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03-24-2007, 07:24 AM
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#1
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Member
Join Date: Jul 2006
Location: Ft. Bragg N.C.
Posts: 14
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reconstruction w/implants question??
I have had my reconstruction surgery and am in the process of being expanded. My new dilemma is what kind of implants to get, saline or silicone. My plastic surgeon suggests silicone because of the lack of breast tissue and the skin being thin due to radiation, he says these are more natural looking. I am wondering if any of you have had implants, if so waht kind and what was the outcome? Silicone seems a little scary but they get the best result.
Thanks for your input.
Steph
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03-24-2007, 07:30 AM
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#2
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Senior Member
Join Date: Sep 2006
Location: Savannah, Georgia
Posts: 301
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Hi Steph,
I did have implants put in with reconstruction and got silicone under the chest muscle. I was told the same thing about the skin being too thin to support the saline. I am happy with the way that they look, they are very natural looking, but I kept them relatively moderately sized at a 34 B. They did feel a little "hard", or "firm" at first, but things have loosened up quite a bit. I also had my nipple reconstruction 10 days ago and am very peased with the results. I am amazed at what can be done now. Just amazed.
Love, Kelly
__________________
dx'd 05/06, 37 years old
er/pr-, Her2+, grade 3
double mastectomy, immediate reconstruction- implants
Stage 2b, 2 tumors- 2.2 cm and 0.6 cm, 3/5 + nodes
all scans clear
genetic testing- negative
06/06 began dd A/C x 4, 12 weekly Taxols w/ Herceptin
30 rads
Herceptin weekly x 1 year
Herceptin completed 08/07
Port removed 12/26/07 MERRY CHRISTMAS!!!!!!
05/17/08 Two year anniversary NED
"We gain strength, courage, and confidence by each experience in which we really stop to look fear in the face... you must do the thing that you think you cannot do."
-Eleanor Roosevelt
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03-24-2007, 10:23 AM
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#3
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Senior Member
Join Date: Sep 2005
Location: Ohio
Posts: 212
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Hi Steph, I had reconstruction with saline implants and while they turned out okay, I often wish I'd gone with silicone for a more natural result. I was worried at the time about the risks of silicone (rupturing, causing problems) but silicone doesn't seem to have as bad of a reputation anymore... My saline implants are "fine" but not "wow"--good luck making your decision, I know it can be a difficult one.
__________________
Audrey
diagnosed July 2001, at age 36
large tumor, 11+ nodes
Stage IIIb, er/pr-, Her2+
treated with A/C, weekly Taxol
radiation, + year of Herceptin
on clinical trial. double mastectomy
followed by reconstruction
NED!!
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03-24-2007, 12:09 PM
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#4
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Senior Member
Join Date: Aug 2003
Location: Morris, IL
Posts: 3,507
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I had reconstruction done with a mentor silicone implant....and I am part of a study for 5 years....I did end up with adhesive capsulitis....but I am not ready to have it fixed with more surgery. I did not have nipple reconstruction...I am going for a tattoo, but something unique, like a palm tree....
__________________
"Be kinder than necessary, for everyone you meet is fighting some kind of battle."
Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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03-24-2007, 03:04 PM
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#5
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Senior Member
Join Date: Sep 2005
Location: Los Angeles
Posts: 430
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Hi Steph,
I have a saline implant on the rb. The doc said silicone is more natural looking, which is true. I'm a VERY SMALL gal so the difference between the two types for me is not significant. I went with saline because i'm a wuz and i'm scared of rupture but this does not happen often.
I also have have an expander and will place a matching saline implant in.
I will also just do tattos in the future like Sheila. I'm tired of more surgery.
Just a reminder that in the future if you do mri for the annual check up, there are now special mris for breast silicone implants, ask about this at your doc's.
I'm so glad Kelly went well with her surgery. She was also very helpful to me in answering your same questions a few months back.
XOXO
MCS ( maria)
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03-24-2007, 04:33 PM
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#6
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Senior Member
Join Date: Jun 2006
Location: San Antonio, TX
Posts: 2,357
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 I'm really lovin' the palm tree, Sheila!!! I've decided not to make any decision for about 3 - 6 months. the thought of the expander makes me tired. But maybe by late summer I'll be ready! I appreciate all the sharing on this topic. Sometimes I really wish I'd pressed harder to have had both sides done and just forget it! But I know how time changes thinking. Thanks to all for sharing their experiences and knowledge. And most of all for keeping it fun! I may keep looking odd for quite a bit longer!!!!! Maybe a puppy?????  Good cheer, mary anne
__________________
MA in TX.
Grateful for each and every day....
Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
ER/PR- Her2 +3 strongly positive
Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
8 1/2 years since diagnosis! 5 1/2 Years NED!
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