Questions and any advice for straight to implant reconstruction?
Looking for advice and suggestions on how to be best prepared for my surgery and any other questions I should consider for my PS.
Two weeks ago I had a lumpectomy bilateral reduction. Love my new breasts. Sadly, the left reduction tissue was chock full of DCIS. The more you know… right?
I get to heal for a couple of months and look forward to a uni-left mastectomy and straight to implant reconstruction.
I decided not to consider any of the flap surgeries. I’ve had three back surgeries and altering my core muscles in any way is a bad idea.
I have an excellent PS and breast surgeon. They both feel that they can scoop everything out and get me a nipple sparing mastectomy with immediate implant insertion.
The PS is aiming for a 650ish ML implant. I’m now a C+ or D down from DDD - thank god for the reduction!!! She’s going to place over the muscle and use Alloderm.
The only reason I’d have an expander is if they don’t get good circulation/profusion. Won’t know until day of. So I’d sign off on the immediate reconstruction but could wake up without a nipple and possibly an expander.
She wants to go back in about 6-12 months and do lipo/fat graft from my tummy to hide the shelf and smooth out the dips yes please! That gives me time to settle in, work out and reduce my own belly before she shapes the bulge I hate. Lemons to lemonade!
Am I missing anything here?
I just haven’t seen anyone go straight to an implant that large. It could be they are comfortable as they have been in my chest once and know what to expect. Plus my breast surgeon is phenomenal.