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*Treatment results may vary

Lumpectomy and new implant - 1 week post

Surgery was about 1 week ago. Lumpectomy of what was originally a 1.8cm tumor, which had shrunk from chemo, as well as removal of at least 2 lymph nodes. My plastic surgeon's original plan was to remove one of my existing implants, and insert a tissue expander. On the morning of surgery, he told me he'd done reading of studies that indicated my forthcoming radiation treatment would not be in fact a risk to my implant, so perhaps we go straight to implant replacement? I agreed, aware this may come with complications, but we can address with another surgery down the track. We may have to do another surgery anyway, to make sure the two breasts are symmetrical. You can clearly see the droop on the left breast (which I don't mind).

After surgery, my doctor told me he had put in a smaller implant than my original 310cc. I'm seeing him tomorrow for follow up and will find out then how much smaller we went, and what the plan is from here,

Nov 2023: Three years post surgery + lumpectomy in December

Three years since lift and implants. Scars have properly faded and I'm still very happy with the work.

Just finished 4x rounds of chemotherapy. In December I'll have lumpectomy surgery to remove the tumor, which is at a 1 o'clock position on my left breast.

As I will need to have radiation treatment in January, the plan is to remove one of my breast implants and replace it with a tissue spacer. This is because radiation does not play well with silicon implants, and can distort them, and also your skin. So my surgical team (surgical oncologist + plastic surgeon) have advised that we'll access the implant and my tumor via my existing surgical scars, take the existing implant out, take out the tumor and some surrounding tissue, put in the tissue expander, and then do radiation.

In 6 months time, my new plastic surgeon and I will look at reconstruction and replacement with new implants.

I had some concern about if new implants would make it difficult to find any future tumors, but the plan is for me to get annual MRIs for awhile, which will show up anything suspicious. They also said tumors are more likely to appear on the outer circumference of the breast, and not directly behind the implant on the chest wall.

I am quite sad that I'm about to get scarred up again after my original work healed so well, but am optimistic that it'll heal well again.

August 2023: Breast cancer surgery revisions to come

It's been almost 3 years, very good years, with my post-surgery look and implants. Been very happy. Healed well.

Unfortunately, I was diagnosed last month with early stage breast cancer.

I will document here what this means for my existing implants, and a possible reconstruction.

Details:
- 39 years old
- Found the lump myself on the outer upper curve of my left breast, a small round lump, like a marble
- Triple positive intraductal carcinoma, stage 2A (a tumour <2cm, and lymph node involvement)
- Negative for the BRCA gene
- Treatment plan will start with chemotherapy, and then we go to surgery incl. lumpectomy, lymph node removal, and 'breast conservation' and then radiation

I have a surgeon, who specializes in both oncology and cosmetics. He's advised we are likely going to need to remove my implants while we do radiation treatment, and we can look at adding new implants back when we do reconstruction down the track.

He also mentioned he'd use my existing implant scars to perform the lumpectomy, which is cool, but also annoying given how well they've healed...and now I have to go through it all again. But a relatively small price.

Provider Review

Dr. Steven P. Davison, DDS, MD, FACS
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