Reconctructive surgery - a couple of questions for my new breast friends?

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Vegas
Regular Member


Date Joined Oct 2006
Total Posts : 41
   Posted 11/11/2006 8:58 AM (GMT -7)   
Okay, got some good news yesterday, my hormone tests came back ER 99% positive and HER2 o.5% negative. I am post menopausal - any thoughts about which hormone drugs are the best with the least amount of side effects? And what are the side effects? No one has told me anything about that yet.
 
On reconstruction - any thoughts about whether it is better to do it right away or later? Pluses and minuses? I would really like to do it right away, but may have a problem getting a good plastic surgeon any time soon. And I certainly do not want to delay the surgery any more than I have to. So I want to know how much to press the issue or if I should just not worry about it.
 
Second question on reconstruction - on implants - pluses and minuses of silicone gel or saline from those who have done this?
 
Thanks so much for helping me with this ladies - I am trying to keep myself so busy making decisions and plans that I do not have time to freak.
 
What else should I be doing right now? I cannot get in to see the plastic surgeon until Thursday the 16th. What should I be asking him?

barkyboys
Veteran Member


Date Joined Jul 2003
Total Posts : 1564
   Posted 11/13/2006 4:29 PM (GMT -7)   
Well, I had reconstructive surgery at the same time as mastectomy, but I must say, some of the best looking reconstructions I have seen were done on people who waited. The doctors told me I would have better results if the surgeries were done at the time of the mastectomy.

Surgery was long, doing them together. And then I think I wasn't fully healed when I started chemo just three weeks post surgery. However, there is only one round of anesthesia, one stay in the hospital...my husband was concerned that I would never have the reconstruction if I waited, and he may have been right.

I had TRAMflap, so I can't speak for implants...do they even do silicone implants anymore???

Good luck in your decision.


BEV

jpann39
Regular Member


Date Joined Nov 2006
Total Posts : 71
   Posted 11/13/2006 5:55 PM (GMT -7)   
Diane,
 
What test did they do that you got the results back so fast?
 
darn I dont understand all of this...
 
I see my surgeon again tomorrow so I sure hope he can tell me something....
 
Im stressed so bad today
 

Candy
Veteran Member


Date Joined Jul 2003
Total Posts : 1294
   Posted 11/14/2006 5:51 AM (GMT -7)   

Diane,

I had reconstruction started right away.  I had tissue expansion with silicone implant surgery.  It took over a year to be finished but it is done and I am somewhat happy with it.  I have to say though that if I had waited, and I should have, I would not have had it done.  It was just too much too quickly to make a decision. But, we are all different and we need to research and make our own decisions.  Remember it is YOUR decision. 

They use silicone for reconstruction purposes.  The FDA requried silicone implant makers to test the implants for 10 years and then approved the use of silicone for reconstruction.  When I had my implants implanted two years ago I was part of the study but now the  FDA gave their approval.  I have not had any problems with the implant, at least not any more than anybody with any type of implant.  I was not able to consider the TRAM because I am diabetic and they did not want to mess around with the circulatory system. 

Hope this helps.  Hang in there and make good decisions.

Hugs,

Candy


Two are better than one, because they have a good return for their work: if one falls down, his friend can help him up.  Ecclesiastes 4:9-10
 


Vegas
Regular Member


Date Joined Oct 2006
Total Posts : 41
   Posted 11/14/2006 1:30 PM (GMT -7)   
Hi Candy,
 
If you had to do it over again, would you not have reconstruction at all or would you have decided on a different kind? What did you not like about your implant? Did you do one or two and did you have the other breast enhanced to match? Did you have a skin sparing mastectomy? I really was thinking the silicone implant and I was pondering doing a double mastectomy as well.
 
Hi Bev, I am afraid if I wait I will dread the remaining surgery more than if I know at least the worst is behind me. Why do you think the best reconstructions were on those who waited? Because of waiting or because then they were able to get their surgeon of choice to perform the surgery?
 
 
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