Reconstructive Breast Surgery

Frequently Asked Questions

1. QUESTION:
   Do u know any doctors in the nj/pa region that do charity reconstructive breast surgery or groups that help?
   My aunt just had a cancerous lump removed from her breast, and was just informed today that they will have to remove the entire breast. She has basically no money, and the doctor that is working with her through a charity is not able to do reconstructive surgery. He says he will try to find someone who will work with the charity or another charity can both remove the breast AND do reconstructive surgery, as my aunt definitely cannot afford it. She lives in South Jersey, just outside of Philadelphia.

   • ANSWER:
     I would recommend getting in touch with the American Cancer Society at: http://www.cancer.org and also check with an organization called Cancer Care. Their website is: http://www.cancercare.org

     Both of these sites can also lead you to other info.

     One of my family members was just recently diagnosed with breast cancer so that's how I found out some of this information.

2. QUESTION:
   I'm having reconstructive breast surgery d/t breast cancer. Anyone had the diep procedure? Any advice?
   I have had a mastectomy d/t stage 3 breast cancer and want to have the diep reconstructive procedure. I am looking for advise from anyone who has had this procedure. Can you share anything about the surgery@ time off of work, realistic pain, time in the hospital, recovery time..was it worth it? Thanks!!!

   • ANSWER:
     I had the implants.
     Have you already had your mastectomy? I'm wondering why they didn't do the surgery all at once.
     I'm really just answering this to send you to this site:
     BREASTCANCER.ORG

     You will find thousands of registered women who are very active on the message boards there. It's an amazing place.
     If you're doing chemo, also check out
     CHEMOANGELS.COM
     it might be chemoangels.org..
     one other support place is The Lydia Project, just google it.
     Trust me, you will find everything you need to know on breastcancer.org.
     Head there and check it out!

3. QUESTION:
   during breast reconstructive surgery, what happens if the plastic surgeon drops the nipple?
   i noticed on a show about trans-gender people that they sewed a nipple on during surgery when either removing or giving the individual breasts. is it the original one or a new one? and what if they drop it do they rinse it off or something? seriously

   • ANSWER:
     I believe that falls into the 5 second rule.

4. QUESTION:
   my mum had reconstructive breast surgery (from the back) but still has pains in back, has anyone else had this?
   the reconstructive surgery was about 4 years ago and they told her that the pain would probably go once the skin and tissue has worn in. unfortunately it is still hurting her, she describes it as a tight digging pain down her left side, below her shoulder blade.

   her consultant (breast consultant who did the operation) says that she will now just have to live with it as a recent bone scan she had shows nothing out of the ordinary and all else externally looks ok.

   has any other woman experienced this, if so, what was the outcome. i think she should keep going on at her GP until they take a closer look.

   • ANSWER:
     I had breast reconstruction also but my pain & tightness is not in the back Its in the the reconstruction of the breast itself. I dont think the tightness & little pains will ever go away

5. QUESTION:
   Do they allow a 2nd tissue expander to continue expanding breast area for reconstructive surgery?
   They were not able to expand my tissue to be as large as my other breast and I would prefer not to have to have a drastic reduction. Can a 2nd expander be used to create a larger breast cavity before completing reconstructive surgery with implant? This would necessitate an additional surgery, however, and I wanted to know if there was any history of this having been accepted. If anyone else experienced this and found a solution besides a drastic breast reduction on the other side, I'd be greatly appreciative to find out any other options? Because I have Fibromyalgia, which is a conntective tissue disease, I can't do any of the "flaps". I can only use saline implants after having been expanded. Thanks...
   Yes they put in the tissue expander after a radical mastectomy. I think my original Plastic Surgeon (who was a man) wasn't concerned about my feelings or input (hense my "original Plastic Surgeon"), and didn't expand it as much as he should have prior to my radiation treatments; which caused a lot of scar tissue so it wasn't able to be expanded as much afterward. 3 times I was given 100 cc's of saline prior to the radiation; but I had plenty of time and opportunity to do more, I just wasn't aware that I should have. My new PS was only able to get 2 fillings of 50 cc's each time afterward; which were quite painful, but now everything is fine and my muscles and tendons, etc. have no problem. But she now says I will need a breast reduction on my left side, as well as a lift, to match the right side, because I am over expanded at this time. And, even at the expantion that I have now, once the expander is removed, the tissues actually shrink a bit and I'll be smaller yet. Any suggestions?

   • ANSWER:
     Hi,

     Sorry that you are having so many problems after surgery; while I am a man, had a couple of things - i understand this is a HUGE issue after surgery (have a couple of friends who have gone through it)

     as becky said - how about an inplant over the muscle?

     if that isn't going to work, there are a lot of prostetics out there that could be fitted so both breast match. when i was "young", a good friend of mine worked in this business - local company that specilized in "after surgery bras" etc. fitted correctly, you could not tell the difference.

     one link

     http://www.parkmastectomy.com/

     this doesn "help", if you are "sans clothes" but any person who loves you will not care if they are not "a set" [ and btw i have never seen a set that were 100% identical anyway]. If they do care, probably not someone you want to be with anyway.

     hope it was of some help, you might calll the local ACS to get more information:

     www.cancer.org

     Jewells
     29 months and still here

6. QUESTION:
   If you have reconstructive surgery does the tissue still behave the same?
   I you have reconstructive breast surgery after a mastectomy with tissue from you stomach does the flesh still behave like stomach tissue and put on more weight than breast tissue would?

   • ANSWER:
     I decided not to have reconstruction, but a self adhesive prosthesis. However I did do a lot of research before hand. All sites said it behaved exactly like breast tissue even after many years.

     All the best. feel free to contact me.

7. QUESTION:
   Has anyone had problems with reconstructive breast surgery?

   • ANSWER:
     Virtually any woman who must lose her breast to cancer can have it rebuilt through reconstructive surgery. But there are risks associated with any surgery and specific complications associated with this procedure.

     In general, the usual problems of surgery, such as bleeding, fluid collection, excessive scar tissue, or difficulties with anesthesia, can occur although they're relatively uncommon. And, as with any surgery, smokers should be advised that nicotine can delay healing, resulting in conspicuous scars and prolonged recovery. Occasionally, these complications are severe enough to require a second operation.

     If an implant is used, there is a remote possibility that an infection will develop, usually within the first two weeks following surgery. In some of these cases, the implant may need to be removed for several months until the infection clears. A new implant can later be inserted.

     The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or "scoring" of the scar tissue, or perhaps removal or replacement of the implant.

