Anyone feel devasted about how you look & feel? And guilty too?

Posted by colely @colely, Jan 23, 2023

My Oncologist's reply to my wanting to take Propecia for genetic, and Tamoxifen- induced hair loss and thinning was the following: "This is controversial. There is no data that says it is safe and it could be potentially harmful, ( increased breast cancer risk). We are not in favor of using propecia." Well, there is always a capillus cap. If I had the money. Do any of you feel devastated by how you physically feel and now look from a masectomy and sentinal lymph node removal, and taking Tamoxifen, but feel guilty because other wonderful women are suffering so much more?

Interested in more discussions like this? Go to the Breast Cancer Support Group.

Thank God for your quick response. I do not believe most doctors have a clue what it is like to have a strange lump or anything that is new and unusual. If you complain too often, you are then "just a problem" and forgotten about. That is why it is so important to remember, 'It is YOUR BODY, if they will not listen, find someone who will." It is so much more difficult to watch and wait. You made a great decision, Congratultions and Long Life
Gina5009

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I agree - I opted for double mastectomy because I'm so very young, and decades of mammograms that find something suspicious and the biopsies etc on repeat was just not something I was signing up for. I believe I was the victim of something called 'flat denial', where smoothing skin and protecting some aesthetics instead of doing implants was something my providers said did not exist whatsoever. Things like nipple-sparring, mindfulness toward scarring, tissue rearrangement, fat transfer, overall preventing concavity so that I could go without a bra and have a smooth profile, or just a little teensy bit convex would have been fantastic. But my providers said they were imaginary and did not exist whatsoever. They recommended tissue expanders, but they were already too big upon waking up from the procedure. I never healed over them. Necrosis. Drain tubes. Wound care and bandages. SOO many doctor visits. Finally those failed implants needed to be removed. What's left behind because they were not filled and sat for so long in their crinkly raisin shapes, is that crinkly raisin shaped scar tissue all around the edges and craters in the middle. The best part of having no breasts should have been not having to wear a bra, but because its so unnatural, asymmetrical, hard, uncomfortable... I wear a little padded bra daily. We'd always been a body-positive family unafraid of walking around the house in various stages of dress and my family now sees me topless occasionally, but I put on a bra when I want to be intimate - I cant imagine that area being 'sexy' ever again, and I have a fantastic, healthy physique otherwise. Another main driver for me to choose the mastectomy in the first place was because I would have had to have chemo/radiation if I kept any of my own breast tissue - so no - I did not do chemo/radiation at all... but I still have such a physical disfigurement to deal with now. There's some saying that I cant recall now about how we don't compare our trauma to the trauma of others... they're all valid. But I feel this when I share with others who have the hormone blockers, radiation, etc. ... that my disfigurement is small in light of their struggles... but it isnt... I have a DORA complaint, I want to sue my doctors, I have rage and depression and feel so deeply misinformed and misguided by my doctors. I hate what's left behind - it's so ugly, and I don't have much more options. Your trauma matters, even if others are doing chemo/radiation..!!

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That was written by me in 2023. In July of 2024, I fought for a Diagnostic Mammogram, instead of going back to a mere screening mammogram for my remaining, very dense breast. My Cancer Clinic refused. I had to then go to another woman doctor who gave me the correct referral. They found a 1.5 cm tumor. I had to have a mastectomy. It is grade 3 oncotype dx 32. I have refused chemotherapy. I had a chest mri before my mastectomy. I was told that they would have found my cancerous tumor in July of 2023, if I had had a chest mri then, but they don't do that protocol. The Statistics of getting another breast cancer, without having family genetics, is about 6% to 8%. I figured out through Google, that only 1.8% of all the women in the U.S. have double mastectomies. And some of those are prophylactic. So I don't feel guilty anymore. BTW, my Endocrinologist said that there was no reason for me NOT to take Propecia for hair loss. I am hoping that there will be a vaccine for individual tumors perfected, as well as other treatments soon. I feel that the cures for this cancer that is becoming more and more frequent, with younger and younger women being diagnosed with it, would be curable by now if our country had different priorities.

