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POSTED UNDER Breast Reconstruction REVIEWS

Bilateral Mastectomy / Immediate Reconstruction - Orlando, FL

ORIGINAL POST

When I was first diagnosed with breast cancer, I...

mittens77
WORTH IT
When I was first diagnosed with breast cancer, I was told it was one lobular carcinoma. After two lumpectomies, I learned it was in fact two masses and my wonderful breast surgeon, Dr. Danelle Chambers, recommended a mastectomy and Dr. Scott Rotatori as a plastic surgeon. Fortunately, my lymph nodes were clear. Dr. Chambers was able to to do a skin and nipple sparing bilateral mastectomy and Dr. Rotatori immediately reconstructed both breasts with Allergan 445 cc implants. (I was relieved to avoid radiation and if I had known I could these results, I would have had the bilateral mastectomy immediately.)

I never would have imagined posting on a site like this, but it was so helpful to me to see what breast surgery actually looks like, I want to encourage others by showing what a skin and nipple sparing mastectomy with immediate reconstruction can accomplish!

Dr Rotatori is so highly regarded in the professional community; everywhere I went in the hospitals (and I think I went everywhere in this drawn out process!) the nurses, technicians and other doctors all remarked, "At least you have an excellent surgeon."

Dr. Rotatori considered carefully and answered all my questions. He obviously cares about his work. He is not a boisterous or "showy" superficial plastic surgeon. He is practical and craftsmanlike, and I mean that in the very best way. There is no question he takes personal pride in his results. He is a painstaking and precise surgeon. He visited me in the hospital and his staff followed up with me several times before my follow-up appointment with him. You can see from my five week picture that the scars are negligible. After we discussed it, he used his professional judgment on the size and shape of the implants based on my measurements and skin and I feel the results are perfect for me.

When I visited my oncologist 10 days after the surgery, he actually gasped a little, and asked, "who was your plastic surgeon?" His nurse confided in me that her breasts didn't look as good as mine did after she had a breast lift (and she is much younger than I am.)

I cannot imagine the agony of having poor reconstruction results on top of enduring breast cancer. I recommend that anyone who needs surgery should go to Dr. Rotatori, and relax, knowing you are in skillful, caring hands.

mittens77's provider

D. Scott Rotatori, MD

D. Scott Rotatori, MD

Board Certified Plastic Surgeon

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Replies (29)

April 23, 2015
Wonderful reconstruction....thank you for sharing
April 24, 2015
I am glad you found a wonderful doctor for your surgery, and appreciate your advice about your doctor.
April 24, 2015
Good luck to you in your recovery. I will be having bilateral mastectomy with DIEP flap reconstruction on June 3. Results like yours give me encouragement.
April 24, 2015
Stay positive. I know the flap surgery is more extensive than skin sparing with immediate reconstruction. It takes time, just keep reminding yourself that you will get better! You are strong! You can do it!
May 2, 2015
Thanks! Meeting the lead surgeon on Thursday, CT angiogram the same day. If both of those are good, then June 3 it is.
April 24, 2015
Hi mittens77.... Do you have tissue expanders?
April 24, 2015
No expanders, just immediate implant sub-muscular implant with a mesh sling support. I wasn't trying to go bigger; but, I was happy to fill up the sagging skin I got after nursing two children! :-D The wonderful thing is knowing I'm DONE -- no more going back; no more agonizing over what's next; no more pain. Fortunately, my highly skilled breast surgeon, Danelle Chambers, was able to save my skin and nipples so that I could have this immediate reconstruction. She and Dr. Rotatori recommended this as the easiest route and I am very glad I did it.
April 24, 2015
Count yourself very blessed~
April 24, 2015
Absolutely!! Amen.
UPDATED FROM mittens77
1 month post

Corrected Five Week Picture

mittens77

Replies (2)

May 2, 2015

Excellent job!!!!

August 9, 2016
Were your implant placed under your muscle?
UPDATED FROM mittens77
3 months post

Three Months Post Mastectomy!

mittens77
I have had so many warm and supportive comments - Thank you all!

I took this picture on the third month anniversary of my bilateral mastectomy with immediate reconstruction.
Hope this helps to see how the scars have faded and how natural my "new" breasts are. I have been using Palmer's cocoa butter for stretch marks every day, but the real basis for this great result is the skill of my surgeons, Danelle Chambers and Scott Rotatori.
I just want to encourage everyone not to be afraid of a bilateral mastectomy with reconstruction (instead of lumpectomy and radiation). I keep saying, if I had had the radiation as originally recommended with my lumpectomy, I never would have been able to have this great reconstruction. I was literally "blessed" not to have had clear margins, to lead me to decide on the mastectomy!

Thanks to RealSelf for supporting us with a forum on which to share and support each other.

Replies (6)

June 18, 2015
Lucky woman with beautiful results!
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July 27, 2015
You look fabulous and I agree about the lumpectomy...I was diagnosed in late April non invasive DCIS in my right breast, no family history....originally lumpectomy with radiation suggested but I opted to do a mastectomy after talking to my plastic surgeon, she mentioned the skin being so hard to work with after radiation and that they would be taking so much tissue it would be hard to fix properly....I did leave left breast after consulting with my doctors. i had nipple sparing mastectomy 4.5 weeks ago with expanders and Alloderm, so only one tiny scar above my nipple where she lifted and it looks amazing already...I have a fantastic plastic surgeon Dr. Monica Hall. I have had 2 fills and will have a lift of my left and then complete the reconstruction in both in a couple of months. I will end up a full B or C. The right has never looked weird, it always maintained some fullness and shape and where she lifted the nipple, it is quite perky, poor left breast is jealous :) I am glad I had the mastectomy though as they did find an additional tiny tumor that was stage 1 invasive, clear lymph nodes though so only hormone therapy for 5 years....all in all it started off scary and a big unknown, and has ended up positive thanks to my team of doctors....I have no pain and have resumed all activities. Stories like yours and the great pictures are so helpful for those facing this....thanks for sharing and best wishes
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October 19, 2015
Wow. You look incredible. So happy to hear that you are doing well and that you are thrilled w your outcome. It's amazing! My mom and Gma, had breast cancer, and although I'm ok so far I go have my mammograms etc every year... It's comforting to know that if ever needed I could go to your surgeon and feel reassured. Congrats on your health and also results.. Truly beautiful!
August 9, 2016
What cup size are you now? And, are the implants soft? I'm having my exchange surgery on August 18. I didn't have the nipple sparing so my incisions are across my breasts.
August 9, 2016
I'm a 34 C now (not overflowing, just a little bigger than a B) My implants are 445CC, teardrop Gummi Bears.
The implants are relatively soft. They are under the muscle, so the tops are really the muscle which is firmer. Just a funny thing is that they stay cold, even when I'm having a hot flash!
Don't worry, the worst is behind you. Soon this will seem like it never happened. Are you going to get tattoos? Also, for scarring, I used Palmer's cocoa butter for stretch marks and it really helped.
August 9, 2016
I'm so glad to read that you have the tear drop shaped implants. They're so pretty! I've heard that about them feeling cold. So strange. I'm strongly considering the 3D tattoos. Nine days and counting!