Reconstruction revision due to necrosis
I was diagnosed stage zero DCIS this past April, and because of a benign surgical issue I had two years ago on the other side, opted for bilateral mastectomy with direct to implant reconstruction. I know I chose the nuclear option, but I wanted the least chance of recurrence possible. On the morning of the surgery, I was terrified going in, but I knew I was in good hands. My surgeons were pleased with how well everything went. I was pleasantly surprised with how fast I healed in terms of mobility, and actually really liked my new silhouette. I also got the great news that my cancer is gone and that my pathology looks good.
However, about a week after my drains came out, I began having signs of ischemia, and nipple necrosis, on the side that did not have cancer. So…a little more than three weeks after my initial surgery, I was back in the operating room for explant surgery, wound debridement, which turned into a large portion, including the NAC and lower section of breast skin being removed. The good news was that the wound was able to be closed, and my PS said I will have options going forward. I currently have a wound vac for about a week, and I know I have a long route ahead of me - he said it will be at least three months to heal before we can discuss beginning reconstruction again.
Despite the fact tgat I remind myself constantly about the positives I have to be thankful for, I am weepy whenever I look down. I know everyone's cancer and reconstruction journey is different, but has anyone had something similar and been able to do another implant down the road? I would like to avoid flap surgery for numerous reasons, including recovery time, and the fact that I would then have one breast that will age with me, and another that will not. Any input or words of encouragement would be truly appreciated.