Am I crazy to consider a DIEP this far out?
My bilateral mastectomy was in 2010 when I was 44. Not skin or nipple sparing - wouldn't want to have "spared" any of the breast with the worse problems, that's for sure. Back then, I was adamant I did not want to discuss reconstruction because I was so afraid of dying and I did not want to miss an extra minute with my kids (2 and 3 when I was diagnosed) by giving time to a surgical recovery. I also didn't think I'd mind being flat, which for the most part I have not.
But now I'm finding myself wondering. I'm finally off the aromatase inhibitor and feeling more like an adult woman again. It's almost like going through a second, milder puberty being off that thing. I think I might want breasts. I would not consider implants, and I'm really not keen on the idea of losing a chunk of muscle because I'm fairly athletic. I'm also not keen on the idea of big breasts - I'd want someone to respect my wish for small ones. I was super skinny back in 2010, but I have a little belly now. Is this sounding like a situation where a DIEP is an option? Am I nuts?
And second part of my question, does anybody know a surgeon who does a high volume of DIEPs and would respect a woman's wishes about wanting small breasts who is in Phoenix, Denver, or Texas? I'm in New Mexico, and while we do have a lot of good doctors here, we have a skeleton of a healthcare system and few choices compared to other places. I'm not sure I trust the surgeon here who was recommended to me. How did you choose your plastic surgeon if you are in major metro area and actually have choices?