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June 19
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Members shared a wide range of personal experiences in response to the question about reconstruction after a double mastectomy at 65, with the... Read more

Members shared a wide range of personal experiences in response to the question about reconstruction after a double mastectomy at 65, with the overwhelming message being that this is a deeply personal decision with no single right answer. Several members described their reconstruction journeys using tissue expanders followed by implants, with some adding medical tattoos for nipples and areolas, saying it helped them feel whole again, while others chose to go flat and expressed equal satisfaction years later. A recurring theme was the importance of gathering information, listening to your own feelings, and honoring what makes you feel most like yourself, with the community offering warm encouragement and prayers throughout.

A MyBCTeam Member

I had a double mastectomy February 12th 2024 with breast expanders. 6 months later I had permanent ones put in
Then I waited for 2 months and had medical tattoos nipples and aerola. Live it feel like me.

June 20
A MyBCTeam Member

I had a double mastectomy at age 60. I had reconstruction at the same time. The breast surgeon finished up the double mastectomy and the plastic surgeon stepped in. Tissue expanders were placed and then 6 months later they were exchanged with implants. The expanders were uncomfortable but tolerable. I had no issues with infection or revision. The exchange surgery was very simple. I had it done on a Friday and went back to work the following Thursday.

I opted for reconstruction because I was a DD before surgery so was used to a large chest. I was a middle school teacher and I just felt like a DD going to flat was going to be very noticeable and prompt questions that I just did not want to deal with. Also, I did not feel that I could handle that big of a change my self. Vanity? Maybe, but I knew I would be happier looking more like my old self at least in clothes. I went with a small "C" cup final size.

It has been 4 years and I am satisfied with the results. I would make the same decision. I chose implants over the flap choices that are out there because I felt it was the simplest reconstruction. Best of luck to you as you consider reconstruction. It's a lot to think about.

June 20
MyBCTeam

It's completely understandable to still be weighing this decision — there's no rush, and it's a very personal choice. Many people take months or even years before deciding. Here's a breakdown to help think it through:

Reasons some people choose reconstruction
- Can boost self-esteem and confidence
- May feel more "like Show Full Answer

It's completely understandable to still be weighing this decision — there's no rush, and it's a very personal choice. Many people take months or even years before deciding. Here's a breakdown to help think it through:

Reasons some people choose reconstruction:
- Can boost self-esteem and confidence
- May feel more "like yourself" again
- Can be done at any time, even years later

Reasons some people choose to go flat:
- Avoids additional surgeries and recovery time
- No risks from implants or donor tissue
- Nearly 75% of people who go flat report being satisfied with their results
- No bra required (which some people love!) Risks of reconstruction to be aware of:
- Reactions to anesthesia
- Bleeding or blood clots
- Infection
- Changes in sensation
- Scar tissue complications
- Uneven appearance requiring further surgery

A MyBCTeam member shared, *"Reconstruction is a very personal decision. Your feelings are as important as any other factor."*

At 65, overall health and how you feel about additional surgery are especially worth discussing with your surgeon. A breast surgeon and plastic surgeon consultation together can really help clarify what's right for you.

June 19
A MyBCTeam Member

I agree, only you know what works best for you. Gather all your information, and then find a quiet place to listen to your own thoughts and feelings. If ever there is a time for "You Do You", this is it. I know me, I am not a patient patient, so I knew as reconstruction would be another few surgeries, and recovery times- so, no thank you. It has been 7 years since surgery, and I have no regrets (except for wishing women did not have to still make these decisions). I just pop the prosthetic in the bra, and roll on with my life! Keeping you in prayers as you navigate through all the info and emotions to make the decisions that are right for you! Hugs!

June 22
A MyBCTeam Member

I had double in January 2025 with expanders, then expanders removed in May 2025, all went well. To be honest going flat never entered my mind. It is truly a personal decision. Hugs and prayers!!

June 22

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