Can I turn a mastectomy & hysterectomy into a mommy makeover? BRCA2+ (photo)
Doctor Answers 9
A Lot of Surgeries!
Of course, eventually you could have an #abdominoplasty and #breastimplants in a #mommymakeover to recreate the body you once had. However, a #mastectomy and #hysterectomy are both very invasive procedures and I would recommend waiting before pursuing more cosmetic procedures. Surgeries take their toll on the body. If you can wait, I would give yourself some time to recover before your mommy makeover.
Consult a #boardcertified plastic surgeon in person for more details.
Yes you can but.....
You can make lemonade: reducing your cancer risk and a beautiful body are within your reach!
First, I wish you the best in reducing your risk of breast cancer and ovarian cancer with preventive surgery. Half the battle is won simply by identifying your risk, which you have. Second, the question is how to achieve a beautiful result safely and effectively...that is, to make the "lemonade".
First, analysis: your photos demonstrate a bulge due to "rectus diastasis" which is separation and stretching of the 6-pack ab muscles - this stretching was caused by your prior two pregnancies. You otherwise appear to be slim and trim and the bulge is emphatically not excess fatty tissue. If you had enough abdominal fat then you'd be a candidate for breast reconstruction with DIEP flaps (a DIEP flap refers to the transfer of lower tummy tissue to rebuild, most commonly, the breast.) The bad news is that you almost certainly don't have enough excess fat to rebuild both breasts to any significant cup size. Not only is the TRAM flap (which transfers the tummy tissue but sacrifices your 6-pack ab muscles entirely) an outdated procedure, but it is simply a bad idea as it would take away all core abdominal strength (i.e. no "boat pose in yoga, and even getting out of bed is challenging) and it would potentially worsen your bulge or even put you at risk for hernia.
The good news is that your rectus diastasis is correctable by extending your C-section scar, performing a mini-tummy tuck and tightening your core muscles back to where they used to be. You likely also have a small umbilical hernia (a small hole in the muscle layer where your belly button is), and this can be repaired during muscle tightening. This will give you a beautiful abdominal contour without the sacrifice of muscle strength.
With regard to your breasts, I would likely recommend teardrop shaped implants placed above the pectoralis muscle and supported by acellular dermal matrix - this is a cutting edge breast reconstruction technique called "pre-pectoral implant reconstruction" that is gaining popularity. If you want your own tissue for reconstruction then you'd likely be a candidate for the love handle flap (which my colleagues and I developed at Johns Hopkins). The downside of love handle flaps is that it would have to be done separate from your abdominal work, whereas breast implants can be placed at the time of your mastectomy and abdominal work, thus saving you a surgery and recovery. All in all, with the right surgeon on your side you can achieve beautiful results.
All my best in your search!- Dr. Rad
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Mommy make-over with BRCA2 prophylactic mastectomy and ovariectomy?
- This is an excellent question and the answer is quite complex.
- I am sorry you have to go through this but glad we live at a time where enough is know so you are protected from these cancers.
- You clearly will benefit from a tummy tuck. But to do it at the time of the other procedures, depends on what kind of breast reconstruction you choose - expander/implants, muscle flap, free flap.
- There are pros and cons to each - a muscle flap gives a prettier result but if taken from the abdomen, the abdomen in weakened.
- With an expander implant, you can have a standard tummy tuck - if the other surgeons approve in advance.
- I suggest you ask your BRCA2 surgeons, consult one or more plastic surgeons about your reconstruction and be guided by your surgeons and by what reconstruction you feel is best for you.
Removal of Ovaries and Breasts, and Lemonade
Best of luck to you.
Can you get your mommy makeover done via BRCA reconstruction
Can I turn a mastectomy & hysterectomy into a mommy makeover?
Can I make the best of an unfortunate situation?
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