Mastectomy and breast reconstruction pros and cons?

Thank you for responding. I'm still receiving chemo, and know looking into the next stage of course. All this information has been beyond helpful from people that has been through this. Doctor's don't something think of you as a whole body, so I very aware of this. I have kidney disease, but not in kidney failure so I look at protecting them also. I have Invasive lobular with dense very cystic breast, but it is in only one breast, but very difficult to see this type, only 20 percent of people get this, so that's why trying to figure out if a double mastectomy is better. Thanks you again for reaching out with your story, and do you have any feeling in that area, a nurse yesterday said you don't and never heard that?

Thanks you for responding. I actually been looking into these surgeons, they seem amazing, actually just listed to Dr. dellaCroce on podcast, and learned so much from it. But I don't think my insurance will cover, but I'm definitely going to find out. I live in Massachusetts so I'm not sure, but this place would be my first choice.

I also have invasive lobular, but it has not spread,but do don't want to worry again, I'm know reaching out to find as much information from people like you to learn as much as I can. So much is thrown at you in the beginning, and started chemotherapy first(and still am) so my treatment's first where strong, but there not now. So I feel I Can deal with my second fase easier about 4 more months till surgery, but time flies to fast so doing my homework! You also take care, and I really do appreciate, oh do you have any feeling in your area, nurse said you don't, and see never heard that?

Last month was my two year anniversary for a double mastectomy. I have not re-constructed. I had gone on a women’s only tour group vacation a year before my diagnosis and met a lady whom I had known for three days before I realized she was “going flat”! The only reason I even realized it was because when we went to a spa she refused to take her camisole off. I was amazed that I hadn’t even noticed! So then when I had my diagnosis I remembered that, and my original intention was to not reconstruct at all. I asked my surgeon to make me as “flat as a 10-year-old boy” LOL. Anyway, I had chemo and radiation also, and the only reconstruction that I can have is the DIEP flap because of the radiation to my skin. There is a practice in my town of Fort Worth Texas that specializes in DIEP flap after mastectomy. They do a lot of them and have a high success rate. If you go that route, it is important to go somewhere that has a lot of experience because the procedure involves micro surgery. Last year I briefly reconsidered and thought about doing the DIEP flap, but then I ended up having three surgeries for pelvic floor prolapse (which had nothing to do with cancer) and after having all those surgeries I’m back to where I don’t want reconstruction— because I’m really tired of having surgery. I often go flat and it doesn’t bother me at all. I have prostheses, I call them my “foobs” (fake boobs), of all different kinds… foam, beads, silicone, fiberfill, and for swimsuits, those nylon net bath scrubber puffs work fantastic (they are light and drain the water out immediately). I find most of them to be a little awkward and uncomfortable to me, and don’t seem to sit at the place that looks natural (I’m 63, and high-up perky doesn’t look “right”!) One person told me that the Coobie slimmers with the built-in padded bra that you can slide the foobs into work well, and they do because they don’t ride up. But what I have found to be the best for me is to just wear a T-shirt or tank top that has built-in padded shelf bra. You can always stuff it if you want, but I find that wearing them “as is” works well for me. I will usually wear a vest or open shirt or something over the tank or T-shirt. It makes me look like I have some boobs and it’s OK if they are size A or small B.

After re-reading your original post I want to add that I had cancer in one breast, and my medical oncologist was not happy with my wanting both breasts removed. She fussed at me every time we discussed it. I was insistent (my surgeon gave me no flak about it al all) both so I wouldn’t have to go through everything again if I did develop cancer in the other breast, and also for symmetry. I don’t think I would feel as comfortable being seen without my “foob” if I still had a remaining natural breast.

I had a double mastectomy with DIEP reconstruction. I had my surgeries in New Orleans with the wonderful doctors at the Center for Restorative Breast Surgery (breastcenter.com). I was very pleased with the way my surgery turned out and love the doctors there. Drs. Scott Sullivan and Frank DellaCroce were the surgeons who performed the reconstruction, and one of the doctors who is no longer there did my mastectomy.

My breast cancer was lobular (not ductal) and it was in both breasts at one time or other (why I decided to remove both), but ductal can be just in one breast and I believe commonly is. I think if I had one breast removed I might have opted for reconstruction because it might be more comfortable to have symmetry between breasts. And yes, insurance and cost is also a consideration, especially costs and coverage being what they are. Take care and reach out to people on this site, it has been very helpful for me in so many ways throughout my journey.

Thanks for replying any information right know is soooooo helpful especially from somebody that had been down this road. I'm thinking to take the time for my body to heal, and make the right decision on a doctor for reconstruction if I decide to. I'm in my early 50 so will see about what to do about having a double mastectomy, they say it doesn't (doctors words ping pong back and forth) spread to other breast, but like you said who wants to deal with this again! It's all about insurance also. Thank you again for your help.

I opted not to do reconstruction and I'm happy with my decision. I got the prosthetic and still haven't worn that even.....I'm about 3 years out from the bi lateral mastectomy. Of course, I am now 60 years old and I didn't want the extra surgery. I also mistakenly believed that it would be harder to find cancer if it came back but that isn't true from what I now know. The upside of no reconstruction for me is that I don't have to wear a bra or shop for a bra. I was never a fan. I also found the pain from the bi lateral very manageable and the recovery and healing time was much quicker than I expected. The downside is that at first my chest appearance was lumpy (not in a good lump way) but scar revision surgery for my lymphedema made my chest wall much better looking under clothes (less lumpy). The other downside is that you have to revise what you wear slightly....V Necks are pretty much out or anything low cut and sometimes I feel like I look like a giant pear (small or top and ever growing toward the bottom). But, I am very comfortable and everyone says they can't really tell I don't have breasts. I don't wear tight tops....I'm more 'flowy' now.
It's a big decision but remember...........you don't have to do the reconstruction right away or at the same time as the mastectomy. You can take your time when you're not also thinking about breast cancer and do it later. I know women who have done all three - immediate reconstruction, reconstruction later and some no reconstruction.