Hi Nicpic, i am 4 weeks post bilateral TUG reconstruction of one breast. My husband was also very worried about me having this surgery. He'd been online and read some negative things that worried him. Many of the posts are quite old and surgery has advanced a lot in the past few years thankfully. I have other issues which make me more at risk if I pick up an infection so an implant wasn't a realistic option as infection risks are greater with this ( not huge though, just too much for me). I also felt that even if I didn't get an infection, implants do need replacing as TVgirl says and mean more surgery as I get older (55 now). The first surgeon I saw ultimately seemed to feel that all she could offer me was a reduction of the healthy breast so that I would need a smaller and lighter prosthesis - not the answer I was looking for. She did however offer to refer me to a colleague for a second opinion as they had more experience with TUGs. He has been amazing! Discussed potential risks and his history of doing op, infection rate etc ( almost non-existent over hundreds of ops). My husband as reassured by coming to these appointments with me. I think all my family were very worried, but eventually when we properly spoke about it, told me that I had to do what I needed to do/ whatever felt right. Scars don't worry me too much. I already had a few big ones! The scar from my mastectomy was huge and being concave on one side of my chest bothered me much more. I couldn't have a DIEP because of a large abdominal scar although if I wasn't vulnerable to infection it could have been used with a mesh for support. Because I am a D cup and quite slim tissue was taken from both thighs and the scars are quite long. They are to the inner area of my thigh going down the back of my leg ( slightly different angle to usual to provide more tissue and they are also healing more quickly than usual because that aren't under the buttocks). I believe that a good surgeon will work with you for the best results. My expectations of the end result were low - surgeon said it would look fine in a bra but might feel like two rolls of flesh - as 2 flaps used. But the results really exceed my hopes. The shape is lovely and looks like a nice pert rounded breast. It feels warm and looks natural, excepting the scars. A small area did not take unfortunately,( I am told this is not a frequent problem) but i am assured it will heal naturally. Might require a small skin graft under local anaesthetic or possibly a small operation to join the edges. It has not put me off and I would still make the same decision. To summarise the reasons why I had a reconstruction with my own tissue were partly medical (infection risks), for a more natural end result and no need once nipple etc constructed and breast reduction on other side completed for further surgery in the future. (Implant is still likely to need nipple construction and symetricisation of other breast from what I have read). There is certainly more scarring, but my other scars have all faded over time to thin white lines and as I don't go around topless aren't a worry for me aesthetically. Recovery has been a lot better than I expected! It is tough, but I am resting lots and my husband is doing a lot around the house. I believe this is the hardest part, but I am going for short walks and am now driving our automatic car. Every day feels easier. I could possibly do more, but don't want to risk causing any problems by doing more than I am supposed to. ( I ignored some of the advice post mastectomy and caused a huge seroma - lesson learnt!). On the plus side I don't have to consider recovering from more surgery in the years to come. You will be advised about healthy eating etc before the surgery to increase recovery. Sometimes having a choice makes it more difficult! Ideally you will be advised by doctors who know what they are talking about. Ask lots of questions and take your husband with you if you can. Ultimately you need to choose what seems best for you. Everyone will have different opinions and make different decisions. I go to a breast cancer support group and people there have chosen to have no reconstruction, implants or various types of own tissue reconstructions and they all seem happy with their own decisions. Good luck with your decision making.
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