     Reconstruction has no known effect on the recurrence of disease in the breast, nor does it generally interfere with chemotherapy or radiation treatment, should cancer recur. Your surgeon may recommend continuation of periodic mammograms on both the reconstructed and the remaining normal breast. If your reconstruction involves an implant, be sure to go to a radiology center where technicians are experienced in the special techniques required to get a reliable x-ray of a breast reconstructed with an implant.

     Women who postpone reconstruction may go through a period of emotional readjustment. Just as it took time to get used to the loss of a breast, a woman may feel anxious and confused as she begins to think of the reconstructed breast as her own.

8. QUESTION:
   how do i get relief from muscle spasms after reconstructive breast surgery?

   • ANSWER:
     your doctor could evalutae for electrolyte disturbance and then consider muscle relaxants by prescription, good luck

9. QUESTION:
   How do I get reconstructive surgery on my breast?
   I suffered a mastectomy through no fault of my own last year, i have been advised that I will not get the surgery due to my weight but i do not think my weight is very bad and I am now made to feel like a freak. I just wish to get back to leading a normal active life, swimming etc which i do not feel confident enough to do. I hardly venture out of the house now as I feel everyone must know I have had surgery.

   • ANSWER:
     hey ive had a little look on breast reconstruction and i found some quite useful information that i think might help you with what your looking for good luck anyway frm jayne

10. QUESTION:
    Is there a doctor who will do breast reconstructive surgery on a cancer survivor for free?
    I am wondering if there are any doctors who donate their time to helping people who are uninsured. I had breast cancer 17 years ago. A quarter of my right breast was removed and I chose not to have a silicone implant (risk factor). Due to age and weight gain, I am very lopsided and would like to have breast reconstructive surgery done using the fat from my tummy. I tried to have this procedure done back when I had insurance, but I ended up having a pacemaker put in and my surgeon wouldn't do the surgery then. I have since lost my job and have no health insurance. Although this is not a life saving procedure I need, it is an emotional one that has torn up my self esteem real bad. Thanks!

    • ANSWER:
      If I were you I would check out some of the following avenues:

      1.) Susan G. Komen foundation and/or the American Cancer Society - see if they can offer any direction.
      2.) Check with your local Cancer Center or affiliated hospital to see if they can refer to any doctor that would do that or work with you on payments.
      3.) Check with a University Hospital where they may have Residents or some other program that may be looking for patients for different procedures. (I don't think I'm wording that correctly, LOL....not trying to make you sound like a guinea pig.)
      4.) Check with a teaching hospital or any facility to see if they ever use any of their surgeries for teaching, such as making educational "How To" videos, etc. Usually they "comp" those procedures.
      5.) Check for clinical trials that would have to do with reconstruction, as those services would be free.

      Hope this helps.

11. QUESTION:
    How soon can you go swimming after reconstructive surgery?
    I had breast reconstructive surgery on the 19th of August. Tomorrow my family is going to a water park, and my younger cousins will want me to go on the water slides with them... Is it safe to go? How long do you have to wait before you can go swimming again? Thanks.
    My doctor is on vacation this week, that's why I'm asking this question on here, lol.

    • ANSWER:
      Your not going to be able to do this over the week-end. It way to soon. You still have stitches and scars that need to heal. And I know from my own experience, you still have some pain. Why push it and go backwards. Maybe in a few more weeks would be a better time. Take care of yourself, this is one rough surgery.

12. QUESTION:
    Has anyone had reconstructive breast surgery after having radiation treatments? Lila K?
    The first reconstruction I had was in 1982 (no radiation). They took a muscle from my back and worked it under my arm leaving all vessels attached and formed a pocket for the implant. That smarted a bit. Had to take three months of theraphy so my arm would still work. Then in 2000 the tumor returned and I had to have radiation. My plastic surgeon said reconstruction can be done, but the new muscle would have to come from the stomach. He said it is similar to a tummy tuck, and you're good to go in about 6 weeks. Similar to a hysterectomy. Same rules, no stairs, no driving, no lifting. I saw a reconstruction from the tummy on TV about 2 years ago and it looked brutal. They had to leave all the vessels attached to give the new breast life, and they made an incision below the belly button, brought the muscle and attachments up through the stomach; made an incision in the middle of the chest and brought the muscle through there and made a new pocket for the implant. Dr. said no problem.

    • ANSWER:
      My friend had it after radiation. She really regretted it. She said she was in pain all the time and after the radiation she was just tire of the pain so she never had the other Breast done.I would never do it myself.But it is your choice as you know. Good luck to you.

13. QUESTION:
    After bi-lateral breast reconstruction surgery with implants, can I weight train my chest area?
    I have lost a lot of my upper body strength after having breast reconstructive surgery. I have started to work out again and am wondering if doing chest excercises will change the look of my reconstruction and also if I will gain my strength back.

    • ANSWER:
      Yes, you can. Not right after you have surgery, but ask your M.D. when you can. Let it heal properly first.

14. QUESTION:
    Reconstructive Surgery after Breast Cancer Lumpectomy?
    Has anyone had this done? If so are you pleased with the results? What was the recovery time? Was it an out patient surgery?

    • ANSWER:
      I've had augmentation due to a problem with my left breast. I am very please and recovery depends on an individual. I kept hearing nightmare stories, but I had NO PROBLEMS.

      This was done in a Dr office. Good luck and hang in there - everything will be OK.

15. QUESTION:
    Reconstructive surgery on the good breast!?
    my mum has had cancer twice on the same breast and now is considering reconstructive surgery on the "good breast" because its now alot bigger. so we are wondering if theres anyone out there whos had this done, can offer any advice about what to expect, scarring ect. she obviously has severe scaring on the cancerous breast and had alot of surgery so wants to know if its worth more operations and more scarring. all advice is welcome. Thank you

    • ANSWER:
      There are 4 different types of reconstructive breast surgery.

      If the good breast is bigger and she wants to match the other she can simply opt for a mastopexy which is a breast lift/reduction. Usually the scars are hidden under the mammary fold and form an "anchor" up to the areola/nipple area. If she wants to remove the entire breast she can opt for a Tram which is very extensive and is skin and muscle taken from the abdomen forming a more mature looking breast but this is a very lengthy surgery and requires much "down" time. She could also opt for latissimus dorsi flap but it also requires more than one surgery. Then she could remove the good breast and simply have a tissue expander put in and make visits to the surgeons office where they would provide expansion sessions using saline to pump up the breast through a port until she recieves a desired matching look( then the tissue expander is removed and a permanent smaller implant is placed)....
      If she has a good breast and is not in fear of cancer occurring in this area my suggestion would be to opt for the mastopexy( lift/reduction)
      Visit the ASAPS page for accredited plastic surgeons and do a search on lifts andf reductions for photos you can view. There is also a web site titled Makemeheal.com about personal experiences with plastic and reconstructive surgery. If you have further questions I would be more than glad to help you. Feel free to email me at okelliemae@hotmail.com. I have over 14 years in plastic and reconstructive surgery as a patient coordinator, esthetician and medical assistant.
      Good luck to you!

