Simple mastectomy or skin sparing mastectomy?

hi, I'm new to the forum, and was hoping to get some insight from ladies who have both gone for flat after simple mastectomy op, or opted for skin sparing procedure?

Ive had neo adjunct chemo already as my cancer is a mix of high grade triple negative invasive carcinoma and DCIS inside a large cyst. What proportion of the tumour is invasive won't be known until I have surgery and pathology comes back. All very scary asnits been months of uncertainty and just not knowing what's going on in there.  So far scans suggest lymph nodes look clear.

So I'm in a quandary my head tells me to get rid of it all given how aggressive the invasive part is, and hopefully heal as fast as possible so I can get on with radiotherapy asap.  But I know this can leave deep psychological impact. 

My heart suggests skin sparing with temporary implant until treatment finished and I can plan reconstruction. That way would wake up with some semblance of a breast still there from the psychological point of view.But the pitfalls of that are increased infection risk, skin necrosis potential, theynsaid it will feel cold and alien as no nerves or blood supply any more. And I'd probably worry incessantly that I wouldn't be able to feel it if it was coming back with implant in way.

i wondered what people's experiences of both options have been and how they've coped with the effects of surgery.

  • Hi Lanbird and welcome to the forum. 

    We've lots of ladies here on the forum who have had mastectomy and different types of reconstruction. You'll be able to find lots of different posts by using the search function (magnifying glass in the blue bar) at the top of the page. 

    I did have a look through some of the posts and I can see that both [@amandajane25]‍ and [@Dizzle82]‍ have had skin sparing surgeries. You can read more on this thread here. I'm sure that if you post a reply on the thread that some of the ladies will pop by and share their experiences with you. 

    If you'd like to talk things through with one of our team of nurses please do give them a call. They're available Monday to Friday 9am to 5pm on 0808 800 4040. 

    Best wishes, 
    Jenn
    Cancer Chat moderator