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.

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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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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Profile picture for gina5009 @gina5009

Fortunately or unfortunately, I have never had any of these tests (55 years). I did find a DERMATOFIBROSARCOMA in my right leg which required a wide recission,and a SQUAMOUS CELL CARCINOMA in the skin above my collar bone (looked like a pimple). But other than this, nothing to worry about. I still believe we can be the best cancer detective. If it looks strange, TAKE IT OFF. We know our body better than anyone else. Don't let someone pat you on the head and say "you are just worring to much". "IF IT BARKS LIKE A DOG, IT PROBABLY IS A DOG"
Gina5009

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Amen, Sister! I found my breast lump. And my shiney, raised, white patch on my face. The internal medicine doctor told me to just watch it, but didn't think it was anything. I got another option. It was Stage 1 Basal Cell Carcinoma.

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Profile picture for bpknitter53 @bpknitter53

I had bilateral in Nov 2022 and opted for flat. But I should have taken in a picture and asked the doctor if he could get me to this picture for my incision - I didn't. I'm not flat I have the small side bulges and my chest concaves. It should have been a clue when he said he treats all surgeries the same. Everyone that has seen my chest askes when I'm having reconstruction; because that is typically what the incisions look like for individuals that are waiting reconstruction. I have prothesis and because my chest concaves there is a gap between my chest and the prothesis. Fortunately I was never one for low scooped necklines - but inside I still feel self conscious.

But I have a question - after the lymph node dissection during surgery, I now have an intent (concave) in my underarm that I can't seem to shave clean. I also notices that I'm slightly numb there and am afraid to press to hard with my razor. Summer is coming and I want clean shaven underarms for swimming in the pool. Anyone have any thoughts. I've tried stretching the skin and can't seem to get a smooth enough surfaces to shave clean. I'm wondering if an electric razor might work better. Has anyone experienced this and how did you handle? As an FYI I have dark hair so the hair under my arms is also dark.

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Oh dear, you've been through so much. The only comfort I can give you is what I use for underarm shaving. I'm 79 and my underarms have got wrinkly, so I bought myself a Philips Wet & Dry pink and white Lady shaver. It works a treat. It shaves my legs and even shaves my bikini areas too. It comes with a removable cord - you plug it in to charge the battery which lasts for ages. I use it when I'm flying to Ireland, (which is where the battery comes in - no cord needed. And as for our 'wrinkly bits' - I just do the same as you - stretch the skin a little bit and it's quite safe - no cuts if you do it gently. Best of luck on your forward journey. Blessings!

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Profile picture for gina5009 @gina5009

It sounds like you have found a raod that is right for you. I have had a very long time to accept my situation, and I was left with far fewer decisions to be made. I had a Radical Mastectomy. Unfortunately there is no reconstructions from this surgery. Everything is taken down to the chest wall. My second surgery was a simple mastectomy. Reconstruction was not offered due to the fact the left side could not be reconstructed. Again, this was 1968 and I was 36 years old. I had two children age 6 and 8, a wonderful husband and life moves on. I have been lucky to have a very long life. Perhaps it was easier for me, because there absolutely was no choice. You are right it is your journey, but I think if you can accept the help that is offered to you from your family and friends the journey may not be so cold and lonely. You have a long time to enjoy this life "Gift" you have been given. May it be long and filled with love, and laughter, and many many years of happiness and joy.
Gina5009

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What a wonderful response from a loving person, Gina, who went through so much but was helped by her loving husband and two children which were two other blessings which gave her the courage and stamina to go on with her life and live it to the fullest. Blessings to her and all who go through this journey.

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Profile picture for colely @colely

Hi. Thanks for information. Have you ever had a CTC test, or asked them about having one? I was told that they used to do ctc, but MALE head doctor decided they weren't useful. If I had the money I would ask for a chest and abdomen mri once a year. My check- up comes July 6th. They make me fill out questionnaire Am I losing weight, turning yellow, having pain in chest, abdomen, or Spine? My blood pressure goes sky-high at these, " check- ups." BTW, have you heard of the Galleri blood test that detects 50 different cancers? It is suppose to be FDA approved this year. I can't seem to find out if it can detect recurring breast cancer.

