Breast cancer patient: should I reconstruct both breasts or wait until I have kids to get a lift on uneffected breast? (Photo)

At age 15, I was diagnosed with DFSP in my right breast which resulted in a partial mastectomy. 3 years later I have reconstruction done and with a saline implant. I am 30 right now and need to replace my existing implant and have the opportunity to get reconstruction surgery once again. I was advised to hold off on lifting the left breast because its shape could change if I have kids. My dilemma is I want to have full symmetry and only fixing one breast I think does not achieve that. Help!

Doctor Answers 2

Breast reconstruction

You have an extreme shortage of skin in the upper inner and lower inner quadrants of  the right breast.  If this is not dealt with properly it will not come close to matching your expectations.

Symmetry after reconstruction

Hello and thanks for sharing your interesting history.

DFSP in the breast is not very common. I agree that it would be nice for you to have better symmetry. I would be inclined to suggest having a lift or reduction on the other side at the same time as your right sided re-do. The issue is that breast reduction or lift may affect your ability to breastfeed, and your breasts will continue to change over time as gravity and age take their toll. Even if you get good symmetry now, you may re-droop a bit more over time, and you might even need to repeat a lift in the future. If you were going to have kids in the next couple of years, you might hold off, but if you have no immediate plans, you might want to pursue getting better symmetry now.

I hope that helps-

Susan MacLennan, MD
Banff Plastic Surgeon
5.0 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.