16. QUESTION:
    Has anyone had breast surgery after having kids?
    I have 2 kids, and I am 23. I am looking into having my breasts lifted. I normally am not one to look into implants, but I am thinking that I might need a small implant (b-c cup) just to reshape. Not sure....I breast fed both of mine and they just aren't hanging like the used to, and it really sucks. So, has anyone had reconstructive surgery after kids? Did you have just a lift or implant or both and how much did you pay?
    hmm.... I might think about that. I am going to schedule an appointment for a consultation to see what I might need.... I wouldn't normally think I need an implant, but after having two kids, I might need a small implant as well as a lift to give shape and perkiness....... BLAH! That is going to cost so much! I wish having kids didn't come with sagging, baggy boobies!!! haha! yuck!

    • ANSWER:
      Are you done having babies? Cause if not don't even bother.
      I had Breast augmentation (implants) after the birth of my son.
      I was 90lbs and had about a B cup. When I became pregnant I ballooned up to 169 and went to almost DDD cup. (Yikes! I know!)
      I now have a full D. I wish I had gotten the lift too because while the implants have helped fill them out it they are still "loose." Hehe!

      A lift is great if you don't want to go up a size, since it will tighten the skin but only your breast tissue will remain. Downside: don't plan on doing any nude modeling "jk." Because a lift leave you with an "anchor" scar. (around the bottom of the nip down to the crease and across)
      A typical Breast Augmentation depending on where you live (for a good surgeon) is going to cost you anywhere from 3,500 to 10,000. Average cost 4,000 to 6,000.

      I think it is well worth the money if it is something that bothers you.
      The only real difference is whether you would like larger breasts.

      Remember though, if you choose implants without a lift they will fill in some extra skin but you breasts will have more weight which later on can still cause some sagging.
      Happy boobies shopping! Hope this helps!!

17. QUESTION:
    After reconstructive surgery for breast cancer, I have developed . Now anxious as to recovery time.?
    It has been almost 4 weeks since I was hospitalized and almost died. I came home with an IV pump for antibiotics which I have completed. But I still feel so very weak and unmotivated, this is much different than recovering from a surgery. I can't seem to get an answer as to recovery time. This question is regarding MRSA
    MRSA, This was eliminated due to spelling. I have been out of the hospital 2 1/2 weeks and have finished IV with pump at home. I know how to recover from surgery but not this. I am weak and lethargic, it takes an act of congress (HA!) to dress each day. How long will this continue? No showers because of open wounds ans my hands are peeling! Am I a mess or what?!

    • ANSWER:
      I'm sorry about your illness and good luck.

      I think you will get better, but I believe it will take a good 3 months to "get up to par"

      Hope everything works out.

18. QUESTION:
    a question about breast cancer and reconstructive surgery.?
    my mother underwent a double masectomy and had the lymphnodes on her right side removed. the cemotherapy and radiation burnt her skin badly. when she began treatment for reconstruction they implanted bladders in her chest to slowly streatch the skin and of course it was very umcomfortable even painful. she has had trouble lifting her arms above her head and moving heavier objects around the house. will that problem get better, worse or stay the same after her surgey? I know it is impossible to say for sure, but anything you have to say would be appreciated, hopefully from those of you who have experience with this subject.

    • ANSWER:
      I had a double mastectomy in Dec. 05, then I had reconstructive surgery in April 06. The lymph nodes were removed from under my left arm. It takes months to recuperate.

      Since my breast cancer was caught early, I did not have to have chemo. Instead, I take Aromasin, a pill form of chemo.

      The pain will eventually subside. It is at it's worst now. Sometimes I feel shooting/stabbing pains in my "things" (that used to be breasts). Sometimes they feel as if they've fallen asleep. None of the pain I experience now is so bad that I need to be on pain pills.

      Tell your mom to take it easy. Don't push herself to do anything that makes her hurt worse. Keeping taking the pain meds until she no longer needs them. Tell her not to lift anything that's too heavy.

      Tell her to keep her chin up. We are survivors. It didn't kill us. We made it. God bless you both.

      to both of you.

19. QUESTION:
    what would cause a nipple reconstructive graft to not take?
    i recently had reconstructive breast surgery due to breast cancer. the last surgery was the reconstruction on the nipple, the procedure requires a skin graft, which did not take. now my surgeon says i will have to have them both redone after they first surgery heals. does anyone have any answers or thoughts on why they would not take. thank anyone who may have a thought.

    • ANSWER:
      A nipple graft involves taking skin from elsewhere in the body and moving it to the site of the nipple. The top layer of skin is removed from the reconstructed breast at the site of the nipple, and the graft attached in its place. Skin to create the nipple graft can be taken from the inner thigh, opposite nipple, labia, toe pulp, earlobe or part of the reconstruction scar. Nipple grafting may be supplemented with areolar tattooing to provide a natural looking colour to the nipple and surrounding darker skin. Disadvantages to nipple grafting are that the new graft is not transferred to the nipple site with a blood supply. Instead, it needs to establish a new blood supply from the reconstructed breast, which occasionally does not happen, resulting in graft failure. Also, grafts tend to flatten over time and, if hair-bearing skin is used to create the graft, hair will continue to grow from the new nipple. This can be treated with electrolysis or laser therapy.

20. QUESTION:
    has anyone had breast reduction surgery?
    Im 18 years old and i need reconstructive surgery on my right right breast, my health insurance will not cover it so i have to pay from my own pocket. I want this surgery very bad. If anyone has had this done and knows what it is like please let me know how much it will cost, how long your in the hospital for and how long the surgery and recovery are.
    Please, and thank you!

    • ANSWER:
      i am schedule for a breast reduction in october. it took me 6 years and 3 different insurances to finally be covered. the surgery is scheduled to take 4 hours and i will be in the hospital for 23 (out patient procedure). i believe i only have to pay my deductible, then it's covered at 100%. after one week, my stitches will be removed. then i can start doing light activities like walking, stationary bike. after 3-4 weeks, i can increase my activity level. feel free to contact me with any questions. i know a lot of people who have already had the reduction.

21. QUESTION:
    what is the best way to tell my male friend I lost a breast and have not had reconstructive surgery.?

    • ANSWER:
      Be honest. That is the best way. Tell him that you would like to talk to him about something that is serious and you think it is important that he should know. If he is truly a friend he will stand by you two breasts or one.