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Profile picture for jodyvick @jodyvick

I agree - I opted for double mastectomy because I'm so very young, and decades of mammograms that find something suspicious and the biopsies etc on repeat was just not something I was signing up for. I believe I was the victim of something called 'flat denial', where smoothing skin and protecting some aesthetics instead of doing implants was something my providers said did not exist whatsoever. Things like nipple-sparring, mindfulness toward scarring, tissue rearrangement, fat transfer, overall preventing concavity so that I could go without a bra and have a smooth profile, or just a little teensy bit convex would have been fantastic. But my providers said they were imaginary and did not exist whatsoever. They recommended tissue expanders, but they were already too big upon waking up from the procedure. I never healed over them. Necrosis. Drain tubes. Wound care and bandages. SOO many doctor visits. Finally those failed implants needed to be removed. What's left behind because they were not filled and sat for so long in their crinkly raisin shapes, is that crinkly raisin shaped scar tissue all around the edges and craters in the middle. The best part of having no breasts should have been not having to wear a bra, but because its so unnatural, asymmetrical, hard, uncomfortable... I wear a little padded bra daily. We'd always been a body-positive family unafraid of walking around the house in various stages of dress and my family now sees me topless occasionally, but I put on a bra when I want to be intimate - I cant imagine that area being 'sexy' ever again, and I have a fantastic, healthy physique otherwise. Another main driver for me to choose the mastectomy in the first place was because I would have had to have chemo/radiation if I kept any of my own breast tissue - so no - I did not do chemo/radiation at all... but I still have such a physical disfigurement to deal with now. There's some saying that I cant recall now about how we don't compare our trauma to the trauma of others... they're all valid. But I feel this when I share with others who have the hormone blockers, radiation, etc. ... that my disfigurement is small in light of their struggles... but it isnt... I have a DORA complaint, I want to sue my doctors, I have rage and depression and feel so deeply misinformed and misguided by my doctors. I hate what's left behind - it's so ugly, and I don't have much more options. Your trauma matters, even if others are doing chemo/radiation..!!

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@jodyvick honestly you need to see another plastic surgeon. I had the complete opposite experience and I feel so bad for you. I can’t believe a good plastic surgeon couldn’t help restore your breasts using your own tissue and fat. They call it a flap procedure. Good luck to you.

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Hello all. My first comment on any of these forums. I knew something was off with my body and it was systemic. Long story short, three months later I received diagnosis IDC, Stage IIa, ++-, Group 2 in the right breast. Scheduled for breast conservative lumpectomy, no chemo, rads, AI for five years. That rapidly devolved after MRI revealed satellites around tumor (2.1 cm).

At that point I told my breast surgeon I wanted both breasts gone as I was not going to go through the MRI biopsies again (suffered a significant bleed that left me unresponsive when the medics arrived). I told her and my pcp that I felt there was something lurking in the left breast (the MRI showed a healthy left breast).

I had an aesthetic flat closure 10/7/25. Prior to the surgery many friends and family were horrified I would “maim” myself. The surgeon did exactly as I asked, and while it’s shocking not having my 38Cs, pathology revealed the left breast had a 3mm lobular cancer just waiting to take off. That shut everyone up. But I let the naysayers get to me—my wonderful husband was not one of the naysayers and I knew he would miss my breasts the most. A few days before my surgery, I bought a casting kit off of Amazon and did a silicone casting of my left breast. He and I laughed so hard—it was so much needed comic relief.

My incision starts around in back, literally on my back, comes under my armpits, across the entire chest and back under the other armpit and around back. It’s just about healed. One thing about this type of surgery is that ALL of the breast fat is removed. I find I’m so cold without my to boob heaters.

Fellow sisters, I was fortunate in that all of my doctors are women. Young women—in their thirties and forties. (BTW, I’m 72). I hope that if you have a doctor who won’t listen to you, you are able to find one who will. There are doctors who will listen and help you.

As to feeling sexy again, when I asked my husband if he missed my boobs, he said him finding me sexy had nothing to do with my boobs, and now he could hold me closer to his heart.

My surgeon told me in my first post op checkup that when a woman tells her something is going on with her body and the testing doesn’t identify anything, she (the breast surgeon) always believes the women.

