symmetry - does it matter?

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Hi everyone. having read through the threads here i feel able to ask for advice. I was diagnosed with DCIS in March this year and i was recommended a therapeutic reduction because the tumour was quite large and my breasts are large and ptotic (droopy!). It meant they could remove the tumour with a large, clear margin. Took a while to recover but I didnt need chemo, just the 5 day radiotherapy, which was fine.i had a pink breast and some tenderness but didnt get the tiredness. It was nothing to worry about - each session taking 10 - 15 minutes. I now take Letrozole daily without any side-effects so far.

My problem now is I have 'little and large'. I use a shell when symmetry matters, but this is not often as i am retired and tend to wear loose tops and jeans. I have been offered the opportunity to have the other breast reduced at some stage but feel guilty at the thought of having surgery on a healthy breast, when there is so much breast cancer needing care.  I do like my new pert, smaller breast and a matching pair would be good.  I would like to know if anyone else has had this dilemma, or even had the symmetrication? How did it go and were you pleased with the outcome? 

I know I am lucky to have had such a positive outcome and wish you all the same, 

  • Hi. I've just had surgery for dcis and was wondering the same thing. I have quite large breasts and like you I would like the idea of the healthy one being reduced, but would also feel a bit guilty. Perhaps the way to look at it, is it's all part of our treatment. I'm only 5 foot tall, with a size 34h bra..

    Glad that you've had a good outcome and wishing you well going forward. Blush

  • The way I see it, your psychological well-being is part of restoring you to health, not just your body, so it is entirely legitimate to get help to reach his very reasonable goal of having a healthy body image.

  • Hi, I had a reduction on one side also - in early August.  I have an appointment to see my surgeon in February to discuss getting the other side done - which she has said all along she's happy to do (COVID being the reason given for not doing both at the same time).  She did mention however, that some women never want to see her again!

    Despite having a painful complication - I developed a haematoma post surgery which has delayed radiotherapy - I will go forward with getting my other side 'done'.  I am finding the new breast quite hard to get used to really!  I am aware of the difference and I constantly change clothes to try and make it less visible.  My bra is quite skewed across my body and it's hard to sort out a bra that's comfortable for both breasts.

    So, the way I'm looking at it is if the NHS are happy to offer it, I wouldn't feel guilty.  As far as I'm aware, no women are waiting longer than they should be for surgery in my area.  If I knew that they were, I would probably feel differently. 

    xxx

  • Did you have a therapeutic mammoplasty on one ? I also had a haematoma. I kept telling the BC Nurse about the pain and the bruising, but she didn't seem to recognise what it actually was. Surgeon looked very shocked indeed when she eventually saw it and by that time I felt pretty ill and had fainted several times - again not taken on board as a bad sign by the Nurses.

  • If offered it, in your position I'd take it if I was OK with an op, especially as you do like the result. You've already dealt with a nasty cancer which must have been hell for you so why not have something of benefit to even up the score ? As I see it, the idea of surgery is to sort the cancer problem out and then put you back to the position, physically and mentally that you would be in were you not to have cancer. Taking part of your breast away means that the other one does need to match it, so surgeon will be putting you back to your correct shape - two breasts similar in size and shape, not different. Go for it happily and with no unnecessary guilt.

  • Thanks Jo 789. We are on a similar path. I had a post op haematoma that needed draining and was painful so the thought of going through that again is not pleasant. This also delayed my radiotherapy.  My surgeon has said they would happily reduce the other one but a part of me doesnt want to go there again. Probably a bit like childbirth - you say 'never again' and then number 2 is on the way. I have til February22 to decide.

  • Thanks Biddygirl. I have until Feb. 22 to make up my mind so will see how I live with the disparity.

  • Re-typing this as I'd replied to wrong comment!  Yes, I did Venicelagoon.  Haematomas are pretty awful aren't they? Mine's taken about 8 weeks to resolve itself. So painful.

  • Yes, we have short memories thankfully!  Glad to hear your radiotherapy and medication went/are going well. These are my next steps and I'm bracing myself.

    I asked my surgeon if getting the other side done would be as 'bad'.  She said I'd be very unlucky to get another haematoma but it's still quite a big operation and recovery time would be about the same.

    Good luck whatever you decide x

  • FormerMember
    FormerMember in reply to Atacs

    I've been offered a reconstruction / evening up on my other breast for next summer and will have a chance to discuss it in February.  I have 'survivor's guilt' and feel that I don't deserve this surgery when operating theatres are needed for people with serious problems, but at the same time I wonder how I'll feel if I make the decision to be wonky for the rest of my life and there's something inside me that thinks I'd be emotionally more comfortable having two breasts that look similar. Really can't make up my mind at the moment - will just have to wait and see and will keep checking on this thread to see if I get shifted one way or another.