22. QUESTION:
    Can anyone help find a site on breast reconstruction surgery?
    My mother is a 6 year cancer survivor who has just decided to have reconstructive surgery. Because she has had surgery to her stomach she can not have the 'flap surgery' they are recommending 'skin stretching and implant surgery'. Does anyone have info on this or know where to find info on this type of reconstruction?

    • ANSWER:
      You can easily find information on the net all you have to do is broaden your search. I typed breast reconstruction surgery into Google
      http://www.google.com/search?q=breast+reconstruction+surgery&sourceid=ie7&rls=com.microsoft:en-US&ie=utf8&oe=utf8

      I did the same with Yahoo
      http://search.yahoo.com/search?fr=my-vert-web-bot?ei=UTF-8&p=breast%20reconstruction%20surgery&btn=Search

      Lets assume you cant find the "flap surgery" in these two sites so type flap surgery.
      As to where to find you will need to put in the search the name of your country or city.

      Good lick.

23. QUESTION:
    Why does my poop smell so awful after surgery?
    Smell so awful, and look almost black after surgery? Its a little difficult, afterwards it hurts, and I feel like I have to go more than I do. It was only breast reconstructive surgery so this isnt making any sense to me.

    • ANSWER:

24. QUESTION:
    Is it possible to get reconstructive surgery on breasts without noticeable difference in size?
    okay, i'm 16 and have tuberous breasts. PLEASE DONT TELL ME "HEY YOUR PROBABLY STILL JUST NOT DONE GROWING YET." yeah bullshit. they have looked the same for almost 4 years and are NOT round NOT full. they're narrow and look just like all the pictures. I plan on telling my mom this summer. but my question: Is it possible to reconstruct them with surgery to be rounder and normal looking with out haveing a noticable difference in size? I'm okay with having small breasts but I just wish I could fit my bras and bathing suits normallly.

    **I know it probably is not possible to have breast surgery till I'm 18 but I still very much want to know. and if any one knows the cost that would be great too. thank you

    • ANSWER:
      My sister has just had surgery to sort out her tuberous breasts, from what you've said you sound like you have it too.
      My sister had them corrected by: they cut around her nipple, and removed some of it (i don't know whether you have the same issue where your nipples too big?), then through the nipple they inserted a small implant to give her boobs a more breast-like round shape. It meant she had no scars, except for around her nipple but they are healing up really well, she actually has felt no pain at all - only discomfort. She is so unbelievably happy with the results, because it was something that really bothered her.
      Her boobs don't look any different in size in clothes, people only know shes had surgery because she told them! lol.
      So no, noone would know unless you said to them. Also, as its a condition, if you live in the UK you can get the surgery done for free on the NHS.

25. QUESTION:
    Is it true Australian Idol 2004 contestant/performer Ricki Lee Coulter had breast cancer, & had a mastectomy ?
    Or double mastectomy?

    Then later on had reconstructive breast surgery and implants, if thats correct?

    • ANSWER:
      I think that we would definately know from a magazine or newspaper if she had breast cancer. I am a member of her forum (www.ricki-leeforums.com) where she posts regularly and she would have let us know if she had breast cancer.
      She had told everyone about her fight with depression and her divorce, so I'm sure that if she had breast cancer (which she doesn't), then we would know.

26. QUESTION:
    Question re reconstructive surgery after mastectomy?
    My sister had a mastectomy following breast cancer several years ago and has recently decided to have reconstructive surgery.

    She knows that they are going to use muscle from her back to create the new breast but after this surgery she has to go back later for them to create the nipple.

    She didn't ask how they do this so I was wondering if anyone out there has had this done and can tell me what they do to make the nipple?
    Thank you all for your replies. It's been really helpful.

    • ANSWER:
      a flap of skin taken from another suitable area of the body may be used, usually from the inner thigh where the skin is usually darker. i was once told that a bit could be cut from the vaginal lips as that skin is more like the colour and texture of the nipple. if the skin colour doesnt exactly match then it could be tattooed to look the same.

      i hope the op goes well for your sister.

      have a look at this site it may give you some more answers.

      http://www.cancerbackup.org.uk/Treatments/Surgery/Breastreconstruction/reconstructingthenipple

27. QUESTION:
    Why is there a pea-sized lump in my breast?
    I'm only 17 and I just had breast reconstructive surgery a little over 2 weeks ago. I had cancer when I was little and one breast didn't grow at all (that's why i had the surgery). So I do have a breast implant on that side. Today when I was doing my massages, I found a pea-sized lump at the bottom of that breast, close to my armpit. I am completely freaked out now, should I go to the doctor or is this just a part of my implant?

    • ANSWER:
      it could well be a cyst.. which is no problem, they will just pierce it and drain it.. sometimes this does happen after breast reconstructive surgery as the scar sometimes heals slightly wrong.

      Is it a hard pea size lump? if it is then its a cyst, if not see ur doc asap and get him to diagnose it, if you had cancer when you were younger u dont want to risk anything!!

      Good luck and best wishes to you!

28. QUESTION:
    Please help resolve a moral dilemma: After my recent breast augmentation and vaginal reconstructive surgery..?
    Playboy has asked me to do a nude centerfold and pay me a very handsome sum for it. I could really use that money to help my charity "Children of Atheists International" but I know deep down in my heart posing nude would be a sin. Should I go ahead and sin to help out these poor unfortunate children? I would be the only one suffering and it would be for a good cause. What would you do?
    (((Gemini))) I haven't already sinned. God is OK with reconstructive surgery.

    • ANSWER:
      Go for it! I'm sure your God will forgive you.I didn't know they published a seniors edition.I'll keep an eye out.

29. QUESTION:
    My friend has just had her breast removed due to cancer and had reconstructive surgery and needs some advice?
    She has just had her nipple made and she can see what she presumes is white string where it was tied in surgery. Is this normal for this type of op, She is also very conscious of it protruding and the other one not. She really could do with going on to a forum but feels she can't face it that is why I said I would ask for her. She had her muscle taken from her back and pulled round to reconstruct and her arm and side continuously ache. She also has a little lump of surplus skin left level with her breast on her side. Can anyone offer any help or an email address she could speak to someone privately. Many thanks,

    • ANSWER:
      You are just the kind of supportive friend that every cancer patient needs. Your friend is very lucky.

      Probably her best advice would come from one of the Breast Cancer charities' helplines. Cancerbacup for instance has over 150 nurses working on its helpline, all giving excellent advice. Depending on where you live, there is bound to be a freephone number she can call for very helpful advice.

      Look on www.after-cancer.com/contacts for names of other charities - and best of luck. Do tell her that most patients having had her type of surgery have problems - but usually they are easily sorted out.

      Verite R

30. QUESTION:
    a dotor messed my breast up can i put something on the internet saying not to go to her, or do I need lawyer?
    I had reconstructive breast surgery because i had breast cancer and needed implants, I had follow up exams for my implants and my new doctor decided to "fix" my nipple, without telling me. She cut me open and everytime I went to her more things went wrong. It took 2 years to heal from all that she did. I also heard people in her office saying they weren't healing. I no longer see her but I wondered if it was okay to give others a warning. I would talk to a lawyer, but they never take my case because she gave all the lawyers in our surrounding area money so they don't fight her. Am I allowed to take things into my own hands?

    • ANSWER:
      Dear friend,
      I would suggest you to take advice from a good lawyer. I was also in an almost same situation as you are in. I got my problem solved with the help of usalegalcare.com. They
      offer good legal services.
      Just go to http://www.usalegalcare.com/ , fill their easy form and they will

      contact you very soon.
      Good luck

31. QUESTION:
    any breast cancer patients here that have had surgery?
    how has chemo,surgery, reconstructive surgery and radaiton affected your life. i have problems with my stomach and a choking feeling. also have problems with my feet. has anyone had these problems and do you continue to have these problems?

    • ANSWER:
      I had breast cancer and all lymph node removal. I had AC and Taxol chemo and 31 shots of radiotherapy. I finished treatment 2yrs ago. I have had terrible problems with my stomach for the past 2 yrs, been to my Dr a few times and she gave me different treatments but to no avail so a month ago I started a wheat free diet and I cannot believe the difference. I know a few people that have the same problem so it has to be the treatment that causes it. Also problems with my walk. I have to be careful, sometimes I feel as though I am going to fall. Tingling still occurs in my legs and hands. Feel free to e-mail me if you need any further info!

32. QUESTION:
    I have breast cancer and will have surgery soon?
    does having a lumpendectomy hurt? Does reconstructive surgery take a long time to get over?

    • ANSWER:
      I Have a Daughter who Had Breast Cancer 5 yrs. ago. She was 4I then. She had surgery, and radiation for several Months........Has been squeaky clean Since! We Are Thankful to God ( She claimed a Healing from Him) and Praise Him continously. She did no Chemo.....and was very active all along. Just Pray about It and Leave it in God's Hands. He is Able to deliver You, my dear. I will be Praying a Prayer cover over you also. Nothing is too Big for Him. Only Trust Him.. Amen > Jeremiah 33:3

      <> Victorious Prayer Warrior<>

33. QUESTION:
    Reconstructive brest surgery, Will Aetna cover brest surgery?
    every since I was in middle school I have been having problems with breast They have always been really big. I since then I have lost weight and now I have extra skin, irritation under my breast and soreness all the time in my breast. I just wanted to know if I wanted to get breast surgery will my insureance cover it.

    • ANSWER:
      I disagree with the others who have answered you. I had the same problem you did AND got my insurance to pay for the reduction mammoplasty (breast reduction). It did however take a fight; had to appeal several times, but keep fighting! This is not a cosmetic surgery, it a reconstructive surgery and most insurances can't hardly get out of paying for these although they will try and try and a lot of people just give up after getting denied a couple of times. Don't give up! You will have to have documented evidence that they are causing you problems such as neck/back pain, indentations in your shoulders from your bra straps, rash/irritation under your breasts, etc. I went from a DDD to a D in 2 hours! (fastest 5 lbs I ever lost!) You don't say how old you are. If you are still young, I would wait a little while. I had mine done when I was 26. They did grow even more when I got out of high school so I'm glad I waited. Good luck to you, I'm telling you if you are persistant and give them a fight, you can get this done!

      Add on: I have no clue where you live but on this website for Davis Plastic Surgery in North Carolina it says this:

      Breast reduction is usually performed for physical relief rather than cosmetic improvement only, although it will dramatically enhance your appearance and self-esteem. Activities are usually limited with large breasts, and many women who have had the procedure begin to be more active physically and socially.

      Most insurance companies will pay for a breast reduction procedure to be performed. Check your policy and determination of benefits. It may be necessary to provide documentation of the following:
      · History of pain, 6months or more
      · Alternative methods tried to deal with pain i.e. chiropractor, physical therapy, special support bras, pain medication
      · Documentation of difficulty sleeping, breathing, and exercising
      · Documentation of skin rashes such as intertrigo

      Although all these conditions may exist, it is formally up to your insurance company to approve your procedure. To find out if your plan covers breast reduction CLICK HERE. We do accept payment in full for breast reduction for those who do not have insurance. Out of pocket cost for the procedure is between 00 and 00.

      The following insurance plans are what Aesthetic & Reconstructive Plastic Surgery accepts:

      · BCBS www.bcbsnc.com
      · Wellpath www.wellpath.com
      · Cigna www.cigna.com
      · Doctors Health Plan
      · Aetna www.aetna.com
      · First Health
      · Mamsi www.mamsi.com
      · Mailhandlers
      · Medcost www.medcost.com
      · Partners
      · Trigon www.trigon.com
      · United Healthcare www.unitedhealthcare.com

      Please call for other insurance companies that do not appear on this list.

      Examples of procedures that insurance will possibly cover:
      Breast Reduction
      Breast Reconstruction
      Skin Cancer Evaluation and Removal Hernia Repair

      Please Contact your insurance company for determination of benefits.

      Ok, so I know you probably don't live in North Carolina, and that Aetna has many different plans, but this at least shows you that they do pay for this procedure so that does give you some hope. I really think these insurance companies just try to see how far they can push you. They will almost definitely deny this surgery for you. When I went to see my plastic surgeon his office told me that BCBS paid for this surgery all the time at their office, but they assured me I would get still get a denial letter, or 3, or 5! Most people give up after one denial and say well, they won't pay for it, guess I won't have the surgery! Appeal, appeal, appeal! As many times as it takes. You can get this done with patience and time. And trust me, in the meantime, those boobs aren't going anywhere, unfortunately. I wish you the best of luck, I know exactly how you feel in an age where women are spending that same amount of money to get bigger boobs!

34. QUESTION:
    Breast surgery?
    Does anyone have any idea, approximately, how many hours it takes to do complete mastectomy with concurrent reconstructive surgery?

    • ANSWER:
      It really depends on what your having done the flap, inplants etc. Usually six to eight hours.

      FYI,

      Breast reconstruction following mastectomy
      How many procedures and how much time is required to complete all of the reconstruction ... with implants and takes more time, usually six to eight hours. ...
      cancer.sutterhealth.org/information/.../breast_reconstruction.html - 70k - Cached

35. QUESTION:
    Breast implants linked to suicide risk? What is right about this article?
    I saw this headline: "Breast implants linked to suicide risk" and this byline in the LA Times: "A report says that women who have had the increasingly popular surgery are three times more likely to kill themselves later."