You know your body better than anyone. It is okay to grieve your loss—we’ve made that choice to live, but it is still a shocking loss.

I wrap us all in the tenderest of hugs.

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Profile picture for lpowell @lpowell

Hello all. My first comment on any of these forums. I knew something was off with my body and it was systemic. Long story short, three months later I received diagnosis IDC, Stage IIa, ++-, Group 2 in the right breast. Scheduled for breast conservative lumpectomy, no chemo, rads, AI for five years. That rapidly devolved after MRI revealed satellites around tumor (2.1 cm).

At that point I told my breast surgeon I wanted both breasts gone as I was not going to go through the MRI biopsies again (suffered a significant bleed that left me unresponsive when the medics arrived). I told her and my pcp that I felt there was something lurking in the left breast (the MRI showed a healthy left breast).

I had an aesthetic flat closure 10/7/25. Prior to the surgery many friends and family were horrified I would “maim” myself. The surgeon did exactly as I asked, and while it’s shocking not having my 38Cs, pathology revealed the left breast had a 3mm lobular cancer just waiting to take off. That shut everyone up. But I let the naysayers get to me—my wonderful husband was not one of the naysayers and I knew he would miss my breasts the most. A few days before my surgery, I bought a casting kit off of Amazon and did a silicone casting of my left breast. He and I laughed so hard—it was so much needed comic relief.

My incision starts around in back, literally on my back, comes under my armpits, across the entire chest and back under the other armpit and around back. It’s just about healed. One thing about this type of surgery is that ALL of the breast fat is removed. I find I’m so cold without my to boob heaters.

Fellow sisters, I was fortunate in that all of my doctors are women. Young women—in their thirties and forties. (BTW, I’m 72). I hope that if you have a doctor who won’t listen to you, you are able to find one who will. There are doctors who will listen and help you.

As to feeling sexy again, when I asked my husband if he missed my boobs, he said him finding me sexy had nothing to do with my boobs, and now he could hold me closer to his heart.

My surgeon told me in my first post op checkup that when a woman tells her something is going on with her body and the testing doesn’t identify anything, she (the breast surgeon) always believes the women.

You know your body better than anyone. It is okay to grieve your loss—we’ve made that choice to live, but it is still a shocking loss.

I wrap us all in the tenderest of hugs.

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@lpowell thank you sooooo much for sharing your wisdom with the community❣️

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Profile picture for lpowell @lpowell

Hello all. My first comment on any of these forums. I knew something was off with my body and it was systemic. Long story short, three months later I received diagnosis IDC, Stage IIa, ++-, Group 2 in the right breast. Scheduled for breast conservative lumpectomy, no chemo, rads, AI for five years. That rapidly devolved after MRI revealed satellites around tumor (2.1 cm).

At that point I told my breast surgeon I wanted both breasts gone as I was not going to go through the MRI biopsies again (suffered a significant bleed that left me unresponsive when the medics arrived). I told her and my pcp that I felt there was something lurking in the left breast (the MRI showed a healthy left breast).

I had an aesthetic flat closure 10/7/25. Prior to the surgery many friends and family were horrified I would “maim” myself. The surgeon did exactly as I asked, and while it’s shocking not having my 38Cs, pathology revealed the left breast had a 3mm lobular cancer just waiting to take off. That shut everyone up. But I let the naysayers get to me—my wonderful husband was not one of the naysayers and I knew he would miss my breasts the most. A few days before my surgery, I bought a casting kit off of Amazon and did a silicone casting of my left breast. He and I laughed so hard—it was so much needed comic relief.

My incision starts around in back, literally on my back, comes under my armpits, across the entire chest and back under the other armpit and around back. It’s just about healed. One thing about this type of surgery is that ALL of the breast fat is removed. I find I’m so cold without my to boob heaters.

Fellow sisters, I was fortunate in that all of my doctors are women. Young women—in their thirties and forties. (BTW, I’m 72). I hope that if you have a doctor who won’t listen to you, you are able to find one who will. There are doctors who will listen and help you.

