I had a lumpectomy on right breast followed by radiation last year 2018 for DCIS and was diagnosed with another DCIS by biopsy Oct 21, 2019 post MRI same on right breast. I am a BRCA2 mutation gene carrier so I decided to go for double mastectomy this time as all medical team had advised me since they found I was a gene carrier last year.
I just came back after I saw my OS and PS today to plan for double mastectomy and immediate breast reconstruction. I preferred to have Diep Flap if I have enough tissue in my tummy because it is my own tissue and I think it will be more natural and comfortable in a long run. I think it is worthy even with longer period of recovery after longer surgery but my PS said my boob size will be 2/3 or half if I do Diep flap as I don't have enough tummy to donate. I am 5'4" (163 cm) and 121 pounds (55 kg).
They seemed to advise me to go for implant reconstruction if I want to have adequate size of boobs and my PS said she might have to use some latissimus to replace radiated tissue in right breast. My skin has recovered very well over 1 year after radiation last year but my PS was worried about delayed healing and infection with implant option.
I could not decide what I can choose so they gave me a week. I will see them again next Wed.
I prefer Diep Flap if my boobs won't be too small after the surgery. I am 48 and size of my bra is 32B. I love playing golf in Summer. I play golf almost everyday whenever I am off. I am a nurse and work 12 hr shift so I have day off 3-4 days/wk.
What I am worried about if I go for implant reconstruction is I might feel uncomfortable with implant and might have to have another surgery in 10-20 years (?) to replace old ones. The benefit with implant is better looking with bigger size that I am interested in but my activities with golfing is also important as well.
Can you please advise me or share with your experience to help me to decide ?
I would like to link youtube videos of Diep Flap surgery and I think it is useful for those who would like to watch the whole surgery but someone might not tolerate to watch this.
3/27/2018, DCIS, Right, <1cm, Stage 0, Grade 2
5/1/2018 Lumpectomy: Right
6/12/2018 Whole-breast: Breast
10/21/2019, DCIS, Right, Stage 0, Grade 3
Log in to post a reply