date 🙂

Hope everyone is ok. I had my surgery on Thursday and (fingers crossed) had no issues and seem to be recovering well. I actually woke up with the same cleavage I went to sleep with (almost).

Lots of love and positivity to you all,

Sarah

💖💖🤗🤗🥰🥰

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Re: surgery advice - re single masectomy

I was fortunate that they knew I wasn't going to need radiotherapy after my mastectomy and implant, so I didn't have that concern. I think your team will know what's best, depending on what treatment is planned for you. xx 

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Re: surgery advice - re single masectomy

I'm having a single mastectomy soon, got all my results back now and should be given a date this week. I'm having an immediate DIEP flap reconstruction so it should be a long op but hopefully more natural. Trying not to let myself get too worried about it...easier said that done though!!

 

Sam xxx

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Re: surgery advice - re single masectomy

Hi

Thanks so much for your advice. X

Hope u dont mind me askinb but did you need radium treatment  and if so assume the implant was ok ❤xx

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Re: surgery advice - re single masectomy

Hello, lots of good advice here, and just to add from my experience - I had one sided mastectomy with immediate implant recon 5 years ago. Like you I did not have much spare flesh and I did not want longer surgery or extra scars. I've been very happy with mine. I believe it works best for smaller sizes - I'm a C cup and my surgeon did say said I was about at the limit for doing an implant - I think bigger than that it can feel too heavy. She has also told me there is no fixed rule about them needing to be routinely replaced, many go for years and years and may never need replacing. Very best wishes for your op and treatment, its all such a shock but it does get easier with time. Love Mo x

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Re: surgery advice - re single masectomy

Hi

I hope all goes well with your surgery.❤ 

I see my surgeon on the 4th feb to let her know what i want. I am seriously thinking of implant as recovery easier and as you say can then decide if want something different later on. As i dont know yet if i will need chemo or rad xx

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Re: surgery advice - re single masectomy

Hi again. I didn't have to have radio in the end although the team did dither about whether I should for a while. I truly believe that my mental recovery was helped by having immediate reconstruction although I know how lucky I have been. Hope you settle on your decision soon. Once treatment gets underway you can start counting off the time and looking forward to nice things again. 

Keep us posted on your progress. Xx

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Re: surgery advice - re single masectomy

Hi ljlang,

 

I am going in for surgery on Thursday 30th and after going round in circles I decide to have a temporary tissue expander implant until I have finished my treatment and I can decide more leisurely what long term solution Is like. One of my lymph nodes was biopsied and came back positive so I already know I need chemo and possibly radio so wanted quick recovery but not to be completely flat...

It's awful to have these decisions to make when you feel so spaced by your actual diagnosis! 

Good luck with your decision and big hugs 🤗💖

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Re: surgery advice - re single masectomy

Hi

Yes i going to get the reconstuction done at same time .

That really good to hear you not had any problems.

I am really considering the implant rather than the back flap procedure. 

Thanks for your help x

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Re: surgery advice - re single masectomy

I had my implant put in at the same time as my mastectomy, in May 2017. Touch wood no problems!

Do keep asking any questions as and when you think of them, I’m happy to chat more. Xx 

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Re: surgery advice - re single masectomy

Hi Evie

thank you for you response,  I am not sure what type of implant muysurgeon was talking about ,  but she just mentioned about the radiotherapy risk,  but I don't know if I will need this till the lump is  analysed.

how long have you had your implant in for and I assume you have had no problems with it since ?

I could go for the back muscle procedure but I am worried about the longer operation and recovery period and also the fact that the left side of my back will be slightly thinner ( I am quite thin and not much there)than the right and maybe  shoulder problems too 

x

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Re: surgery advice - re single masectomy

Hi ljlang- first of all a big hug to you as you go through your treatment and make your decisions, this forum is a great place for support and advice.

 

My surgery sounds similar or the same as PeggyCat had - my implant is a “pre-pectoral” one, meaning it sits on top of the muscle instead of under it and is in a sling (think it’s called Braxon if you google). I am also small breasted. I had to have radiotherapy after my implant, which is why I had the pre-pectoral implant in the sling. Surgeons are usually reluctant to put in an implant before radiotherapy because of the risk of hardening around it (capsular contracture), but the risk was much lower with my type of implant so my plastic surgeon was happy to do it.

 

My implant doesn’t quite match my real one, the implant is more rounded, but I’m happy I went for this. I didn’t have enough fat for a tissue reconstruction but I wanted the implant because of the shorter recovery time. I use a small prosthesis over my real breast just to even things up under clothes. I believe real tissue achieves a more realistic breast.

 

I don’t remember being told that my implant will need replacing in the future - but that is something I need to look into, to find out how I will know when or if it does.

 

Reconstruction is a very personal decision, and depends on what is on offer and what your priorities are. I would ask your plastic surgeon to see some examples of what the options look like - your plastic surgeon should have some photos.

 

I’m happy to answer any more questions you might have. Wishing you all the very best.

Evie xx

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Re: surgery advice - re single masectomy

Hi.

Thank you so much for your reply. Its such a hard decision to make. Did you have to have radium treatment on your breast as they said this could affect the implant. Not sure if i need yet as they have to wait till lump is removed and analysed xx

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Community Champion

Re: surgery advice - re single masectomy

Hi there. My surgery was 4.5 years ago, an implant with an ADM matrix sling. While I would always say I would rather have my original boob back, I have not regretted my decision yet. Really pleased with the aesthetic result (although no feeling has returned). I believe implants work well if you are a modest cup size. 

 

Yes, more surgery may be required in the future but who knows what advances there will be between now and then. Also, if you have an implant now you will still have the option of an own tissue donation at a later stage if necessary. 

 

Good luck with your decision and feel free to ask me more questions. 

 

Xx

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surgery advice - re single masectomy

Hi

 

I just found out I had BC a month ago,  and have to have a mastectomy on the left breast as lump quite large .  I had a consultation with the plastic surgeon yesterday and she has given me 2 options,  so I was just looking for some advice from anyone that has had an implant,  a couple of friend have had the back muscle moved but I am quite thin and the surgeon advised that the back on the left side could be thinner than the other side once they move the muscle ?   and then there is the scar

so thinking about the implant - but only lasts 10 to 15 years and then more surgery when over 60,  or my body could react to the silicone and then might need surgery in 6 months to remove the implant ? surgeon had advised that as my breasts are small and don't droop that implant should look fine

 

 just need some advise from anyone that has had the surgery to see what their experiences were like

x