Advice would be appreciated on breast reconstructive surgery.

Hi, sorry about your diagnosis, such a bewildering time at the very start.  I also had a mastectomy late last year and like most people had to make the decision on reconstruction whilst still reeling from the diagnosis.  I found the decision really tough, I felt a huge pressure to go flat (no idea why) but after sitting with it for a week or so, I made a list of what I definitely wouldn't be prepared to have which I felt more sure of.  I realised that the Diep reconstruction later on down the line was a definite no for me purely because of the length of the operation (it terrified me), so my only chance of having reconstruction was at the same time as the mastectomy (and it could always be removed it I didn't like it).  I also knew I didn't want to go down the expander route with all the extra hospital visits that would entail.  The operation went smoothly and I am really pleased with the result, it is simply a mound (that does not budge and has no nipple!) and I had no problems healing.  Had chemo and I have just completed radiotherapy and so far, apart from it feeling a little firmer than it did, the implant seems not to have been affected too much.  It was the right decision for me definitely.  Any questions, ask away - you'll come to a decision that is right for you - we are all so individual xx

So sorry to hear of your diagnosis. It's such a lot of information and decisions to make in such a short space of time. I had a mastectomy of the left breast on the 23rd of June with an immediate implant reconstruction. It's called a Becker implant and is permanent but can be inflated/deflated to achieve correct size over time. It's such a personal decision but for me personally, I wanted the shortest surgery with the shortest recovery time. I am pleased with the result and am quite large chested. It's definitely worth talking to your surgeon in detail and also your breast care nurse. I have just started chemotherapy, so it's worked well for me to have healed as quickly possible to get underway with that treatment. Please don't hesitate to ask if you have any questions. Sending hugs x

Thank you for replying. I’m glad it’s all gone fine for you. What is it that you had? What is the mound made from? 

I’m torn between an implant, purely because I have 2 young children (2&5) so I’d like the healing time to be quick as possible. 
And between a diep, the idea of it being my own fat just seems more normal but the healing process is much longer  

I definitely feel pressure to make a decision, in the sense that I want it all over and done with because I’m opting for reconstruction at the time of the mastectomy 

Hey moomin48. thanks so much for replying. I’ve not even read about your option. 
Thankfully, I think,  I’m quite small chested. Straight away, I thought, I want a diep. But with 2 young children I’m thinking I have to take the easy option of an implant. 
i’m putting pressure on myself because getting back to normality, (hoping I don’t need chemo or radiotherapy) is my biggest priority for the kids. 
xx

I had an immediate reconstruction with a silicone implant, I believe the diep is a much more natural result but a bigger op with more scarring elsewhere.  One thing worth mentioning is there’s no natural fall when I lean forward to match the other boob so that’s a bit odd, but it doesn’t really bother me.  Also the implant does have to be replaced/taken out after 10/15 years, not sure if that would factor in your decision making x 

It really is a lot to decide and it's important to consider both options. The implant is quicker but still has it's risks and recovery time. You will most likely be discharged with a drain for a couple of weeks, dressing changes etc. I don't know a great deal about DIEP but it being your own tissue the result should be more natural and permanent. Although a bigger recovery and hospital time. Hopefully you have friends and family who could help if you needed support during recovery. Xx

Hi WH1982, I had a single mastectomy with DIEP reconstruction 7 weeks ago and I feel fine and back to normal all activities wise. I am much older than you (58) and I don't regret doing it. Yes, it's an 8 hour surgery, but you will be in very capable hands. My new breast looks very natural and I was told it will continue to improve both feel and look wise. Like the other ladies said, it's a very personal decision. Go with your instinct and do what you feel is right for you. The very best of luck with whatever you decide! xx 

It definitely does factor in. 

hence why I’m considering the diep. Both my kids were C section and in reality i didn’t take as long as they clinically advised to get a little normality back. 
can I compare my C sections to a piece of fat taken from my stomach? 
My macmillan nurse is calling me tomorrow. I have a list of questions.

That’s so good to hear. Thank you. 
Do you mind asking where you had the flap from? 

I do have great support, my biggest concern are my kids. Having to get them up and ready for school, school pick ups. I’m putting so much on others around me. 
it’s upsetting that I feel guilty for asking so much. 
I feel like I’m to make a decision to make life easier for everyone else.