As to feeling sexy again, when I asked my husband if he missed my boobs, he said him finding me sexy had nothing to do with my boobs, and now he could hold me closer to his heart.

My surgeon told me in my first post op checkup that when a woman tells her something is going on with her body and the testing doesn’t identify anything, she (the breast surgeon) always believes the women.

You know your body better than anyone. It is okay to grieve your loss—we’ve made that choice to live, but it is still a shocking loss.

I wrap us all in the tenderest of hugs.

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Dear @lpowell :

Thanks for sharing such an inspiring personal experience with us! I found myself with tearing eyes upon reading your post...

I admire your courage with wisdom and gentle love to embrace & enjoy life under any circumstances:). Thank you!

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Profile picture for kseanob @kseanob

This is a wonderfully honest question. I have no guidance on hair loss, but I would urge you to avoid wasting psychological energy fighting your feelings because some other women have it worse. My father used to say, "Comparisons are odious." He's right....but he's long gone so I can't ask him how we avoid comparing ourselves to others. So lean into your disappointment. Acknowledge it. Talk about it only with people who won't respond with, "Well, at least you don't....blahblahblah." Breast cancer is unique in the way it can disfigure us. We're raised to focus so much on our figures...and then have them DISfigured. Ugh. Give yourself permission to absorb this blow without weighing whether others have it worse. Virtual hugs.

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@kseanob well spoken..feelings are valid. I have found though that finding something to be grateful for helps me not wallow for too long. Example—my nipple spare SMX direct to implant was super tough and still recovering but grateful it went well. Also early on I had a scare it has metastasized to my liver but petscan confirmed it was ok. We all have the right to feel sucker punched, sad and even grief for what cancer took from us but I hope none of us stays in that pit too long. Love and hugs to all of us

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Profile picture for lpowell @lpowell

Hello all. My first comment on any of these forums. I knew something was off with my body and it was systemic. Long story short, three months later I received diagnosis IDC, Stage IIa, ++-, Group 2 in the right breast. Scheduled for breast conservative lumpectomy, no chemo, rads, AI for five years. That rapidly devolved after MRI revealed satellites around tumor (2.1 cm).

At that point I told my breast surgeon I wanted both breasts gone as I was not going to go through the MRI biopsies again (suffered a significant bleed that left me unresponsive when the medics arrived). I told her and my pcp that I felt there was something lurking in the left breast (the MRI showed a healthy left breast).

I had an aesthetic flat closure 10/7/25. Prior to the surgery many friends and family were horrified I would “maim” myself. The surgeon did exactly as I asked, and while it’s shocking not having my 38Cs, pathology revealed the left breast had a 3mm lobular cancer just waiting to take off. That shut everyone up. But I let the naysayers get to me—my wonderful husband was not one of the naysayers and I knew he would miss my breasts the most. A few days before my surgery, I bought a casting kit off of Amazon and did a silicone casting of my left breast. He and I laughed so hard—it was so much needed comic relief.

My incision starts around in back, literally on my back, comes under my armpits, across the entire chest and back under the other armpit and around back. It’s just about healed. One thing about this type of surgery is that ALL of the breast fat is removed. I find I’m so cold without my to boob heaters.

Fellow sisters, I was fortunate in that all of my doctors are women. Young women—in their thirties and forties. (BTW, I’m 72). I hope that if you have a doctor who won’t listen to you, you are able to find one who will. There are doctors who will listen and help you.

As to feeling sexy again, when I asked my husband if he missed my boobs, he said him finding me sexy had nothing to do with my boobs, and now he could hold me closer to his heart.

My surgeon told me in my first post op checkup that when a woman tells her something is going on with her body and the testing doesn’t identify anything, she (the breast surgeon) always believes the women.

You know your body better than anyone. It is okay to grieve your loss—we’ve made that choice to live, but it is still a shocking loss.

I wrap us all in the tenderest of hugs.

Jump to this post

@lpowell the closer to his heart made my eyes well again.

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Profile picture for billiemoore @billiemoore

@lpowell the closer to his heart made my eyes well again.

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@billiemoore yes, it touched my heart. Your Dear Husband is a Keeper. 🙏🏼❤️🙏🏼. Blessings to you both.

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