    Personally, I hate the idea of risking your life to have bigger breasts, or any type of elective surgery but I'm the practical sort and hate hospitals (I'm not referring to reconstructive breast surgery for breast cancer survivors).

    -But something about this study didn't sound right. What is the percentage of women who killed themselves who had other types of cosmetic surgery, or is it just this type of cosmetic surgery?
    -What are the rates of suicide among women who consider breast surgery, but decide not to have it done?
    -This surgery was suppose to help women feel better about themselves...or is this just a scam to prey on women's fears?

    http://www.latimes.com/news/nationworld/nation/la-sci-implants8aug08,1,1047827.story?ctrack=1&cset=true

    • ANSWER:
      Evidently there is a lack of psychological screening prior to surgery - not just in the USA but in Australia too. I always assumed that pre-surgery counselling was mandated - surprise, surprise, it's NOT. Not all plastic surgeons are created equal - as a surgeon you can hang a shingle on your door with no training specific to this field (in Ontario, saw a news story 'bout this). Regulation of this highly profitable industry is lacking - and so it should come as no surprise that assessing patients' motives for surgery and expectations are not explored. According to the following Aussie article 'women who had breast reductions reported high rates of satisfaction ...People who had rhinoplasty, or nose-jobs, or facial work had more mixed results.' This problem is not limited to narcissistic, 'stuck-up women', as at least one poster here has erroneously implied. Body dysmorphic disorder is found in both genders, and I would hazard a guess that a helluvalot of male BODY BUILDERS are afflicted:

      'One in 10 people who undergo elective plastic surgery may experience psychological problems afterwards, according to Melbourne researchers.

      A review of 37 studies into cosmetic procedures and their outcomes for 3542 patients showed that young men, those with a history of depression and people with unrealistic expectations were at risk.

      "People with a psychological condition called body dysmorphic disorder (BDD), characterised by an obsession with an imagined physical defect, were over-represented among cosmetic surgery patients, said Professor Castle.

      "As psychiatrists we see people with body dysmorphic disorder who have commonly had surgery," he said. "They are referred to us because they have been so unhappy with the outcome or gone back and back to the surgeon or have even tried to do plastic surgery on themselves."

      Up to 2 per cent of the population suffer from BDD, but surveys suggest that 7 to 15 per cent of cosmetic surgery patients have the condition...

      "It is almost by definition that they'd be unhappy with the surgery because the surgery itself cannot deal with psychological problems,"...

36. QUESTION:
    Drinking before surgery?
    I'm having some reconstructive breast surgery on Tuesday morning. I have a few friends coming over tonight and was wondering if it would be a danger to have a few drinks with them. It is Saturday night, 3 days prior to surgery. Thanks everyone.
    And by drinking I mean alcohol. No wine, just girly beer.
    I'm healthy and clean as a whistle. No diabetes or allergies. I have had 6 times in my life that I have been put under and all were successful. I'm 19, so I am still young.

    Overall I am extremely healthy, never had any serious problems other than a common cold.

    • ANSWER:

37. QUESTION:
    What should I get for a co-worker who is about to have surgery?
    My co-worker is leaving tomorrow to go have surgery. She had breast cancer last year and is now going for reconstructive surgery and will be away for a few months. We'd like to get her something to brighten her day, but nothing too personal. We need to present it to her at lunch tomorrow and we'd like it to be something that she can keep, so flowers are out.

    Any ideas?

    • ANSWER:
      Books on tape.

      NetFlix subscription.

      Gift certificate for Mighty Maids or some other home service.

      Subscription to fruit or cheese of the month club.

38. QUESTION:
    Is it legal to have a weekly wage garnishment and a quarterly bank levy on the same account at the same time?
    I'll fess up my wife had reconstructive breast surgery last year and we fell behind. One secured line of credit went to a collections agency (name withheld) and we have just completed payment.

    But during the payback cycle, they used both a weekly wage garnishment and quarterly bank levies at the same time. This caused all kinds of problems with extra bank fees and check bounces. I could live with one hit but two?

    I need to know if this is legal.

    • ANSWER:
      Yes it is

39. QUESTION:
    How do I go about getting breast/nipple reconstruction surgery?
    I am 17 years old, and I got burned when I was young, about 4 years old. It was with boiling water, and I had skin grafts done. One on my arm, and another on my chest. I do not want to get rid of my skin grafts, those I'm fine with keeping. What I want to reconstruct are my nipples/areola area. They were left a bit misshapen and deformed, especially on my right breast. Would my insurance cover such surgery because it was caused by burns when I was younger? If not, about how much would surgery of this kind cost? Also, how do I go about getting this kind of surgery? I know you can't get plastic surgery underage of 18(i don't know if this is considered "plastic surgery"), but I'm not really looking to get this kind of surgery until a bit older so I can save up in case insurance doesn't cover. I just want to get a basic idea of cost, and information about reconstructive surgery. Thank you for your help and answers!

    • ANSWER:

40. QUESTION:
    Breast Reduction Surgery Candidate?
    So Ive figured out the first step is to get a doctor set up with my new insurance... I've only used my dental so far. When I was 16 I jumped from a 36b (small b) to a 36/38 ddd. and as of now im not sure what my actual size is... i can never find a bra beyond ddd that fits my smaller frame than boobs... when i was 16 also i became sick a lot from migraines. when my mom found out i was skipping school she said fine you think you're sick well take you to the ER and see what the doctor thinks. i told him that the back of my neck hurt and it made my whole head hurt, eventually id be dizzy and nauseous.... sometimes i cant even go to work because of this... now a days... i still have migraines. no medications will kill them.... ive tried every single kind of migraine med out there... new and old. my bra straps dig into me all the time... it hurts.. .even the "support" ones... ive tried most of those. i weigh usually between 165 and 195... if i go below 165... i look almost anorexic... right now id say im 185, and with a tiny little bit of fat on my stomach and i work out on a regular basis and hold a active job that im constantly moving with extra weight (moving boxes and 60lb bags of plastic material.) my back has hurt since i was 16... my shoulders, my lower back, along my spine... even my hips hurt sometimes... my feet...

    ive been embarassed to ever tell a doctor... i feel like some kind of misfit... i want to get an appointment with a doctor asap... i just know im going to break down in tears though while im telling him that im not even 23 and in this much pain... i quit smoking because i know it works better for the surgery... i have to smoke weed daily... its the only way ive been able to cope with this pain i feel on a daily basis even when trying to sleep because i have horrible insomnia from pain and the mental anguise it puts me through. the only thing that puts me to sleep... i dont know what else to say... except im about to be 23 next month and ive been dealing with this for almost 7 years... i dont think i can do another 7... my chest takes up more than half my torse... more like 2/3.... i'm only 5'2"/3"

    how do i explain this to my doctor... and is there a way to get all the visits ive been to previously with my other insurance company for my migraines that would help as proof... or maybe would photos that the doctor could take for me to be approved for 100% covered "reconstructive surgery"

