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If I were you (and obviously we are all different), but I would go for the implant now. Simply because the end result will look better in the long term whatever happens later - you will have "spared" the skin and if you go for an "own tissue" reconstruction (if you are able) later, you will have less scarring.
Whilst surgeons aren't infallible, I would be guided by him, as he will have done lots, and will know what works in his hospital.
It's also one of those things - you can't lose by doing it, but you might lose by NOT doing it? Hope this makes sense.
(who has two implants!)
I'll be having an implant but as yet I have no idea when. I'm having chemo, surgery then radiotherapy.
If I'm offered the implant at the time of the initial surgery I will take this approach. If I DO take it then don't need radio then I'm all done. If I DON'T take it and don't need radio I'll wish I'd had it. If I still do need radio then I guess the implant will be removed.
As it seems pretty definite I will need radiotherapy then I assume I won't be offered reconstruction for a long while. My surgeon is trying a lumpectomy first in the hope of avoiding a mastectomy.
Yes, I can now lay on my stomach, although I have developed a way of doing this now, basically I pull the pillow down to the boobs and they kind of lay in the gap, IYKWIM. It has taken a while for them to become comfortable, but these are permanent expanders, therefore saline with silicone shells. I always sleep on my stomach normally
I can see what you mean, but frankly, you can't second guess these things. I'm pretty sure that it's law that you get repairs as necessary as a cancer patient/survivor, so they can't take that option away. You'd be able to take it to court, I reckon.
If you want to see some reconstructions, google images is pretty good. You see the patients before and after quite often, and it's an eye opener.
You didn't say if you are having one or two mastectomies?
Just though I would add my experience to the mix. I had an mx and LD Flap reconstruction with an implant two weeks ago and am really pleased with the result. My new boob is a C cup and the other is an E so after chemo and radio I will be having that reduced.
I think what swung it for me is that I didn't want to wake up with one huge boob and flat the other side and also as you have just said it seems to be the case that you do get a better result with immediate reconstruction.
Still if like me you have read through many posts on here, you will have noticed there are many different ways of tackling this, as long as we all come out the other end, thats all that matters in the end
pick yourself up brush yourself off and carry on.
Hiya, I had my mastectomy just over 2 weeks ago and had the chance of immediate reconstruction. I decided not to have it done as i just wanted to deal with the cancer and not to have anymore surgery in the future. Im very happy in what i have decided and my scar is healing very nicely and i always said that i wouldnt show anybody it as i thought i would get embarrassed but have shown lots of people. I feel really comfortable having the prosthesis.Only you can decide and im sure you will make the right choice. Big hugs xxx Lisa
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