Reconstruction decisions

southwest Member Posts: 2
edited March 2014 in Breast Cancer #1
I am a 59 year old female just biopsied for calcification clusters x2 in a breast that had breast cancer 3 years ago and was treated with lumpectomy, radiation and chemo. The surgeon says if this is hyperplasia or a recurrance I should consider bilateral mastectomies. I'm trying to decide if i want implants or a tram. Help!


  • Sandis
    Sandis Member Posts: 85
    I had a bilateral mastectomy with tram flap reconstruction two years ago. I'm very happy with the results. the surgery was difficult but I recovered quickly and am glad I had it done. I'm sure others are happy with their implants and some are not happy with their decisions, so I guess its just very personal. When you speak to the plastic surgeon she/he can help you know if you are a good candidate for each procedure. I definately have a peace of mind to have bilateral mastectomy and have no regrets. Sandi
  • littlelindalu
    littlelindalu Member Posts: 25
    It is up to you as this is your body. Both choices have their advantages and disadvantages. The implant surgery is shorter, but you will be replacing implants whenever they fail -- so you are looking at a number of repeat surgeries during your lifetime with implants. The body tissue transfer surgeries tend to mean that you are done (except that you will need a shorter follow up surgery within the 1st yr) but they are a lot longer and have several incisions to heal. You can look them all up on the internet to see what each procedure involves before making your decision.
  • tlmac
    tlmac Member Posts: 272 Member
    If you're considering options, you might want to look into the DIEP flap. Proponents claim less pain and less down time. It also saves the abdominal muscles.
    Good luck.
  • SanFranciscan
    SanFranciscan Member Posts: 9
    I'm 54 and had a bilateral mastectomy with immediate DIEP reconstruction a year ago. I'm very pleased with the results. However, the surgery is more complex than a TRAM, and can be longer -- I was in surgery for over 12 hours. My recovery was smooth, with no problems, and I was able to resume gentle yoga 2 weeks after the surgery. It's a very personal decision -- the most important factor to me was to have a "natural feeling" breast that would still be "all me" so that guided my decision. I also had enough stomach fat to construct 2 breasts making me a good candidate for the procedure. If I hadn't been able to find a good doctor to perform the DIEP, I would have gone with the TRAM. Best of luck to you whatever decision you make.