Log in to post a reply
Nov 15, 2019 07:47AM
You have a big decision to make!
I have bilateral mastectomy, with Alloderm, with pre pectoral reconstruction. I had tissue expanders for 3 months, then exchange surgery. I had Mentor memory gel smooth high profile implants, with fat grafting on exchange. That was a virtually painless surgery. I have really thin skin and no upper body fat so my right implant started to slip. 9 months later, I was having a total hysterectomy and BSO and at that time I swapped out the implants for smaller Mentor smooth moderate plus implants. They did not want to do fat grafting or too much pocket work at the time because that would be too much surgery and a really tough recovery. So I did a 4th surgery 4 months later as the right side needed pocket work and I needed fat grafting.
I am pretty darn happy with my results. I wound up a little fuller than my original pre menopausal size. I would suggest “trying on" different sizers with your plastic surgeon before getting your expander fills, if that is the route you go. The expanders, when expanded, are different than breast implants so it was difficult for me to assess the projection and the overall look of the implant. If I had to do it all over again, that is the one thing I would do differently!
As for the itch, during recovery there is the nerve regeneration itch. I found slapping (I know, it sounds funny) myself where it was itching helped. On rare instances I get the implant itch. Usually it is kind of under the implant and a combination of a slap and learning to gently kind of itch the spot under the implant works for me.
For me, I am super happy I chose reconstruction. I was 51 at diagnosis. In good shape and active. And for me, pre pectoral implants were 100% the way to go. If you do choose pre pectoral please make sure your surgeon does a lot of them with good success. Not everyone is a candidate for them and it is a tricky procedure.
Good luck! I hope whatever decision you make is a great one for you! Keep us posted!!
ATM Gene Mutation, Deletion. IDC w/Lobular Features and Focal Mucinous Features. Pre Pectoral Reconstruction. Hysterectomy
4/6/2018 Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement
5/6/2018 Arimidex (anastrozole)
7/3/2018 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant
4/30/2019 Prophylactic ovary removal
4/30/2019 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant
8/6/2019 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting