mastectomy and removing the layer of fat attached to skin

I had a skin sparing mascetomy with immediate implant and the breast feels extremely hard.  The surgeon told me it was because of radiation.  (He initially told me it was just to be a temporary implant but I've since heard from another surgeon that all implants are permanent. He obviously lied to me!) I assured him it felt the same just after the operation.  I went to see a private breast surgeon and he has told me that the NHS surgeon has removed the layer of fat next to my skin.  I asked if this was necessary and what the medical advice from the breast cancer experts say and he says they can't agree on whether it is right or not! Also I had my nipple removed and the private surgeon said I should have been given the option for to have the nipple tested for cancer and to keep it if I wished,  He said this should have been discussed with me by the surgeon.  Good old NHS eh!! Any advice or input needed

  • Hello Miss.amanda and thanks for posting.

    I am sorry to hear you about the problems you have had after breast surgery. As I'm a nurse and not a surgeon I'm not an expert in breast surgery and the different techniques used. However my experience from looking after women with breast cancer is that every women's experience does vary according to the type and stage of their cancer and the treatment that is needed to give them the best outlook for the future. 

    Before surgery the procedure is discussed and explained by the surgeon to the patient before the consent form to agree to the treatment is signed. You can read more about the different types of breast cancer surgery here on our website and you will see this does depend on so many different factors. Decisions about treatment is discussed within a multi disciplinary team setting for each and every patient based on all the information they have which will then be discussed with the patient.

    I'm afraid that some cancer surgery and treatments can leave patients with unfortunate and sometimes long term side effects that can affect the persons quality of life. It is always best to chat to your specialist nurse or doctors about these to see if anything can be done to make you more comfortable.

    If you have anymore questions please get back to us, or if you would like to talk to one of the nurses our free phone number is 0808 800 4040, we are here Monday to Friday 9am till 5pm.

    Best wishes,

    Naomi 

  • Unfortunately nothing was discussed with me before surgery.  The surgeon told me he was just putting a temporary implant in and we would discuss everything at a later date.  At this later date, he said he did not want to remove the implant