    PS> I currently have Regence for state of WA

    I live in Seattle... any good surgeons anyone would suggest in the WA state area?
    Im at least a 36DDD.... When i was 16 in a week my breast jumped from a small b to that... since then... i have gone to get sized and they said an e at least they couldnt get no bigger... that was at jcpennys i believe when i was 19.
    im not looking to change the back size... i know that... my tummy and everything else is in shape...
    im not looking on the internet... im looking through regence im asking people if they know of any good ones for people who have had it... yes... issues mentally with it i do have... how would you like unwanted attention and no one ever looking at your face? meanwhile i cant even talk to my doctor about it because im embarassed to mention my breast... my bras last a month or so as well... ive been wanting this for years....

    oh and i only started smoking weed because the vicodin and t3s stopped working.... they dont affect me at all i cant stop until i can get rid of this or i cant sleep at all. the pain is unbearable i work 12 hours a day and go to school for mechanical engineering...
    heres a picture
    i have money ins. is not an issue with it..... if they cover it great if not oh well... its just embarassing going to a doctor to see... when i take my bra off my boobs touch my lap when sitting. but when i lift them up ive got almost a 4 pack underneath..ill send pictures to someone if they want... you can email me from here...
    im very scared of surgery.... thats why ive been waiting soooo long... im scared of the doctor... not while im there but after i leave talking about my um... things... i know confidentiality is in practice but gossip is still liked... im sick of wearing shirts that just make me look fat when im not, just so people c ant see... and talk to me for me... u know... it hurts to do anything now a days. my doctor when i was 16 said my migraines were caused by force weight from something... i was always wearing huge shirts because i was embarassed in school...

    • ANSWER:
      If you have back pain, a reduction would greatly benefit you. I had this done Feb 2006, insurance covered it all, and I do not regret it one bit.

41. QUESTION:
    Do modest saline breast implants feel real?
    I had to have reconstructive surgery on my breasts a year ago and have 275cc implants (b cup so not really obvious).. to make a long story short I want to have sex with my boyfriend (of 4 months) but I'm afraid to or even just let him touch them when we're messing around because I don't want him to know.. will it be obvious to him when he touches me that they are fake?

    • ANSWER:
      Hi
      To be honest I am not an expert but did have a girlfriend years ago who had saline implants. She had a c cup. I could not tell the difference except for what she pointed out to me. If things feel different to you is it because you are aware of the implants? Then, consider the fact that he does not know they are implants and probably will never know unless you tell him. My former girlfriend advised me that the implants were harder than they should have been...but if she did not tell me I would never have noticed.
      Remember that we always judge ourselves harsher, notice things or make a bigger deal over things that others think are just fine or do not notice.
      I hope that helps
      Lee

42. QUESTION:
    I went through mastectomy 2 months ago and reconstructive surgery at the same time. Need some help!?
    I am 32 years old and unfortunately I went through mastectomy (breast cancer) amd I went through reconstructive surgery at the same time. However, I have small breasts and the reconstructed breast which is filled with saline water may get bigger than the other one and there would be a complete asymmetry. I am thinking of augmenting and lifting my healthy breast as well in order to make them look as similar as possible. However, I've been through lots of pain and I don't know if I want to go through this again. On the other hand, I am young and I want to feel good with my body. Is augmentation and lift really painful? ONLY SERIOUS ANSWERS PLEASE...I'd prefer personal experience. Thank you!

    • ANSWER:
      You can't base your decisions on other people, unfortunately. In your particular case, you are still early in the healing process for a plastic surgeon to be able to adequately assess what could or should be done as far as augmentation and lift. That's also the best and only person to consult on the matter. The reconstructed breast could be adjusted to match the size of the other side if it's necessary, once you are more healed and the scars and everything have settled. You might want to consider also that augmentation might make it difficult for you to detect a lump, God Forbid, should one develop. The pain of the procedure would be very similar to what you have just experienced as well, as would the recovery. But to get the best information for you, you will really need to consult with a plastic surgeon. In fact, I would suggest the one who did the reconstruction in the first place as ideal, if that's possible. That would save you having to deal with two doctors sending notes and records back and forth, as well as having to make all the explanations. You'd have a doctor who is already familiar with your body and history. Now, as far as how you feel about yourself- you are still somewhat in shock and adapting to life after a mastectomy. There should be a mastectomy support group near you, where you can talk with other ladies who have traveled your road. They are the best collective intelligence I know of to get the answers you need, from folks you can see and trust. Your doctor should also know how to contact them, if not, the patient advocate at the hospital, patient services or a web search should find one for you. Before you go nuts doing this alone, get in contact with the support group. For the record, you will reach a point where you can feel good about yourself and your new look. It takes time, and it takes healing, both mentally and physically. Hang in there, see the plastic surgeon and get with the group. Good luck.

43. QUESTION:
    Malpractice for breast augmentation?
    I had augmentation two years ago, They bottomed out BIG time. I had the same doctor fix them, they are better, but they are STILL bottomed out. My Dr. said that it was "me" the way my body is and that's why they are saggy. I got a second opinion recently and she told me she would have to do breast RECONSTRUCTIVE surgery as if I were a breast cancer patient. Apparently my last Dr. made the pocket TOO LOW and TOO BIG. And now I'm paying the price, IDK if it can even be fixed, but my new Dr. will try. My ? is, if I can prove he did it wrong, do I have a malpractice case?

    • ANSWER:

44. QUESTION:
    Parents, would you allow your child to get cosmetic, non-reconstructive surgery?
    My younger cousin goes to a wealthy school where, according to her, many of the girls have had nose jobs and breast implants.
    I'm not talking about reconstructive surgery - where you might fix a nose that had been broken, or repair scars, or fix a deformity or whatever.
    So, my question is - would you allow your child (obviously under 18) to get cosmetic, non-reconstructive surgery done?
    Thanks! Please be honest.
    By the way, my cousin doesn't want it done (or at least, she hasn't told me if she does). This is just out of curiosity.

    • ANSWER:
      I had a breast augmentation at age 17 and my sister had hers done at 17 too. We had no problems with it and it actually worked out better for us having it at such an age because it did not interfere with our collegiate cheerleading.

      I really do not see a problem with it if done after 16. In reality, having plastic surgery is no different than parents getting braces for their kids when they are teenagers because they have a few small gaps in their teeth. Most people that get braces do not need them and only get them for a minor cosmetic adjustment.

