I am 38 years old and just had a bi-lateral mastectomy 6 weeks ago at Moffitt. I had DCIS with a strong family history. First let me say that my first thought was not what I was going to look like after the surgery, but was to save my life. That should be your number one concern. You should never believe that your breasts define who you are in any way shape or form. Your health should be your very first concern.
The scars are large because they have to scrape all your breast tissue out and it would not be possible to get all the tissue without opening your breasts up completely. The scars fade and can pretty much disappear if use something like Maderma. If you have not had surgery yet, you should really think about getting it done sooner than later. You do not want to have to go through chemo and radiation if you don't have to. The longer you wait, the greater your chances are of having to go through that and it also prolongs your recovery and reconstruction process.
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Posted to "after" photos of bilateral mastectomy using skin sparing technique on 19 Aug 2011