← Return to Bilateral Mastectomy with nipple & nerve sparing

Discussion

Bilateral Mastectomy with nipple & nerve sparing

Breast Cancer | Last Active: Sep 30 5:24pm | Replies (17)

Comment receiving replies
@gillbell84

Hi Kelly - I also had DCIS with nipple sparing bilateral mastectomy with direct reconstruction + second reconstruction to change implants + two fat grafting surgeries. I too found it hard to find people like ‘me’ - I’m 5’6 slim build and 44. A lot of the images scarred me. I did find my surgeons gallery helpful which you can see here - https://www.drbettykim.com/before-and-after-gallery/#0-breast-reconstruction. The reality is unless you have 3D mock up it’s impossible to know what they will look like after - they will not be like your natural breasts that’s for sure but they can do amazing things these days - I’m super interested to here if the nerves work post surgery - I’ve never met anyone yet who has had this done.
Ask about the incisions and where the scars will be - likely you will like me and have them hidden under the breast which is brilliant as you won’t even see them after a few months. Ask about implant sizes and shapes and projection (gives the natural curve). Ask about fat grafting - all of these help give a more natural look. It takes time and possibly several surgeries to get to the best outcome or you could be lucky and be done first time and just need fat grafting done later. Best of luck - I’m 12 months down the line and just had second fat grafting surgery and pretty happy with my outcome. They are more fuller and shaply in clothes then my old breasts but I have no feeling in either one. Lots to weigh up. It does help to speak to other women in similar situation but each journey is unique. Good luck.

Jump to this post


Replies to "Hi Kelly - I also had DCIS with nipple sparing bilateral mastectomy with direct reconstruction +..."

Thank you for sharing your story & picture examples. My scars appear to be under the breasts. I’m pretty sure I can feel the right nipple (left seems numb) but it’s pretty early in my recovery and more work was done on the right as that’s where the cancer was.

Where did you opt to have fat grafting done? My surgeon said they like to take from the flank area. I did a fair amount of research on the flap surgeries and those sound a bit barbaric to me. My surgeon looked at my belly & said I probably wouldn’t be a good candidate as I don’t have a lot of fat there but I have sagging skin secondary to pregnancies x 2.
I would prefer to use belly fat but then that decision may make me ineligible for flap surgery in the future if I changed my mind on implants I believe?