Oh breast reconstruction, how you have plagued me! Ok, maybe that was a little dramatic but it doesn't mean it's not true. Many times I have been asked about the reconstruction choices that I have made and how the process works so I thought I would write about it to explain my experience with reconstruction. I also want to say that I don't know anything other than the option that I chose and for some women, they are quite happy with not having reconstruction- an option that works for some women but it wasn't the right choice for me.
So, I was told that I had cancer by my family doctor (which really isn't fair
considering that when I asked a question she couldn't provide an answer [to no
fault of her own]). Five days later, I saw my oncology surgeon and she explained
the difference between a lumpectomy and a mastectomy but I left that appointment
still not understanding anything about reconstruction although she did say that
she would set up an appointment with a plastic surgeon to discuss
reconstruction. A week later (so twelve days after I found out that I had
cancer), I met with my plastic surgeon and I had five days (before my mastectomy
surgery) to decide what I wanted to do. In reality, 13 days before I met with a
plastic surgeon to decided what kind of breasts I wanted for the rest of my
life, I didn't even know I had cancer and now I only had five days to decide -
it was an absurd process.
To be honest, the surgeon told me his recommendation and I took it. I regret
not doing more research mind you I didn't really have the time and having no
concept of how quickly cancer grows or spreads, the thought of getting the
cancer out of me was my focus, no matter how mutilated or deformed I looked. I
was also told that a nipple sparing procedure was not possible because research
showed (insert stat here...) but in reality, there are surgeons who do perform
nipple sparing procedures, I just didn't have one of those surgeons. Do I ever
miss my nipple.
So, the day of the surgery, I had my right breast removed and at the same
time, I had an expander inserted (I refer to it as one stop shopping).
Apparently, having a mastectomy and an expander put in during the same surgery
is not common practice so I consider myself lucky that I didn't need a separate
surgery for the expander. Because my breasts were far from perky, my plastic
surgeon suggested that I get a reduction on my left side to try to even them
out. It seemed like a good idea at the time.
I woke up from surgery totally bandaged up and for about a week, I could not
see anything underneath my bandages (which I was totally fine with). Once the
bandages came off those, I can safely say that I was not prepared for what was
underneath. My left side was so incredibly small (I had size 'e' breasts before
and I asked for 'd' but woke up to a small 'c') and I had no idea that I would
never get the sensation back in my reduced side either. If I had known any of
this information, I would have seriously reconsidered my decisions.
My right side was flat and as I have written about many times, I struggled
being able to accept that my breast was gone. Instead of accepting it, for weeks
Keith got me dressed and cleaned my wounds (while I kept my eyes closed). I was
petrified of my first expansion but soon learned that because I had lost so much
sensation, I could barely feel anything (although I did still take sedatives and
used an Emla patch). I had a total of seven expansions and because of my fear of
needles, I asked that he double up (so rather than having the usual 50cc-60cc
per injection, I was getting 100cc-120cc per injection to limit the number of
needles that I needed). It caused a lot of pain doing it this way but the
anxiety that my needle phobia puts me through is so crippling that it was worth
As I got more and more expansions, I assumed that the expander would start
looking like a breast but instead it continued to look like an eggplant (thank
you AnneMarie) was growing under my skin. And of course with no nipple, it
looked like there was a lump in the place where my breast used to be, but in no
way was this a breast.
As time moved on, the expander seemed to 'deflate' but what I think actually
happened was that it slipped out of place and was now somewhat 'pooling' at the
bottom of my 'breast' (and I use that word strictly for location not for
description). While going to different doctor's appointments, I had four
different doctors tell me that I should make an appointment with my plastic
surgeon because my expander didn't look 'normal'. So, I made an appointment with
him and he said, word for word, 'It should be ok.' I don't know about you, but
that's not an appropriate response for me. If I've had to experience the bull
shit that is breast cancer, I better end up with the best damn real looking
boobs that are humanly possible and not something that 'should be ok.'
At the time of making decisions about what my breasts were going to look
like, I was told that they wouldn't be symmetrical because one was a natural
breast and one was a 'fake' breast but again at the time, I didn't care - just
get this cancer out of me. Because doctors don't like touching healthy breast
tissue and therefore the idea of getting two implants was shot down, I was
prepared for my unsymmetrical set however, I expected them to look like boobs
and not like vegetables. But now, now I care. Now that the cancer has been cut
out of me, there has got to be something better than what I'm left with. I can't
go from having 'e' breasts my entire life to then have a small 'c' and an
eggplant. I am not ok with this. And because I've waited this long for my implant, what's another few months
- I've decided to get a second opinion.
I know as much about reconstruction as I do about the Buckingham Palace, or
building a house, or raising chickens, (that would be nothing at all) so why not
talk to another expert who can maybe shed some light on breast reconstruction
and give me some guidance. I am currently, I am on a waiting list for a surgeon
who I have only heard amazing things about and I am hoping that she will be able
to give me my breasts back, even though I am aware that nothing will ever
replace my original pair, there has got to be something better than this.