Single Mastectomy Silicone Implant Pilates Struggles

It’s been one year and ten months since my single mastectomy with silicone implant and I think I’m slowly getting better. I had triple negative breast cancer and did 7 months of chemotherapy followed by my mastectomy in 2021. Last year I had a lot of cording which has been resolved, thankfully. Now I’m trying to still get used to the odd sensations having a silicone implant. I’ve been attending Pilates classes since last year and for some reason I seem to be the only one really struggling to do any exercises where I have to lie on my stomach. 

I’m really trying to improve my strength on my left side after the surgery as my arm and shoulder are still so weak. I find Pilates helps give me much needed energy too which has been good as  I find there are days when I’m utterly exhausted which is baffling as I’m passed all the chemo exhaustion. 

I’ve shared these physical issues with my Pilates teachers but none of them can relate or understand what it is to go through breast cancer and have part of your body cut off. I’ve explained to them that to lie on my stomach isn’t comfortable on a yoga mat as it feels like I’m lying on a hard tennis ball which pushes into my ribs. 

I wonder if it’s just my experience. I’ve googled over and over again to see if there’s a type of yoga mat or cushion to help make these exercises less uncomfortable but there’s nothing out there for breast cancer survivors with just one real breast and one silicone implant. 

My surgeon and my physiotherapist assure me that nothing is wrong with my implant and that all is healed and that Pilates is good for me. I’m still not even sure if I want to keep my implant and my surgeon keeps me in a regular 6 month check up to see how I feel about the implant. Last time I saw her, I said I was getting more used to it but now as I approach another check up, I’m feeling less comfortable with it. I’m not so keen on the twinges of pain and odd itching that I’ve been told is nerves rebuilding themselves. I’m also a bit spooked by the stuff I’ve read about silicone implants potentially causing a different sort of cancer. But I’m not keen on another big surgery and the drains though I feel like I might be more comfortable if I was flat on one side instead of struggling with this implant. 

I’d love to know if anyone has similar feelings or similar struggles with Pilates or yoga when lying face down or if there are any cushions or something to make it easier? 

  • Hello thefranceskatree, 

    Thank you for sharing your interesting story. I am pleased to hear you feel you are slowly getting better and I hope that despite these issues you are enjoying the pilates classes and that they are beneficial to you. It's a shame though that you are finding it a struggle to do any exercises which involve lying on your stomach and it would be great if you could find a mat that will help make these exercises more comfortable. It might be worth bringing this up with your surgeon when you have your next check up -  explain in detail how this has been causing you discomfort during your pilates classes and whether they have helpful suggestions and also the fact that you are feeling less comfortable with your implant at the moment. Do mention those twinges and the itching you describe and don't be afraid to share your fears and your concerns about the things you have read - your surgeon will be best placed to reassure you and answer every question fully. 

    Perhaps other members of our community will have experienced similar challenges with pilates or yoga when lying face down and they may have some good tips for you based on what worked for them.  Our nurses are also available on this free number 0808 800 4040 if you would like to talk to them about all this - they may have some useful suggestions for you and may be able to point you in the right direction. 

    Best wishes, 

    Lucie, Cancer Chat Moderator

  • Thank you for responding to my post and for the interesting pieces of information you shared. I hope there are others who may have similar experiences as I'd be curious to see what solutions could be used. I'll definitely share my feelings about my implant with my surgeon on our next check up as I know she's keeping my appointments ongoing while I try to feel more comfortable with my implant. I hope what I've been feeling is normal or at least common with others like me. It's so difficult to know what others are experiencing after the cancer experience. In some ways I miss being a regular patient at my hospital as at least then, I was amongst others just like me. All learning experiences.