Finished stage 1 breast cancer treatment & all medication - can I have a round 2 BBL?

Question

If I had stage one Brest cancer finished chemotherapy and bilateral mastectomy, can I have a bbl round 2? Done with treatment.

Ajaya Kashyap, MD · Answer

Thank-you for your query! If you are in otherwise good health and have physiologically recovered from your chemotherapy, you should be able to undergo the procedure. You have to, of course, discuss this with your Oncologist before planning the procedure.  Please find an experienced Board certified Plastic surgeon who can help you with all your concerns. All the best!

Alexander Hamers, MD · Answer

Dear Lovesnowbunny2020, you should at least wait a minimum of 6 month after a chemotherapy before considering any major elective surgery and a fat grafting. If your GY or breast surgeon deems you fit and healthy enough, and your 6 month follow up on the breast cancer was ok, and you feel ready, you can go for a round 2

Zoran Potparic, MD · Answer

Providing that your WBC count is within normal range and your health stable, there should be no reason why not to proceed with BBL. It is best to clear this issue with your oncologyst and plastic surgeon. Good luck.

Daniel Barrett, MD · Answer

Dear lovesnowbunny2020,
it is hard to tell for sure without an examination. You will need to get clearance from your doctor prior to surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

Yes you can have round 2 BBL, but best to obtain written medical/oncological clearances. Also better to use boarded private practice Plastic surgeons. My fee $6,000 ranges. Please virtual consult with....

Mats Hagstrom, MD (license on probation) · Answer

All patients with breast cancer must take consideration of reconstructive options currently and in the future into consideration before having cosmetic surgical procedures.
Facial aesthetics are a different topic but anything relating to the torso or thighs need to be recognized as being potential building blocks for breast reconstruction.
Your situation is complex and to have a better understanding and be able to serve your needs we need for greater amounts of information.
This is far for me yes or no type question.
First and foremost we need to know if you’ve had re construction if so what type and how did it turn out.
For women who choose implant reconstruction they need to recognize that sometimes implant reconstruction can fail over the long haul by the formation of capsular contractions which can become recurrent and cause a low quality aesthetic outcome. when implant reconstruction fails autologous tissue reconstruction is the only option left.
Perhaps you’ve had autologous tissue reconstruction but did not mention it.
Removing fat from the lower abdomen would be a tragic mistake if this was the ideal tissue to use to reconstruct your breast now or in the future.
The same is true of doing liposuction on your back or potentially inner thigh.
I would think that after bilateral mastectomy’s reconstruction of your breast would be first on your agenda. Considering that it’s an insurance covered operation and can help restore your body including giving tummy tuck like results on the abdomen it should be given number one priority.
Perhaps you’ve opted not to have reconstruction.
I’ve had several patients who’ve gone that route and not want their body to look better. Ignoring the mastectomy and trying to get a slimmer waist seems pointless but I’m happy to work with anybody as long as they are well-informed and are making intelligent choices with a clear understanding of alternatives and what may be necessary in the future.
Before letting anybody do any intervention on the areas of your body that are potential sources for reconstructive tissue think through your long-term strategies and always always always have a back up plan if your first choice of reconstruction doesn’t work out well.
Well you mentioned chemotherapy you did not mention if you needed radiation.
Radiation has a big impact on what can be done surgically and would be an important part of the equation.
To give you any type of valuable information we absolutely need to see quality pictures and I would encourage you to put the well-being of reconstructive options first and foremost on your list of priorities.
Some individuals are good candidates for a BBL and some are not. Patients often do not know themselves if that is a good procedure for them. There’s also not that many plastic surgeons who can perform the BBL consistently with high-quality results. A lot of providers create cartoon caricatures like bodies that are far from being feminine and not attractive while others do clumsy work completely ignoring the basic concepts of an attractive feminine body.
First and foremost is to have a solid plan with back up for your breast reconstruction options.
Secondly do you need an assessment to see if it BBL is even a good procedure for you.
Thirdly if you are a candidate you’ll need to find a provider who can perform the procedure well and has a proven track record with quality outcomes.
Most plastic surgeons are not particularly good at either Liposuction or fat transfer. There are plenty who are good but unfortunately the procedure is sometimes not taken seriously and people think of it as simplistic and easy when in reality mastering both Liposuction and fat transfer is one of the hardest procedures to master in the field of plastic surgery.
Those who do with the best work recognize the steep and long learning curve finally figuring out how to get quality results consistently and being able to accurately predict exactly what each patient will look like. that skill is required in the process of making an assessment.
If you’ve not spoken to plastic surgeons about breast reconstruction and that is first on your list.
Some plastic surgeons may steer all patients towards implant reconstruction because it’s faster, easier and is financially a potentially viable operation.
How tall is Tisha reconstruction such as a TRAM flap or DIEP flap are often more commonly performed add academic medical centers. They are more involved complex operations but conserve as a far greater option in terms of delivering quality natural results for the long term.
All options have to be explored and discussed whether the surgeon you speak to offers them or not.
If a surgeon only wants to do implants then find one who also does autologous tissue reconstruction. This may require multiple consultations.
If there’s an academic medical center in your area that may be a good place to start.
To vet plastic surgeons properly for any plastic surgery procedure I recommend patients scheduled exclusively in person consultations whenever possible.
During the consultation ask each surgeon to open their portfolio and share their entire collection before and after pictures. Surgeons may or may not be willing to do this. Recognized it being shown a handful of preselected pictures which most likely represent the best results of the providers career is insufficient to get a clear understanding of what average results look like and does not confirm how many of these procedures the surgeon has performed or performs on a regular basis.
An experienced plastic surgeon should have no difficulty showing you at least 50 sets of before and after pictures of commonly performed procedures. that would definitely include breast reconstruction for those were involved with doing breast reconstruction on a regular basis. during the 10 years of my practice where I did breast reconstruction it represented 1/3 of my practice and we did at least one new breast cancer patient per week.
That’s the provider to show you example before and after pictures of patients who have similar body characteristics to your own. For breast cancer you must discuss all the variable treatment options. It can get a bit overwhelming and complex. Your general surgeon who did your mastectomies should also have resources for plastic surgeons who do breast reconstruction.
Once your breast reconstructive needs having thoroughly evaluated and you’ll have a long-term stable outcome you can consider cosmetic procedures on your torso.
To do liposuction and ruin the fat layer of the lower abdomen instead of having beautiful breast reconstruction would be a very unfortunate situation.
Your situation is complex and for complex situations relying on online suggestions on the form like real self is a simplistic approach and probably in the end not very helpful.
Unfortunately far too many plastic surgeons are happy to offer cosmetic surgery without mentioning anything about the need for breast reconstruction setting you up for potential failure in the operation that matters most.
Hopefully some of this information makes sense and it’s abuse to you.
Try to follow the outline of the priorities I have described for you if those are consistent with your values wishes and needs.
Best,
Mats Hagstrom MD

Finished stage 1 breast cancer treatment & all medication - can I have a round 2 BBL?

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