      We live in a world where looks dominate. We can preach about inter beauty being most important, but the fact we have to say interbeauty is most important means its not most important in the minds of most.

45. QUESTION:
    Will I be able to find employment after breast cancer?
    I recently had stage 3 breast cancer and I had surgery and now going through Chemotherapy, once the chemo is finished I will have to go through radiation, after that's all over with I will have reconstructive surgery. Now I have already been told that the cancer was removed successfully and I'm so worried I won't be able to find work once all is said and done. Will employers want to hire me if they know that I had breast cancer?
    as far as my age, I will be 40 in December.

    • ANSWER:
      This is something that has been on my mind too. I am going to assume that you are in your 40/50's as I am too which already puts us behind the eight ball. I am currently working and worked my way through my treatment but do feel like I am stuck in this job now as I am unemployable. Legally they can't not employ me because of the breast cancer but we all know that what is legal and what actually happens are two different things. I do believe that if a job came down to two applicants, one of which was us and one of which was a woman with the same skills but no cancer history then they would choose the other woman. I have to say that I probably would too if it were my business. People want to employ someone who isn't going to get ill and need time off, it's that simple.

      I like to think that even though this may be the case there is a job out there for us, I just think that it may take a bit longer to find. Eventually someone will see beyond the cancer and give us a go, just be prepared for a few disappointments first. As to whether or not to tell a prospective employer well I wouldn't unless they ask you to do a medical.

      Good luck to you with both your treatment and the job hunting.

46. QUESTION:
    Will a modest breast implant(saline) feel natural to guys?
    I had a tumor removed from one of my breasts, and wanted to get reconstructive surgery. Being that this is my reason for getting implants- i am getting a modest size. Do they feel real?

    • ANSWER:
      felt a few- they feel very nice- had a friend had a ruptured silicone-very nasty - you are making the right choice.

47. QUESTION:
    Mastectomy / Reconstructive surgery - low blood count?
    My very best friend who is 35 y/o was diagnoses with HER2 positive
    breast cancer and had a mastectomy a little over a month ago. The
    surgeon who performed her mastectomy told her that she did not need
    radiation. The Radiational Oncologist is insisting that she does need
    radiation, her second opinion told her that she did not need the
    radiation. She is now ready for her reconstructive surgery and the plastic surgeon is
    telling her that she can not have any surgery until her blood levels
    come up. Please help me understand this. This whole thing has not only
    been an eye opener, but a learning experience for me as I take the
    journey with her! So, she had the mastectomy while her levels were low,
    so what is the difference? Can't she have a blood transfusion? Any help
    you can provide will be greatly appreciated! Thank you all!!

    • ANSWER:
      The reason that the Plastic Surgeon is so concerned about her blood count being low is because the work that they do for reconstruction is much more invasive depending on the kind of reconstruction she chooses to have done for reconstructing the breast.

      However, I would recommend that she get another opinion from another Plastic Surgeon to see what they say.

48. QUESTION:
    Mastectomy / Reconstructive Surgery - low blood levels?
    My very best friend who is 35 y/o was diagnoses with HER2 positive
    breast cancer and had a mastectomy a little over a month ago. The
    surgeon who performed her mastectomy told her that she did not need
    radiation. The Radiational Oncologist is insisting that she does need
    radiation, her second opinion told her that she did not need the
    radiation. She is now ready for her reconstructive surgery and the plastic surgeon is
    telling her that she can not have any surgery until her blood levels
    come up. Please help me understand this. This whole thing has not only
    been an eye opener, but a learning experience for me as I take the
    journey with her! So, she had the mastectomy while her levels were low,
    so what is the difference? Can't she have a blood transfusion? Any help
    you can provide will be greatly appreciated! Thank you all!!

    • ANSWER:
      I'm not clear on what "blood levels" the plastic surgeon is talking about. If he's referring to her white blood count being low, it would indeed be important to wait until her WBC is restored to normal levels before pursuing any further surgery, including reconstructive, to reduce the risk of infection following surgery.

      I can certainly understand your wondering why, if your friend had the mastectomy while her blood levels were low, she can't have the *reconstructive* surgery while they're low. I suspect that it's because of the *HER2-Positive* factor that they took the risk of the mastectomy surgery, despite her blood levels not being the best. That's because HER-2-Positive tumors are usually very aggressive, and breast surgeons usually like to perform the mastectomy as quickly as possible, to reduce the chances of the breast cancer becoming *invasive.* If the tumor has already become invasive, then they still like to perform the mastectomy as quickly as possible when the tumor has any characteristics of being especially aggressive.

      Since reconstructive surgery is "elective" (but insurance companies are legally required to pay for them following mastectomies) and not due to any "serious" or "life-threatening" situation, the doctors may well be less likely to put your friend at the sort of risks they felt they had to in quickly performing the mastectomy.

      As for the different opinions amongst the doctors concerning the need for radiation, lack of agreement is not uncommon, especially if the size of her tumor was on the "cusp" of recommended guidelines. For example, if radiation is recommended for BC tumors *larger than* than 1 cm., and your friend's tumor is 1 cm. on the button, there is likely to be disagreement amongst the medical professionals, some thinking that since the tumor *isn't* larger than 1 cm., radiation isn't necessary, while others may feel that the size is close enough to the cut-off that radiation would be the more prudent approach.

      I am sorry your friend is having to deal with all this. She is so fortunate to have a friend like you to walk this journey with her.

      Sending all good thoughts and best wishes to you both.

49. QUESTION:
    How big are 450cc breast implants?
    I am having a reconstructive surgery in a week to try and even out my breast size. My real side is currently about a D and the doctor is putting in a 450cc silicone implant on the real side and and matching the implant in the other side so they will be the same size. How big will this make me? I am on the heavier side so I dont think they are going to be TOO big...opinions?

    • ANSWER:
      They´ll be big enough, around DD

50. QUESTION:
    Does blue cross blue shield of Tennessee cover reconstructive surgery?
    When i was 17 i found a mass in my left breast, went to the doctor to get it checked out. To make sure it wasn't cancer they wanted to take it out and also due to the amount it had grown in such a short amount of time. Now i have a huge scar about 2 inches long but that not the part that bothers me what bothers me a lot is there is access skin and sagging. I'm only 20 i shouldn't have that! whats it going to be like once i have a kid. My right breast is ok it fits perfect in my bra but on the left side the skin hangs over and i know it sounds gorse and some of you will make fun of me but i have to tuck. So what im asking is do they cover reconstructive surgery and do you think they will cover it?

    • ANSWER:
      Do they have a website? I would look it up and/or call their customer service number and inquire to them. Since it's not causing an medical issue, I would have to say they probably don't, but only the insurance company can tell you for sure. Best wishes!