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Fortunately or unfortunately, I have never had any of these tests (55 years). I did find a DERMATOFIBROSARCOMA in my right leg which required a wide recission,and a SQUAMOUS CELL CARCINOMA in the skin above my collar bone (looked like a pimple). But other than this, nothing to worry about. I still believe we can be the best cancer detective. If it looks strange, TAKE IT OFF. We know our body better than anyone else. Don't let someone pat you on the head and say "you are just worring to much". "IF IT BARKS LIKE A DOG, IT PROBABLY IS A DOG"
Gina5009

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Thank you. The sun is shining, I am ou tof bed, able to read and answer questions and feeling quite useful. It is a glorious day and all is well with the world. I celebrate Memorial Day, since my husbad died of his Service Connected Disability (lung cancer). May God bless you one and all.
Gina5009

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You are welcome! Once the Galleri test is approved this year, insurance companies will then start to approve, and pay for test. In the studies, they used people who had active cancer, and people who did not. Of the people who were ," cancer free," they found a man who had stage 2 pancreatic cancer and several women with stage 2 breast cancer. I am now a hypervigilant person, so I want all the tests I can get!!

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Profile picture for colely @colely

Hi. Thanks for information. Have you ever had a CTC test, or asked them about having one? I was told that they used to do ctc, but MALE head doctor decided they weren't useful. If I had the money I would ask for a chest and abdomen mri once a year. My check- up comes July 6th. They make me fill out questionnaire Am I losing weight, turning yellow, having pain in chest, abdomen, or Spine? My blood pressure goes sky-high at these, " check- ups." BTW, have you heard of the Galleri blood test that detects 50 different cancers? It is suppose to be FDA approved this year. I can't seem to find out if it can detect recurring breast cancer.

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Hi @colely -- thanks for sharing new info.

No, I had not heard of a CTC test or the Galleri blood test. I read up on them. It sounds like the CTC is good for predicting the likelihood of breast cancer recurrence and the effectiveness of treatment.

If I took the Galleri test, I think I would be having major anxiety waiting for those test results. I'd be afraid of hearing, "You have 10 kinds of cancer." I'm already being treated for 2 different kinds at once and so was my brother (2 different ones from mine). It sounds like you can get the test now at a cash price of around $950.

It would be interesting to look into a crystal ball to see what types of tests and treatments will be available in 5, 10, 15, 20, etc. years.

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Profile picture for gina5009 @gina5009

I think I may have told you I was 36 when I had the surgery and I am sure this probably had a great deal to do with my excellent recovery. It took one year for me to be able to raise my arm straight up in the air, and gradually I regained full strength but it took a lot of work with Rehab to get there. Unfortunatley about 10 years ago (age 80) I took a fall at Wal Mart) and fractured my right shoulder in three places).. I now have an artificial shoulder replacement and cannot reach very far or place my arm behind my back or lift the arm above shoulder height. I do manage quite well with a metal grabber and my left arm (radical mastectomy arm) is excellent. I have learned to use it almost as well as my right arm use to be. I think I did mention to you, my Radical involved taking all the way to the chest, and enough muscle into the arm pit. They were able to stretch this muscle, (over time, this is part of why it took about a year to regain the use of this arm). Believe it or not, my doctor told me to get a brush and to brush and brush. Best therapy for that arm. As I also mentioned, I am 92 and beginning to loose strength in both arms(old age), but I have large bottles of distilled water and I use them as weights to lift each time I need to use them and I think this has helped to keep the arms strong.
I know when I tell people about my surgery, they are almost horrified at the extent of the surgery, but the one thing they cannot know about is Cancer in 1968 was almost a death sentence. There were no lompectomies, radiation (only if lymph involvement) and definitely no Chemotherapy. It was a one shot deal. I tell everyone, "YOU CAN'T FAULT SUCCESS'.
So after all of that, Your arm will be fine, just takes a little work. Smile, God is good, The Sun is Shinning, and you have a very long life ahead of you.
Gina5009

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Hi @gina5009 -- thank you for your response. It is amazing what all you have overcome and have outlived most people that had few health issues. Loved your "You can't fault success" statement. 🙂

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