Should I or shouldn’t I have a DIEP reconstruction

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Hi I have only used this forum once and that was years ago so a bit unsure whether this is the right place to ask for advice.

background 

right mastectomy in 2021. I was told I couldn’t have a reconstruction because I was a diabetic and I smoked.

my oncologist did refer me to plastics for an opinion. At that time I had lost quite a bit of weight due to chemotherapy and she said that I didn’t have enough fat for a reconstruction and I needed to give up smoking before they even consider it. So I resigned myself to live without one even though hate my body now.

i asked to be referred a few months ago as I had a dog ear I wanted removing. By then I had given up smoking but was still using a inhalator which still gives in nicotine. I had also put on weight.

the plastic surgeon saw me, she told me I could have a DIEP reconstruction but I would have to stop using the inhalator fair enough. I was told to stop using the inhalator and phone and speak to the nurses when I had stopped for 4 weeks. I am still using it at the moment.

I don’t know what do do now as I am now 64 and wondering whether I am too old to go through this. I have asked my friends and they said I am the only person who can decide. My husband thinks I should have it as he is aware how much I hate my body, but is it a long surgery. I attended a short on line seminar with others that were waiting for surgery but I still don’t know what to do.

sorry this a bit long winded, but I was just wondering whether anyone had any thoughts about this.

Disco Queen.

  • I had immediate DIEP after mastectomy - it took approx 8 hours. So take off about 2 hours for mastectomy - about 6 hours. 

    Good luck deciding. 

    Mine failed but not many do xx

  • Thanks for your reply. Sorry it didn’t work out for you. X

  • Hi Disco Queen!
    I had my mastectomy with reconstruction Diep flap and reduction on the other side on June 2nd, so one week today!
    It wasn’t a walk in the park, but 7 days on and I’m making small gains every day.

    It sounds like the nicotene is winning at the moment, and I’m not making any judgment (as a former smoker). I quit in 2014 and I went cold turkey. I had a nicorette inhaler but couldn’t quite give it up. In the end I filled a jar full of fag ends and water, and every time I wanted a fag, I took the lid off and had a sniff….it worked for me! Have you tried NHS app, or your GP? The app gives you a way to reduce your inhaler use day by day and lots of encouragement and support. 

    You’re not too old and it could make a positive change for you. It’s not a walk in the park at first, having wounds to your stomach and breast, but after the first few days you are able to shower and dress. Very slowly. I stayed in hospital 5 days in total, and the nurses and staff were wonderful.

    I’m at home now and since yesterday haven’t needed pain killers. 
    The surgeon said the reconstruction would be a little sore, I think the stomach was a bit worse. Coughing, sneezing and doing a number 2 was the main topic of concern on my ward of 4 ladies.

    Its so hard to quit nicotine, but remember your strength. You’ve already dealt with cancer. Wishing you the very best and good luck xxx

  • Thank you for your reply Kerry Cake. I found it really helpful.


    I think continuing to use the inhalator is my way of not making a decision. I only use one cartridge every 24 hours so after 4 hours not much nicotine left. I came down with a cold today and it’s on my chest so I haven’t used it since early this morning. So hopefully this will help me stop.


    It was nice of you say I am not too old as that was a big concern of mine.

    i think I will phone the breast reconstruction nurse tomorrow and discuss things with her.

    thanks again 

    Disco Queen 

  • Hi - I had DIEP flap surgery back in March and I'm 73, albeit a life-long non smoker, fit and very active.  It is big surgery which taxes the body and does take months to recover from, so I remained focused on the future and having that lovely new boob and a much flatter tummy!  I also followed my surgeon's advice to the letter because after all it is a mutual partnership of trust and a will to succeed.

    Only you can decide it is true, but for me, I hated how I looked without a boob and having to constantly wrestle a prosthesis which had a mind of its own.  

    My very best wishes to you.

  • Thank you for replying to my post

    It was nice to hear from someone older as I keep thinking I am too old now. 

    I feel the same about my body. I hate the prosthesis and the bras. I have put pockets in some of my old bras and they are better. 
    I feel very self conscious when I am in a swimsuit. 
    I have stopped using the inhalator 2 weeks now so I will phone the nurse when it is 4 weeks as advised by the doctor . Not sure what the waiting time is but probably well over 1 year. The doctor said I will need a CT of my stomach to check everything is ok. 
    then I will have to wait. 

    thanks again