High-handed surgeon pushing me to have cosmetic procedure

FormerMember
FormerMember
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Hi all, please bear with me, this takes a while to explain.  Re-reading it sounds a bit unhinged but this is my experience.  

I was diagnosed with an 8mm tumour found in a cluster of calcifications on one side only.  My NHS surgeon who also  has a private plastic surgery practice rushed me through my options of different kinds of incisions in our consultation,  emphasising how superior the full lifting option was, aesthetically.  He was proposing to lift the breast, and take the tumour out, which is high up, above my nipple.  My other side, left a bit floppy (which he pointed out, using the word floppy) after breastfeeding would have stayed the same, which was fine by me.  I did ask if it wouldn’t have looked even worse, but was told there was no time to do it.  Whatever!  Keen not to have more surgery than I needed, I didn’t complain.  After the consultation I was very unhappy about all this extra surgery on the cancer side that didn’t seem that necessary for a pretty simple lumpectomy.  My breasts are not perfect but they’re ok, I just wanted the cancer out. 


On the day of the surgery, he told me they’d be doing both boobs in full recon style - areola cut off and reattached, tucks and reshaping.  I signed the permissions etc, me and a nurse in my cubicle with this brusque surgeon telling me what was going to happen.  I asked about sensation in nipple being lost - yes it probably will be partly or fully  - and recovery times - no real information.  Plus two drains put in.  I was shocked and scared.

At the last minute I said ‘hang on a minute, is there some way of doing this without cutting so much and taking my nipples off’ and he showed me a much more simple op, with one incision just around the top of my areola.  He gave me the choice and some time to think about it and after discussing it with the nurses and my Mum on the phone, I decided to have the simpler operation, probably a tenth of the amount of incisions.  This was an amazingly stressful moment for me, I felt vulnerable and unsure. 

 I’m recovering well so far - a bit different and sore post op on one side, no drain, minimal incision.  The imperfect boobs I’ve lived with for ages since having my daughter are still mostly there, for the time being anyway, and I’m so glad I had the courage to stand up to that guy’s railroading. 

What is going on?  How many other women have been subjected to unnecessary surgery like this?  I can 100% understand it if you have more radical procedures, am in no way meaning to denigrate those who need and want reconstruction, but mine was relatively simple.  I know it sounds paranoid but Is he training junior surgeons on NHS patients to work in his private plastic surgery practice?  Is it a financial thing?  Surely the full breast uplift costs the NHS way more than a simple incision?  Your thoughts would be welcome, I find this disturbing and would like to know if I’m the only person who does?!  Thank you for reading.  X

  • Well done you!!  Clap  good call !

    did you just end up having a lumpectomy ?? 

    its always good to make an informed choice, and not a rushed one either . I think I’d be totally happy with what you went for, and ended up with .

  • FormerMember
    FormerMember in reply to Deb3112

    Hi yes I just had a lumpectomy / sentinel node biopsy with a simple incision around the top of my areola and most of the scarring inside.  I’m happy with that too, but disturbed by how easily I could have been pushed into a much more complicated procedure just for aesthetics. 

  • FormerMember
    FormerMember

    Has no one else experienced this or has any comments to make?

  • From your description it sounds as if the surgeon was initially planning a therapeutic mammoplasty, which is a lumpectomy combined with breast reshaping. I think this is an option which is offered dependent on the size/position of the tumour and size of breast, but it wasn't something that I was offered when I had a lumpectomy & sentinel node biopsy. I've seen posts here from people who have had this procedure though and have been pleased with the results so you may get more comments after the christmas break as it's been fairly quiet on here today.  

  • FormerMember
    FormerMember in reply to LalaLou

    Thanks Lalalou!  I feel a bit like I’m ranting into the void here!  Maybe I’m the only one who finds this strange?  Weird.  

  • FormerMember
    FormerMember in reply to LalaLou

    I think what shocked me most about he whole thing was the surgeon’s attitude - he assumed I’d submit to his suggested MO and seemed surprised to be questioned  - there was no proper conversation about what I wanted, and in my second consultation he went ahead and drew lines on my breasts without asking for my consent or explaining what he was doing.  I’m a self employed solo mum, recovery time is everything.  Sure I’d like a nice pair of symmetrical boobs, but I’m in my 50s and to me it’s a total side-issue.  He appeared to be far more concerned about the aesthetics than the tumour removal.  

  • Hello Stringbean. I'm very shocked to read your story. It's such a stressful time right before surgery even without any curve balls. It doesn't seem right that you were rushed through your options. It's a big decision. Then to be told last minute that he's going to be doing a different operation to what had been agreed sounds totally unacceptable. Having just had a mastectomy myself this week I would have been beside myself!! Well done you for speaking up at such a vulnerable time and sorry you had to go through such trauma. Best wishes x

  • FormerMember
    FormerMember in reply to Pangles

    Thank you so much Pangles!  Yes it was unbelievably stressful.  I realise sometimes clinical decisions can’t be made by patients and obvs respect his experience, but I needed to know his priorities were in the right place, and I didn’t think they were.  I just looked at your bio and we had the op on the same day.  I hope you’re recovering well.  Lots of love and happy Christmas! XXX 

  • Thank you. Recovery will be babysteps I think, and hopefully everything will be a bit easier once my drain is removed on the 29th. I hope you're able to put your bad experience behind you and focus on healing. Merry Christmas to you too Heart 

  • Hi, I had 3 options presented to me by my surgeon and at no point did I feel pressured to make a decision. He took time to explain the various pros and cons to me and I felt happy with my ultimate decisions, which like you, was the least invasive option.  I am sorry you felt pressured and glad you made the call at the last minute, though that does sound pretty stressful. Hope you are recovering well

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